- CoreCivic (Brentwood, TN)
- …will pay $82,000 - $97,400 with a 10% bonus eligible._ **SUMMARY:** The Manager, Utilization Management / Case Management provides Utilization Review ... the organization under the direction of the Senior Director, Case Management and within the established policies...government laws and regulations. + Manages a team of utilization management nurses.Provides direction and supports staff… more
- Mount Sinai Health System (New York, NY)
- …assure timely and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care ... degree preferred + 5 years of Case Management and 6 years as a clinical nurse...New York State + Certification in case management is preferred Non-Bargaining Unit, BEZ - Utilization… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... patient care clinical setting. Must have utilization management , utilization review or case ...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman ... Short Hills Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse will...hospital setting + Minimum of one year experience in Case Management / Utilization Management … more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day ... + Posted:Yesterday **Summary** **SUMMARY:** The System Utilization Management [SUM] Utilization Review RN ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- Beth Israel Lahey Health (Burlington, MA)
- …Full Time Days 8:00am-4:30pm Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at ... making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse...a timely process. Registered Nurses (RNs) with utilization review experience, case management … more
- Truman Medical Centers (Kansas City, MO)
- …Schedule** 7:00AM - 3:30PM **Hours Per Week** 4 **Job Description** ** Utilization Management Nurse (UM RN )** _Optimize Care. Improve Outcomes. Elevate ... into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Management RN Hourly (PRN)...with utilization metrics + National certification in ** Utilization Management or Case … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN ...an acute hospital setting. At least 2 years of Utilization Management / Case Management ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Matrix Providers (Aurora, CO)
- …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization Management : Degree/Education: Bachelor-s degree ... Utilization Review Nurse ( RN ) Location:...and 12 months consecutive experience in utilization management , utilization review or case … more
- Brockton Hospital (Brockton, MA)
- …while optimizing resource utilization . Provides training to staff on case management methods and techniques. Establishes monitoring mechanisms to identify ... and develops reports that clearly monitor all areas of utilization / case management . Provides data, guidance...RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts… more
- Monroe Plan for Medical Care (Albany, NY)
- … ID:UM41-ALBANY Location:Albany Job Type:Full-time Date Posted:04/17/2025 Openings:1 Department: Utilization Management Description Looking for meaningful work ... inclusive culture! We are currently looking for an experienced and qualified, full time RN for Utilization Management . We offer competitive pay, flexible… more
- Prime Healthcare (Ontario, CA)
- …or another relevant field + A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management with a large Health Plan + ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive… more
- WellSpan Health (Lebanon, PA)
- Registered Nurse - Case Manager...General Summary Performs a variety of duties and applies utilization and case management techniques to ... patient discharge needs. Provides leadership in the integration of utilization and case management principles...., or Clinical Nursing Specialty. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or +… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... clinical experience in area of specialty. + 2 Years Utilization / Case Management experience, preferably in...experience, preferably in a Managed Care setting. + California Registered Nurse ( RN ) - CA… more
- Henry Ford Health System (Detroit, MI)
- …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review/ case management documentation systems. + Knowledge of ... (ADN) with at least two years of acute care case management experience is acceptable. + ADN...work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- UPMC (Washington, PA)
- …care/treatment, The Joint Commission Standards, Federal/State regulations relative to utilization / case management , discharge planning, Medicare, Medicaid, ... **Purpose:** The Manager oversees the day-to-day operations of the Case management department under the direction of...team performance and desired patient outcomes is needed. + Registered Nurse ( RN ) *Current licensure… more
- UTMB Health (Friendswood, TX)
- …ensure optimal quality, cost, and service/outcomes. Supports and actualizes the UTMB Utilization Review/ Case Management program by utilizing clinical ... + Supervises the operational management of the Utilization Review/ Case Management program to...Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse ( RN ) responsible for comprehensively planning for case ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + Health Services\ RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more
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