• Csmc 8750000 Utilization Management Utilization…

    Cedars-Sinai (Los Angeles, CA)
    …at the most appropriate level of care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as ... estimation of the patient's expected length of stay. The UR Case Manager secures authorization...of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3… more
    Cedars-Sinai (03/10/24)
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  • Registered Nurse Case

    Henry Ford Health System (Detroit, MI)
    NEWLY ENHANCED PAY RATES Title: Registered Nurse ( RN ) Case Manager Department: Inpatient Case Management Status: Full Time (40 Hours / Week) ... Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to excel in their… more
    Henry Ford Health System (03/20/24)
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  • MSW Case Manager - Inpatient…

    Henry Ford Health System (Detroit, MI)
    …The Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to excel in ... NEWLY ENHANCED PAY RATES Title: MSW Case Manager Department: Inpatient Case Management Status: Full Time (40 Hours / Week) Shift: Days (8:00am to 4:30pm)… more
    Henry Ford Health System (04/11/24)
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  • RN - CHHA Case Manager

    UR Medicine Home Care (Rochester, NY)
    …Caseload assignment geography will vary based on patient coverage needs. The registered nurse makes the initial evaluation visit, regularly reevaluates the ... If you're a RN with recent home care experience in a...looking to have a positive effect on our community, UR Medicine Home Care currently has the ideal opportunity… more
    UR Medicine Home Care (04/17/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …competency in all organizational, departmental, and outside agency requirements. *The responsibilities of the UR case manager are listed below, in order of ... level of care to obtain inpatient order *Communicate with Case Manager to understand discharge plan and...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… more
    Billings Clinic (03/13/24)
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  • RN - Clinical Team Manager - $15,000…

    UR Medicine Home Care (Rochester, NY)
    …problems. Licensure, Certification, and/or Credential Requirements + New York State Licensed Registered Nurse + Valid NY State Drivers License and reliable ... UR MEDICINE HOME CARE TEAM! Clinical Team Manager - Eligible for a $15,000 Sign On Bonus...Takes an active role in collaborating with admissions and case management staff on all team-based patients from referral… more
    UR Medicine Home Care (03/20/24)
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  • RN - Monday - Friday - $10,000 Sign…

    UR Medicine Home Care (Rochester, NY)
    Join the UR Medicine Homecare Team, RN positions...plan of treatments and discharge plan in conjunction with registered nurse case manager ... AVAILABLE $10,000 SIGN ON BONUS Advantages to working at UR Medicine Home Care: + Eligible for a $10,000...and preventive strategies. QUALIFICATIONS: 1. New York State Licensed RN . 2. One year of experience as a clinical… more
    UR Medicine Home Care (05/08/24)
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  • Care Manager Registered Nurse

    UNC Health Care (Hendersonville, NC)
    …obtain Case Management certification. Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states. ... of the unique communities we serve. Summary: The Care Manager - RN provides ongoing support and...in matters of review decisions, coding, discharge planning, and UR issues. Serves as a liaison with insurance companies… more
    UNC Health Care (04/16/24)
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  • Hospice Registered Nurse (Per Diem),…

    Atlantic Health System (Morristown, NJ)
    Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a hospice Registered Nurse to work Monday - Friday from 8 AM to 4 PM in the Morris, ... increase based upon experience. Mileage reimbursement ($.67) included. Reports to: Assistant Manager Job Qualifications/Experience: + Current NJ RN License +… more
    Atlantic Health System (04/24/24)
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  • Recovery Audit Nurse

    UNC Health Care (Rocky Mount, NC)
    …* RN Licensed to work as a Registered Nurse in the state of North...+ 1 year of HealthCare/Medical - Case Manager in Case Management, UR , ... the unique communities we serve. **Summary:** The Recovery Audit Nurse will work closely with other Business Office staff...on managed-care and commercial payers (will work closely with Case Management / Utilization Review staff), and 3) reviews… more
    UNC Health Care (04/16/24)
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  • AHD Case Manager RN

    Alameda Health System (Alameda, CA)
    AHD Case Manager RN + Alameda, CA + Alameda Hospital + AH Care Coordination + Full Time - Day + Care Management + Req #:39260-28832 + FTE:1 + Posted:March ... 27, 2024 **Summary** **Role Overview:** The AHD Case Manager ( RN ) is responsible...preferred.** **Required Licenses/Certifications:** **Valid license to practice as a Registered Nurse in the State of California.**… more
    Alameda Health System (03/28/24)
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  • AHD Case Manager RN

    Highland General Hospital (Alameda, CA)
    Role Overview: The AHD Case Manager ( RN ) is responsible for providing comprehensive case management services to clients identified with complex health ... - coordinates denials with the attending physician, and the UR physician advisor. Prepares case reports; documents...preferred. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
    Highland General Hospital (03/27/24)
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  • Outcomes Manager - Marlton Case

    Virtua Health (Marlton, NJ)
    …Degree. Training/Certifications/Licensure: Licensure from the State of New Jersey as a MSW or Registered Nurse . Be Well, Get Well and Stay Well That's our ... RN or Masters prepared Licensed Social Worker. Preferred: 3 years clinical nursing ( RN ) experience and 1 year UR /CM/QM experience or 3 years experience as… more
    Virtua Health (03/28/24)
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  • Emergency Department RN Clinical…

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: The Emergency Department RN Clinical Case Manager will facilitate transitional care for an assigned number of cases by managing, coordinating, ... optimal clinical outcomes, utilization of services and financial goals. The Emergency Department RN Clinical Case Manager oversees the discharge process for… more
    SUNY Upstate Medical University (04/17/24)
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  • RN Case Manager 32HRW

    Erickson Living (Houston, TX)
    …vision, and mission. **What you will need:** + BS preferred; Active Professional Licensed RN required. CCM (Certified Case Manager ) certification or working ... + Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,...community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. +… more
    Erickson Living (05/14/24)
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  • Cleveland Clinic Employee Health Plan Case

    Cleveland Clinic (Independence, OH)
    …assigned. **Education:** + Graduate from accredited school of Nursing with licensure as a Registered Nurse ( RN ). + Bachelor of Science in Nursing preferred. ... Management, Employee Health Plan (EHP), the Employee Health Plan Case Manager will be responsible for reviewing...**Certifications:** + Current state licensure as a Registered Nurse ( RN ). + … more
    Cleveland Clinic (05/13/24)
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  • Case Manager

    Ellis Medicine (Schenectady, NY)
    …Planning or Home Care experience is highly preferred. Requirements: * Adheres to the Case Management Philosophy and practices of the UR /QA DP and SW policies ... with the attending, consultants, and the clinical department timely. Accurately documents UR activity on Case Management Worksheets. Adheres to observation unit… more
    Ellis Medicine (02/27/24)
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  • Clinical Case Manager

    LifePoint Health (Rutherfordton, NC)
    …admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of use of ... other regulatory agencies. Educates and mentors all staff in UR standards and LOS topics. Coordinates care and services...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
    LifePoint Health (04/16/24)
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  • Utilization Manager UM II - Transfer…

    Sharp HealthCare (San Diego, CA)
    …Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case ... End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case...clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (03/30/24)
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  • Utilization Manager II - UM System Services…

    Sharp HealthCare (San Diego, CA)
    …(ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for ...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (05/16/24)
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