- OU Health (Oklahoma City, OK)
- Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob Description:General Description: Under direction, the ... to promote cost-effective outcomes.Assists in developing and implementing the Utilization Plan, departmental goals, and departmental policies and procedures.Evaluates… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge planning experience preferred.3. Three years of broad ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as… more
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
- ICONMA (Apple Valley, CA)
- …of Acute care CM experience - can consider travelers with 1.5 years. . Experience with Utilization Review and Discharge Planning. . Experience with InterQual.
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... health of our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nurse leader with primary responsibility… more
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... of Social Work program. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license… more
- Mindlance (Columbia, SC)
- Job Title: Managed Care Coordinator Job Location: Columbia, SC Top 3/5 Skills: . RN / Registered Nurse License . Chronic condition care . Case Management Job ... mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years' utilization review /case management/clinical/or combination; 2 of the 4… more
- Wellstar Health System, Inc. (Avondale Estates, GA)
- Facility: Kennestone Hospital WellStar Kennestone Hospital has an opportunity for a Registered Nurse ( RN ) - Acute Pulmonary -Full-time - Day Shift ... OverviewThe RN Clinical Nurse is a proactive member...diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and promotion of… more
- Wellstar Health System, Inc. (Decatur, GA)
- Facility: Kennestone Hospital Overview The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure ... possessing strong critical thinking skills. Required Minimum License(s) and Certification(s) Reg Nurse (Single State) Required RN - Multi-state Compact Required… more
- Signet Health (Clinton, MD)
- …package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day shifts for ... agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage… more
- Fresenius Medical Care (West Springfield, MA)
- …auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review . Responsible for all required network reporting and on-site state or… more
- Wellstar Health System, Inc. (Duluth, GA)
- …from an accredited school of nursing PreferredRequired Minimum License(s) and Certification(s) Reg Nurse (Single State) - RN - Multi-state Compact Basic Life ... to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and promotion of a… more
- University of New Mexico - Hospitals (Algodones, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case managers...Bio Hazardous Materials req PPE * Subject to an annual contract and performance appraisal Department: Registered Nurse… more
- ICONMA (CA)
- . Provide inpatient case management to patients in a busy medical center. Responsible for utilization review and discharge planning.
- Signet Health (Clinton, MD)
- …agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage ... Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social Worker… more
- ChristianaCare (Avondale, PA)
- …plan. Social Worker resolve psycho-social barriers and supports discharge needs. Utilization Management review patient status for appropriateness and anticipated ... MODEL:Our Care Management Triad Team Model is a collaboration between the following: RN Case Manager - manage patient care and drive patient progression and… more
