- Detroit Medical Center (Detroit, MI)
- Detroit Medical Center is seeking a Registered Nurse ( RN ) Utilization Review for a nursing job in Detroit, Michigan.Job Description & ... Detroit, Michigan Detroit Medical Center Job ID #4369-2406002204-0. Posted job title: RN Utilization Review FT DaysAbout Detroit Medical CenterThe Detroit… more
- UT Health Tyler (Tyler, TX)
- …sign on bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People ... enhance the overall team efforts of the department/organization. Qualifications Job Requirements: Active Registered Nurse License in state of Texas 3 years of… more
- UNC Health Care (Chapel Hill, NC)
- …whose mission is to improve the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a Utilization ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Sharp HealthCare (San Diego, CA)
- …(ACMA); California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized...clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA… more
- UNC Health Care (Hendersonville, NC)
- …the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review ... met and care delivery is coordinated. The UM completes utilization reviews in accordance with federal regulations and the...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- Universal Health Services (Gulfport, MS)
- …visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning of the ... Utilization Review Department. Provides utilization review services in a manner consistent with the...reviews. Previous continuum of care experience highly preferred. Licensure: RN preferred WHAT DO OUR CURRENT EMPLOYEES VALUE AT… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... therapy for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of… more
- Baptist Memorial (Memphis, TN)
- …RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical experience with ... education + Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department: HS Case Mgmt… more
- Universal Health Services (Dearborn, MI)
- …Qualifications QUALIFICATIONS: + Master's degree in social work, counseling or a Michigan licensed Registered Nurse is required. + Full licensure in the State of ... Responsibilities Utilization Management Case Manager Beaumont Behavioral...Michigan corresponding to the above degrees: LMSW, LPC, or RN . + A minimum of 2 years of post-graduate… more
- Catholic Health (Lockport, NY)
- …Weekend and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review/ Transitions of ... foundational nursing clinical skills and discharge planning principles, the RN Care Manager , collaborates with the interdisciplinary...BS Education, or BS in Health related field + Registered Nurse , licensed ( unrestricted ) in… more
- Providence (OR)
- …the best people, we must empower them._** **Providence Health Plan is calling a Manager Utilization Management RN , Prior Authorization who will:** + Be ... responsible for Management and supervision of the PHP Utilization Management (UM) or Care Management (CM) clinical programs,...or training in supervision, management, or leadership + Oregon Registered Nurse License + 3+ years of… more
- Trinity Health (Mason City, IA)
- …with other clinical disciplines. **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa. + Bachelor's Degree required. ... 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case...preferred Experience: + Five years of experience as a registered nurse involving community contact, knowledge of… more
- Beth Israel Lahey Health (Burlington, MA)
- …8:00am-4:30pm weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... Day (United States of America) Joint role of Case Manager and Utilization Review Nurse ...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
- Mountains Community Hospital (Lake Arrowhead, CA)
- …working knowledge of state and federal regulations. EDUCATION/EXPERIENCE Current California Registered Nurse License Five years nursing experience required ... Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management...CERTIFICATES, LICENSES, REGISTRATIONS Current license as a Registered Nurse in the State of… more
- Highmark Health (Pittsburgh, PA)
- …clinical area/function/organization **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Registered Nurse ( RN ) **SKILLS** + Outstanding ... with utilization review/management + 1 year as a supervisor or manager of Utilization /Case Management with a Managed Care Organization + 1 year in prior… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team ... a self-motivated, detail-oriented, service-driven leader with: + Current unrestricted RN licensure in CA required + Bachelors of Science,...(BSN) degree required + Five or more years of utilization management required + Four or more years of… more
- McLaren Health Care (Detroit, MI)
- **Position Summary:** Responsible for providing assistance to the Utilization Manager (UM) RN in the coordination of patient admission and continued stay ... Functions and Responsibilities as Assigned:** 1. Collaborates with the UM RN to determine the appropriate hospital setting (inpatient vs. observation) based… more
- Trinity Health (Syracuse, NY)
- …Currently offer 10,000 sign-on retention bonus for qualified experienced RN 's. The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) ... actively manages the utilization review process and patient progression from Admission to...accredited School of Nursing and current licensure as a Registered Nurse in New York State. +… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/163839/ rn -case- manager utilization ... 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
- Trinity Health (Darby, PA)
- …under direction and in collaboration with the RN Care Coordination Manager , provides support to the utilization management, denials and appeals process ... patient stay claims data, denials management, and appeals. Assists RN Manager with establishing tools, processes, policies,... to provide support to the Emergency Department Case Manager , Utilization RNs, and Utilization … more
