- OU Health (Oklahoma City, OK)
- Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment: Case ManagementJob Description:General Description: Under ... direction, the Manager of case management supervises the case managers and...to promote cost-effective outcomes.Assists in developing and implementing the Utilization Plan, departmental goals, and departmental policies and procedures.Evaluates… more
- 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 & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years...tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- ICONMA (Apple Valley, CA)
- …of Acute care CM experience - can consider travelers with 1.5 years. . Experience with Utilization Review and Discharge Planning. . Experience with InterQual.
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or… more
- Wellstar Health System, Inc. (Duluth, GA)
- …limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and ... from an accredited school of nursing PreferredRequired Minimum License(s) and Certification(s) Reg Nurse (Single State) - RN - Multi-state Compact Basic Life… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in...RN ) licensure in the state of practice: Required Case management certification: Preferred Basic Life Support (BLS OR… more
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- University of New Mexico - Hospitals (Algodones, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case...Bio Hazardous Materials req PPE * Subject to an annual contract and performance appraisal Department: Registered Nurse… more
- ICONMA (CA)
- . Provide inpatient case management to patients in a busy medical center. Responsible for utilization review and discharge planning.
- Signet Health (Clinton, MD)
- …regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage for ... and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three...Triaging, assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified as… more
- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... documents the review . Refers cases for second level reviews when medical...reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required… more
- Houston Methodist The Woodlands Hospital (Jersey Village, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... case management LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse -...local and federal programs Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and… more
- Christus Health (Alamogordo, NM)
- …patient status and assists him/her in ensuring proper placement of patient.Conducts utilization review using nationally recognized medical necessity criteria and ... and reporting individual cases and/or trends to the infection control nurse .Performs utilization management functions as required by payer source.Complies… more
- APN Consulting, Inc (VA)
- …the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities ... Experience: Minimum 0-2 years of clinical practicePreferably hospital nursing, utilization management, and/or case management. Required Licensure/Certification:… more
- Home Care Providers Of Texas (San Antonio, TX)
- …activities to meet the needs of each individual patient.Responsible for evaluating utilization of patient services and patient progress. Review evaluation with ... Seeking Home Health Registered Nurses in the San Antonio area!Have you...the care team, patient, family members, physician, and case manager as needed.Performs PRN visits, and available on… more
- Duke Health (Efland, NC)
- …of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based ... discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these… more
- Duke Health (Durham, NC)
- …of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based ... discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these… more
- Comhar Inc. (Philadelphia, PA)
- …psychiatry, psychologist, professional counselor, marriage and family therapist, certified registered nurse practitioner with a mental health certification ... of needed improvement.Track and monitor the completion of outstanding paperwork ie Tx plans. Review with Care Coordinators issues that may have led to services being… more
- Signet Health (Clinton, MD)
- …regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage for ... Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social… more
