- Trinity Health (Fresno, CA)
- **Employment Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next ... adventure?** **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager ...families, and hospital staff **Requirements** + State of California Registered Nurse ( RN ) License. +… more
- Catholic Health (Lockport, NY)
- …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 Care, as an active ... the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and transitions of care services...BS Education, or BS in Health related field + Registered Nurse , licensed ( unrestricted ) in… more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated inpatient ... MCG screening guidelines, and oversight of clinical denials/appeals. The Manager of Utilization Review participates...years of hire + One of the following: Licensed RN - MO, Registered Nurse … more
- Beth Israel Lahey Health (Burlington, MA)
- …Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm potential ... other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for...Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality… more
- Elevance Health (Winston Salem, NC)
- ** Manager I, Utilization Review Management** **Location: Candidates must live in the state of North Carolina.** **Hours: Monday through Friday, 8am-5pm.** ... or call center; or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + RN or BSN preferred. more
- Providence (Missoula, MT)
- **Description** **Care Manager RN in Utilization Review Unit at Providence St. Patrick Hospital Missoula, MT** The Nurse Case Manager (NCM) is ... + Graduate of an accredited health information technology program. + Upon hire: Montana Registered Nurse License + 3 years Experience in Clinical Nursing +… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... TMS therapy for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating closely ... resources that help them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/ rn -case- manager utilization - review ... 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
- Prime Healthcare (Bloomington, IN)
- …current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/case- manager utilization - review ... an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- Trinity Health (Fresno, CA)
- …in nursing (BSN) from an accredited school is required. 2. State of California Registered Nurse ( RN ) is required. Clinical professionals currently licensed ... responsible for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... follows the UR process as defined in the Utilization Review Plan in accordance with the...Eye/Hand/Foot Coordination **Req ID** : 1261 **Working Title** : Registered Nurse - Utilization Management… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …Position Type- Onsite EM Key Solutions is seeking a Registered Nurse ( RN ) for a full-time Utilization Review / Management position supporting the ... USA | Hourly | Full Time Registered Nurse - Utilization Manager Location:...Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC);… more
- McLaren Health Care (Bay City, MI)
- …Variable** **Scheduled Bi-Weekly: 0** **Position Summary:** U nder the direction of the Manager , provides utilization review and evaluation of Emergency ... + Licensed by the State of Michigan as a Registered Nurse . + Three years experience as...Degree in Nursing. + Two years experience in hospital utilization review . + Minimum of one-year experience… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …Manager Onsite Position EM Key Solutions is seeking Registered Nurse ( RN ) for a full-time Utilization Review / Management position supporting the ... Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization ...active duty, reserve/guard admissions to civilian hospitals and notifies Utilization Manager and Patient Administration Element as… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for Full-Time ... utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New York State *Skills and… more
- HCA Healthcare (Richmond, VA)
- …**Chippenham Hospital** have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager ** you can be a part of change. **Benefits** ... by location._** We are seeking a ** Registered Nurse RN Case Manager ** for...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
- AdventHealth (Hinsdale, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more