- 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
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is...degree in social work, counseling or a Michigan licensed Registered Nurse is required. + Full licensure… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by ... working knowledge of state and federal regulations. EDUCATION/EXPERIENCE Current California Registered Nurse License Five years nursing experience required… more
- Beth Israel Lahey Health (Burlington, MA)
- …for weekends, evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... States of America) Joint role of Case Manager and Utilization Review Nurse ...a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… 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 ... care based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools,...Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating ... to resources that help them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion,… more
- Prime Healthcare (Weslaco, TX)
- …#hiringrns #patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse - case - manager ... record for the medical necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and Work Experience Required… more
- Sharp HealthCare (San Diego, CA)
- …Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case ... clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA...Experience and understanding of federal and state regulations governing utilization management + Accredited Case Manager… more
- UNC Health Care (Raleigh, NC)
- …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- HCA Healthcare (Las Vegas, NV)
- …efficiently. **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager position and spend ... optimal care and appropriate resource utilization . The RN Case Manager will facilitate...in your career! We are interviewing candidates for our Registered Nurse Case Manager… more
- Actalent (Oklahoma City, OK)
- …degree preferred. * Active Oklahoma RN license required. * Case Manager , Discharge Planner, UR experience. * Utilization review experience in a facility ... Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and… more
- Prime Healthcare (Lynwood, CA)
- …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/ rn - case - manager utilization ... 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… more
- Prime Healthcare (Bloomington, IN)
- …graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing ... hires and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/141999/ case - manager utilization -review-on-site/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMonroe Hospital… more
- HCA Healthcare (Fort Walton Beach, FL)
- …supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers to patient throughput ... environment where diversity and inclusion thrive? Submit your application for our Case Manager RN PRN opening with HCA Florida Fort Walton-Destin Hospital… more
- HCA Healthcare (Fort Walton Beach, FL)
- …supporting a balance of optimal care and appropriate resource utilization . The RN Case Manager will identify potential barriers to patient throughput ... purpose and integrity. We care like family! Jump-start your career as a Case Manager RN PRN today with HCA Florida Fort Walton-Destin Hospital. **Benefits**… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ) Knowledge, Skills, & Abilities These ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- CVS Health (Austin, TX)
- …a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to face ... care more personal, convenient and affordable. Position Summary: This Case Manager RN position is...experience as an RN - 6+ months Case Management or Utilization Management experience -… more
- Prime Healthcare (Montclair, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153574/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more