- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Beth Israel Lahey Health (Burlington, MA)
- …Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend ... and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case...a timely process. Registered Nurses (RNs) with utilization review experience, case management… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** ... case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review...+ Current license to practice as a Registered Nurse in the State of Utah,… more
- Universal Health Services (Conway, SC)
- Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...REQUIREMENTS : One to three years of experience in utilization review , case management, or… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of Case ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
- Marshfield Clinic (Weston, WI)
- …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:**...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Henry Ford Health System (Detroit, MI)
- …skills. + Knowledge of computers, Electronic Health Records, data base systems and utilization review / case management documentation systems. + Desire to work ... New and Improved Pay Rates GENERAL SUMMARY: The Case Manager- RN coordinates the care and...work in a fast-paced work environment. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse ( RN ) with a… more
- Rady Children's Hospital San Diego (San Diego, CA)
- … utilization of computers PREFERRED QUALIFICATIONS: Four years of experience Utilization review , case management, discharge planning experience Bilingual ... JOB SUMMARY: Case Managers function as liaisons between patients, their...discharge. MINIMUM QUALIFICATIONS: Bachelor's Degree in Nursing Current California RN license One year of pediatric experience Competent in… more
- LifePoint Health (Warrenton, VA)
- …Experience* Required - Three years of nursing experience. Preferred - Experience in utilization review , case management, discharge planning, and clinical ... The RN Case Manager monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. + The...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more
- CVS Health (Topeka, KS)
- …M ileage is reimbursable as per company policy. Preferred Qualifications + 2+ Managed care/ utilization review experience + Case management in an integrated ... and coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. + Responsible for… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the RN Asst. Director for Utilization Review , Intensive Case Management, you will support and perform duties to ... provide discharge planning/ UM concurrent review of the complex cases admitted in Non Domestic...patient and decreasing fragmentation and duplication of care, the Nurse Case Manager/Clinical Advisor is able to… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …with resources to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while ... resources that help them maintain and build on positive outcomes. In the role of RN Case Manager, you will also: + Utilize clinical expertise, discretion, and… more
- CVS Health (Harrisburg, PA)
- …teams virtually Preferred Qualifications - Crisis intervention skills - Managed care or utilization review experience - Case management and discharge ... No nights, no weekends, no holidays and no on call. The Clinical Case Manager utilizes advanced clinical judgment and critical thinking skills to facilitate… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case ManagementReq #:0000148270 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical ... 94 Old Short Hills Road, Livingston, NJ 07039 The Case Manager Registered Nurse develops...on other classifications of patients as designated by the Utilization / Case Management Review Plan. Coordinates… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/ rn - case -manager utilization - review ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Universal Health Services (Henderson, NV)
- …experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. Applicant must ... data collection/management computer programs.License/Certification:Has a current license to practice as a Registered Nurse in the State of Nevada. Other:Must be… more
- Trinity Health (Fresno, CA)
- … Manager Emergency, Case Management, this position is accountable for beginning utilization review starting at the time patients access the hospital in the ... room. The case manager is responsible for utilization review , collaboration with physicians to facilitate...evidenced based core measures. 1. Current licensure as a Registered Nurse in the State of California… more