- 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 (Chapel Hill, NC)
- …is to improve the health and well-being of the unique communities we serve. Utilization Manager Psych Team completes clinical reviews for all areas: Inpatient, ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager Location: Eglin Hospital at Eglin AFB, Fort Walton Beach, FL. Position ... EM Key Solutions is seeking a Registered Nurse ( RN ) for a full-time Utilization...duty and reserve/guard admissions to civilian hospitals and notifies Utilization Manager and Patient Administration Element as… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization Manager Onsite Position EM Key Solutions is seeking Registered Nurse ( RN ) for a ... + Monitors active duty, reserve/guard admissions to civilian hospitals and notifies Utilization Manager and Patient Administration Element as required. + Serves… more
- Gentiva (Mooresville, NC)
- …make a lasting difference in people's lives every day. **Overview** The ** Utilization Manager ** plans, coordinates, implements, and finalizes projects according ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… 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 ... for management, leadership, and coordination of the departments of the Utilization Manager Team to ensure payor reimbursement for services rendered while… 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 appropriate ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager… 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
- 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
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to work at ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient… more
- Universal Health Services (Auburn Hills, MI)
- …Specialist to join our team of compassionate, dedicated professionals. The Lead Utilization Management (UM) Case Manager has responsibility for conducting ... coverage for UM department in the absence of the Manager . Lead Utilization Management (UM) Case ...degree in nursing required. + Unrestricted and fully licensed ( RN , LMSW, LP, LPC, etc.) required. + A minimum… more
- Children's Mercy Kansas City (Kansas City, MO)
- …in Nursing, is required within 4 years of hire + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire. RNs ... children beyond the walls of our hospital. Overview The Manager of Utilization Review will provide leadership...Required Upon Hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- Beth Israel Lahey Health (Burlington, MA)
- …days, evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care Transitions ... 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
- 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …initiatives/opportunities for improvement through departmental committee assignments. Qualifications: + Registered Nurse or Licensed Practical Nurse . ... healthcare needs of the patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and...+ Current and valid license to practice as a Registered Nurse or Licensed Practical Nurse… 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
- Prime Healthcare (Ontario, CA)
- …of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153634/ utilization -review- rn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- Corewell Health (Southfield, MI)
- …working in an organization of size and complexity comparable to Corewell Health. Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required ... to the Clinical UM Supervisor's role is to assist the regional Clinical Utilization Management Manager with implementing operational changes and serve as the… more