- 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 ... with a one hour lunch. No weekends or holidays! Job Specific Duties: + The duties include, but are...active duty, reserve/guard admissions to civilian hospitals and notifies Utilization Manager and Patient Administration Element as… 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 ... Motions, Eye/Hand/Foot Coordination **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen… 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 ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… 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)
- …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
- 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
- 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
- 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 ... UM Supervisor's role is to assist the regional Clinical Utilization Management Manager with implementing operational changes...COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/ jobs /156984/ registered - nurse -case- manager utilization ... the medical necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and Work Experience Required qualifications:… more
- Cedars-Sinai (Los Angeles, CA)
- …Hearing, Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization ... ** Job Description** ** Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most… more
- Centene Corporation (Sacramento, CA)
- …preferred. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates… more
- Corewell Health (Grand Rapids, MI)
- …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 ...COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career… more
- Ascension Health (Indianapolis, IN)
- …and evaluation of staff. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Indiana Board of Nursing obtained ... **Details** + **Department:** Utilization Management + **Schedule:** Full time, Mon-Fri 8am-5pm...prior to hire date or job transfer date required. Education: + Required professional licensure/certification… 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
- Actalent (Oklahoma City, OK)
- …advanced degree preferred. * Active Oklahoma RN license required. * Case Manager , Discharge Planner, UR experience. * Utilization review experience in a ... Description: Utilization Review Nurse perform integrated case...accommodation, such as the modification or adjustment of the job application process or interviewing process due to a… more