• Southwestern Health Resources (Dallas, TX)
    …RN - Registered Nurse required upon hire CCM - Certified Case Manager Certified in Case Management URAC Recognized Case Management certification ... to hire a Manager UM Compliance. The Manager of Compliance assists with the management ...and regulatory requirements. Understands and ensures compliance with the utilization management decision hierarchy for the medical… more
    Neuvoo (10/15/19)
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  • Dover Behavioral (Dover, DE)
    …a compassionate heart. Dover Behavioral Health System is seeking a dynamic and talented Utilization Management Case Manager for its growing hospital. The ... incumbent will be responsible for proactively monitoring utilization of continuum services and optimizing reimbursement. The position is Full-time Monday - Friday… more
    Neuvoo (10/14/19)
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  • MemorialCare Health System (Long Beach, CA)
    …utilizing the nursing process, within the scope of practice of Registered Nursing . The case manager is a licensed professional who coordinates and ... effective, efficient, and appropriate care and outcomes. Fiscal responsibilities include management of utilization , providing clinical information to payors and… more
    PandaLogic (10/18/19)
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  • Clinical Management Consultants (Union City, NJ)
    …and payers to achieve department goals. This is an amazing opportunity for an experienced Nurse Leader of Care Management Utilization to work for an ... overseeing around 30 full time employees in the Case Management department. The Assistant Nursing Director of...operating procedures. The Assistant Nurse Director Case Management will manage hospital resources and utilization more
    PandaLogic (10/02/19)
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  • Talentify (Oakland, CA)
    …Contract Nurse , Agency Nurse , Travel Contract, Travel Nursing , Case Manager , Case Management , Utilization Review, Case Manager RN [Click Here ... Joint Commission-certified staffing agency, is seeking a quality Case Manager / Utilization Review Registered Nurse ...door step! Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity… more
    PandaLogic (10/14/19)
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  • A-Line Staffing Solutions (San Bernardino, CA)
    Now Hiring Utilization Review Nurse - RN /...Insurance, Case Manager , Care Manager , Utilization Review, Utilization Management , STARS, ... . LVN or RN 2+ years in acute care nursing and utilization review. Knowledge of Experience...programs managed care programs and practices required Knowledge of utilization management principles and healthcare managed care.… more
    PandaLogic (10/11/19)
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  • Greenville Health System (Greenville, SC)
    …the Commission for Case Manager Certification (CCMC) - preferred. Utilization Management experience - preferred. Position Posting Category RN-Other ... OTHER FLSA Exempt Job Summary The Hospital Case Manager (HCM) provides case management service for...service for hospital patients, including, but not limited to, utilization management to ensure efficient, cost-effective patient… more
    Greenville Health System (07/25/19)
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  • Community Behavioral Health (Philadelphia, PA)
    …opportunity for you! The Clinical Care Manager BHRS is responsible for utilization management by conducting utilization review activities, population ... * Manage providers of BHRS and BHRS Exception programs. * Complete daily Utilization Management activities. * Complete packet reviews daily, as assigned,… more
    Neuvoo (10/14/19)
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  • APLA Health (Los Angeles, CA)
    …This position will ensure that all processes, programs and operations of utilization management are fully implemented for APLAHW. The Manager of UM will be ... management of the daily operations for the Utilization Management (UM) for APLA Health and...experience (in a formal or informal role) preferred Registered Nurse with active California certification required. Requires either a… more
    Neuvoo (10/14/19)
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  • AltaMed (Commerce, CA)
    Job Description Overview: The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using ... be responsible for identifying high risk population via provider/clinic referral, utilization management referral, disease registry reporting mechanisms and… more
    Neuvoo (10/17/19)
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  • St Johns Regional Medical Center (Oxnard, CA)
    …coordination, CM, case management , acute care, 3 years experience, utilization management , UM, manager , supervisor, healthcare, hospital, ... Registered Nurse , RN, care coordination, CM, case management , manager , supervisor, healthcare, hospital, #RNcarecoordinationleader Responsibilities Position… more
    PandaLogic (09/08/19)
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  • Clinical Management Consultants (Elk Grove, CA)
    …awarded 5 Stars by Healthgrades for their knee and back surgery care. The Utilization Review Nurse Manager will oversee administrative and operational duties ... If you are a dedicated RN Manager of Case Management looking to...this thriving hospital. With year-round pleasant, sunny weather, the Utilization Review Nurse Manager will… more
    PandaLogic (10/12/19)
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  • J. Morrissey & Co. (Hartford, CT)
    …Documentation Keywords: CMS, Medicare, LTC,SNF,Discharge planning, Utilization review, utilization management , Case Manager ,Care Coordination Full ... oversee a small team of Nurse Case Manager 's and Social Workers. Oversee the Utilization ... in the State of Connecticut. Bachelor degree in Nursing Certified Case Management Certification (CCM) highly… more
    PandaLogic (10/14/19)
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  • Southwest General Health Center (Cleveland, OH)
    …or related nursing field. Minimum of 3 years in current Case Management / Utilization management . Must have knowledge of Medicare/Medicaid and commercial ... INFORMATION: Position Summary: Responsible for the oversight of the organization's Utilization Review processes and staff. These processes are to include prior… more
    Neuvoo (10/17/19)
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  • MultiCare (Auburn, WA)
    …schedules that fit your life. Learn more at www.multicarejobs.org Position Summary: The Nurse Manager is responsible for the coordination of the overall ... delivery. This position defines and monitors the standards of patient care and nursing practice, ensures availability and appropriate utilization of needed human… more
    Jobble (10/11/19)
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  • HCA (San Antonio, TX)
    Description SHIFT: Weekends Only SCHEDULE: Part-time Methodist Hospital Registered Nurse (RN) Case Manager Case Management PT - Days - Weekends Methodist ... Student Loan Repayment Program Y our Role: RN Case Manager - Case Management The Case ...utilization review, resource management , discharge planning or case management . Bachelor of Science in Nursing more
    Neuvoo (10/14/19)
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  • Clinical Management Consultants (Paso Robles, CA)
    … Review team, and will report directly to the Chief Nursing Officer The Utilization Review Nurse manager will be responsible for Utilization ... NICU and OB clinics, highly regarded medical/surgical services and Home Care. The Nurse Manager of Care Management will be joining a team and Organization,… more
    PandaLogic (10/06/19)
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  • CareStaff Partners (Vail, CO)
    …with a Case Management in Vail, Colorado. Specialty: RN - Case Manager Pay: $44-46 Gross Hourly Blended Rate Patient Population: Adult and Geriatric (19-65+) ... #32255 Carestaff Partners is seeking a RN - Registered Nurse for a critical travel or local contract position...Less than 1 year of experience working in Case Management / Utilization Review required. The CareStaff Partners… more
    PandaLogic (10/12/19)
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  • Clinical Management Consultants (Hayward, CA)
    An esteemed and award winning health system is currently hiring an inpatient RN Nurse Case Manager . This health system includes two acute care hospitals, a ... eliminating disparities in the diverse communities. As the RN Nurse Case Manager , you will coordinate care...are highly valuable skills necessary to successfully provide care management and utilization review for the patients.… more
    PandaLogic (10/05/19)
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  • Clinical Management Consultants (Tracy, CA)
    An esteemed and award winning health system is currently hiring an inpatient RN Nurse Case Manager . This health system serves the Central California with ... patients from errors, injuries, and infections. As the RN Nurse Case Manager , you will coordinate care...are highly valuable skills necessary to successfully provide care management and utilization review for the patients.… more
    PandaLogic (10/05/19)
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