- Emanate Health (Covina, CA)
- …United States, and the #19 ranked company in the country. **Job Summary** The Manager Utilization Review /MediCal Specialist will develop and maintain a full ... continuum of care from pre-admission through post-discharge for Medi-Cal patients. The Manager Utilization Review /MediCal Specialist will manage the program… more
- 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
- 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 weekend ... rotations required **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
- 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/161307/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
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... provides the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing support to...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Sharp HealthCare (San Diego, CA)
- …Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Universal Health Services (WA)
- Responsibilities Case Manager / Utilization Review / Discharge Planning Registered Nurse - GW Hospital Full Time / Part Time (Weekend ONLY/both days ... every other weekend) Days only RN Benefits, Special Incentives & Perks Up to $3,000...Employee discounts and much more !! Qualifications POSITION REQUIREMENTS Registered Nurse , BSN required Current licensure in… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Licenses and Certifications Preferred: + NJ State Professional Registered Nurse License. + Certified Case Manager . **Job ID** _2024-143617_ **Department** ... standards, and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance… 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
- Mayo Clinic (Phoenix, AZ)
- …and social workers in the inpatient and ambulatory settings. The RN Manager effectively resolves utilization review and denial management issues, ... inclusion, and provides the resources you need to succeed. **Responsibilities** The RN Manager , Care Management provides leadership, direction, and resource… 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
- University of Utah Health (Salt Lake City, UT)
- …with an increased LOS, high dollar and frequent utilizers. + Collaborate with unit case manager , utilization review nurse and other organization staff on ... and continuum of care providers. + Provides guidance to utilization review staff and providers on admission...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… 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