• Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... utilization review and other members of the health care team to ensure patient management that efficiently and...including weekend rotation (as needed). The Complex Transitions of Care Team Manager will follow identified patients… more
    JobGet (09/22/24)
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  • 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 ... members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients… more
    JobGet (09/22/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... the case management and interdisciplinary healthcare team in facilitating patient care through the continuum. Monitors department activities to ensure optimum case… more
    JobGet (09/22/24)
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  • VitalCore Health Strategies (Monroe, MI)
    …( RN )MINIMUM REQUIREMENTSBachelor's degree in healthcare administration/related field. Licensed Registered Nurse . Minimum of two (2) years of management ... Registered Nurse , HSA, Health Services Administrator, Nurse , RN , Corrections, HealthcareFull-TimeCompensation details:100000-110000 Yearly… more
    JobGet (09/22/24)
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  • Blanchard Valley Hospital (Findlay, OH)
    …for the purpose of improving patient care and outcomes. Duty 4: The RN Case Manager addresses the safety of patients by reporting suspicions of abuse ... these services. Duty 7: The RN Case Manager , develops, evaluates and updates clinical care ...Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing… more
    JobGet (09/22/24)
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  • Ascension (Hanover, MD)
    …Connect with your Talent Advisor for additional specifics.Responsibilities Manage assigned Registered Nurse ( RN ) case managers, related activities ... experience and 1 year of cumulative leadership experience required.Additional Preferences Post acute Care ManagerThe RN Manager , Post Acute Services at… more
    JobGet (09/22/24)
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  • Fresenius Medical Care (Cleveland, OH)
    PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides ... facilities. Ensure efficient staff/ patient scheduling and efficient staffing utilization following company policy while maintaining a safe environment. Provide… more
    JobGet (09/22/24)
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  • Pacer Staffing (Atlanta, GA)
    …empowering the beneficiary to successfully manage their chronic condition. . The DM nurse will partner with the interdisciplinary care team to identify ... Provides Disease Management (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and evaluate the… more
    JobGet (09/22/24)
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  • ICONMA (Kentfield, CA)
    Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments Acute Care hospital experience EPIC ... EMR documentation experience Active CA RN License Shift Information: Day shift (0800-1630), Monday thru Friday Minimum Years of Experience: 2… more
    JobGet (09/22/24)
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  • Blanchard Valley Health System (Findlay, OH)
    …policy and procedures for service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care ... oversight of the interdisciplinary care transition team. The acute care transition manager fosters communication and collaboration across the health… more
    JobGet (09/22/24)
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  • Equiliem (Orange, CA)
    Summary:We are seeking a highly motivated and experienced Care Manager , with Behavioral Health experience. The Care Manager is responsible for the ... (BHT) including Applied Behavior Analysis (ABA) services offered to eligible members. The Care Manager will screen, triage and assess members to determine the… more
    JobGet (09/22/24)
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  • Cambia Health Solutions, Inc (Lewiston, ID)
    …degree in Behavioral Health preferred for behavioral health care management); or Registered nurse ( RN ) license (must have a current unrestricted ... Are Looking For: Every day, Cambia's dedicated team of Care Management RN 's are living our mission...- all in service of creating a person-focused health care experience.Are you a Registered Nurse more
    JobGet (09/22/24)
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  • 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 ... Minimally Invasive GYN and Minimally Invasive Surgery. Job SummaryThe Nurse Manager (NM) functions as the first-line...Experience: Three (3) to five (5) years as a RN , preferably in an acute care setting.… more
    JobGet (09/22/24)
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  • Staffing Now (Carson City, NV)
    …expertise to ensure our members are directed to the appropriate level of care . Will be Responsible for managing psychiatric and substance abuse or substance abuse ... which would provide an equivalent background. Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT… more
    JobGet (09/22/24)
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  • Accounting Now (Carson City, NV)
    …experience which would provide an equivalent backgroundCurrent active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) ... only, and there is licensed staff supervisionPrevious experience in case management/ utilization management with a broad range of experience with complex… more
    JobGet (09/22/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …situation, as well as disposition needs for each referred patient. Collaborates with RN Case Manager , patients, families, healthcare team members, and community ... Educational Requirements: Preferred Experience: Working knowledge and experience in utilization management, managed care , and payor issues.Other: Job… more
    JobGet (09/22/24)
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  • Utilization Care Manager

    WellSpan Health (York, PA)
    Utilization Care Manager Location: York Hospital, York, PA Schedule: Part Time Hours: M-F Days Part Time: 20 hours/week General Summary Performs a variety of ... Hire Required or + Licensed Psychologist Upon Hire Required or + Licensed Registered Nurse with Psychiatric Certification Upon Hire Required Knowledge, Skills,… more
    WellSpan Health (09/18/24)
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  • RN Manager - Care Management…

    Trinity Health (Silver Spring, MD)
    …Baltimore, MD **Description:** + Full-Time 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is responsible and accountable for ... of RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions...will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree… more
    Trinity Health (08/29/24)
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  • Registered Nurse ( RN

    ERP International (Corpus Christi, TX)
    **Overview** ERP International is seeking a ** Registered Nurse ( RN )** ** Utilization Manager ** for a full-time position in support of the **Naval ... Program (UMP) and ensure that the UMP meets established Utilization Management (UM) standards of care . Assist...of this position, it must be directly related to referral/ utilization management. License:** Active, unrestricted RN license… more
    ERP International (09/07/24)
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  • Utilization Management, Manager

    Dartmouth Health (Lebanon, NH)
    …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - BLS certification ... Overview The Manager of Utilization Management is responsible...Hospitals. This role involves collaborating with program medical directors, care teams and health plans to ensure regulatory compliance… more
    Dartmouth Health (09/19/24)
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