- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- Summary The Registered Nurse - Utilization Case Manager position in Technology, Innovation & Development is located at John Cochran Medical Center at VA ... disposition planning for inpatient settings. Responsibilities The Registered Nurse - Utilization Case Manager position in Technology, Innovation &… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited educational ... position + Four years of acute hospital care experience + Two years utilization and/or case management experience inhealthcare regulatory and managed care… more
- Prime Healthcare (Weslaco, TX)
- …and InterQual Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/ registered - nurse - case -manager utilization ... Bachelor degree in a related field. At least one year experience in case management, discharge planning or nursing management;2. CCM or obtained within 6 months… more
- Trinity Health (Chelsea, MI)
- …Type:** Part time **Shift:** Rotating Shift **Description:** ** Registered Nurse ** ** Case Manager** **Department:** Utilization Management **Location:** ... + Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage ... with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN)...(3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred.… more
- HCA Healthcare (Nashville, TN)
- …3 years of relevant case management/ utilization review experience preferred + Registered Nurse - Currently licensed as a registered professional ... you want to join an organization that invests in you as a Utilization Review Services Registered Nurse ? At Parallon, you come first. HCA Healthcare has… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for UM reviews for patients who receive hospital care. Responsibilities An UM ... Registered Nurse is responsible for UM reviews...performance measures. Uses emergency and bed management software and utilization data to manage admission recommendations and identify barriers… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Utilization Management (UM) Consultant is a registered professional nurse , qualified by education and experience to work directly with ... provided. The UM Reviewer will provide backup coverage for case coordination and discharge planning. The main objective of...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 ... in a direct 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
- AdventHealth (Orlando, FL)
- …water, creating a holistic environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical ... of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a...and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +… more
- LifePoint Health (Louisburg, NC)
- …select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:** ... Registered Nurse (RN) Utilization ...continued-stay days for patients. - Maintaining communication with the Case Management Department to facilitate timely discharge planning.. Reports… more
- Ascension Health (Pensacola, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Florida Board of Nursing ... obtained prior to hire dateor job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board ofNursing or current… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... time of the offer._ **Responsibilities** Provide health care services regarding admissions, case management, discharge planning and utilization review. + Review… more
- Ascension Health (Baltimore, MD)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing ... the offer._ **Responsibilities** Provide health care services regarding admissions, case management, discharge planning and utilization review. Responsibilities:… more
- McLaren Health Care (Indianapolis, IN)
- …+ One (1) year previous experience in Managed Care Utilization Management, Medical Management, Case Management. **Preferred:** + ... We are looking for a Utilization Management RN, to join us in leading...https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- BJC HealthCare (St. Louis, MO)
- City/State: Saint Louis, Missouri Categories: Case Coordination Shift: Days Job Status: PRN Req ID: 86873 Pay Range: $32.80 - $50.39 / hour (Salary or hourly rate is ... (commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff nurse experience performing care for hospitalized patients. + 2 years of … more
- Avera (Sioux Falls, SD)
- …undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse (RN) - Board of Nursing An active license ... Clinical Departments, physicians, payers, Patient Access, Health Information Management, and Case Management. Demonstrates a willingness to maintain awareness of the… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):...needs, to identify potential barriers to optimal health, resource utilization , and methods for minimizing barriers. + Assist the… more
- ChenMed (North Miami Beach, FL)
- …into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing relationships with ... of communication. + Introduces self to patient/family and explains Nurse Case Manager's role and processes to...a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of… more
- WellSpan Health (Lebanon, PA)
- …Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... period **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources… more