- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager , Utilization Review for a travel nursing job in Glendale, California.Job Description & ... with tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people… more
- RestoraCare Staffing (Houston, TX)
- …Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston,...and PC skills Current working knowledge of discharge planning, utilization management , case management , performance… more
- The Judge Group Offshore Travel (Long Branch, NJ)
- …Judge Group Offshore Travel is seeking a local contract nurse RN Case Management for a local contract nursing job in long branch, New Jersey.Job Description ... Local ContractTravelers also accepted. 1+ yrs experience required Case Manager will be focused on criteria and utilization... Manager will be focused on criteria and utilization review so must have documented experience with this… more
- Adventist Health (Portland, OR)
- Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: ... Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN)...Adventist Health Job ID #6563. Posted job title: field nurse care manager , home health, portland, part… more
- Inova Health System (Fairfax, VA)
- Inova Health System is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in Fairfax, Virginia.Job Description & RequirementsSpecialty: ... NavigatorDiscipline: RNStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Oncology Nurse Navigator provides safe therapeutic care in a holistic… more
- Trinity Health (Fresno, CA)
- …services rendered while supporting the healing mission of Saint Agnes Medical Center. The Manager Utilization Management will ensure the timely delivery of ... , leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement...utilization review, discharge planning and support case management and the psychosocial services to patients, families, and… more
- UCLA Health (Los Angeles, CA)
- …the 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 ... RN licensure in CA required * Bachelors of Science, Nursing (BSN) degree required * Five or more years...(BSN) degree required * Five or more years of utilization management required * Four or more… more
- Centene Corporation (Sacramento, CA)
- …Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages prior authorization, concurrent...management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Corewell Health (Grand Rapids, MI)
- …Health. Scope of Work Manages and coordinates the clinical functions of the Utilization Management Department. Oversees the efficiency and effectiveness of the ... utilization management teams, made up of ...utilization management teams, made up of utilization ...and match savings Qualifications + Required Bachelor's Degree in Nursing ; OR Master's degree in Social Work or health… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered- nurse -case- manager utilization - ... intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and Work Experience Required...related field. At least one year experience in case management , discharge planning or nursing management… more
- Prime Healthcare (Anaheim, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/case- manager utilization - management ... in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6 months of hire.… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing /health care ... nature, level and purpose of the job. Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is...in social work, counseling or a Michigan licensed Registered Nurse is required. + Full licensure in the State… more
- Trinity Health (Fresno, CA)
- …Review of Acute Care seeking your next adventure?** **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager is responsible for ... healing mission of Saint Agnes Medical Center. The RN Manager of Utilization Management will...and hospital staff **Requirements** + State of California Registered Nurse (RN) License. + Current American Heart Association (AHA)… more
- Prime Healthcare (Montclair, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/case- manager -%28rn%29 utilization - management ... years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse ...experience preferred. At least one year experience in case management , discharge planning or nursing management… more
- Prime Healthcare (Chino, CA)
- …licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/160153/case- manager -%28rn%29-- utilization - management ... years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse ...experience preferred. At least one year experience in case management , discharge planning or nursing management… more
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by ... knowledge of state and federal regulations. EDUCATION/EXPERIENCE Current California Registered Nurse License Five years nursing experience required CERTIFICATES,… more
- UNC Health Care (Raleigh, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...and obtains observation status as appropriate. Partners with physicians, nursing , and other care providers to help ensure timely… more
- Corewell Health (Southfield, MI)
- …to the Clinical UM Supervisor's role is to assist the regional Clinical Utilization Management Manager with implementing operational changes and serve ... work remotely and report directly to the regional Clinical Utilization Management Manager . + Responsible...and match savings Qualifications + Required Associate's Degree in Nursing OR Bachelor's Degree in Nursing (Preferred)… more
- Sharp HealthCare (San Diego, CA)
- …System Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager (UM) partners with the Centralized Patient Placement Center ... American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing...Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager… more
