- 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...amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …as opportunities for improvement up the chain of command. Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Evening - MorningNortheast Georgia...physician advisor. Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the… more
- ResCare Community Living (Canton, OH)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... meetings* Chairs committees as applicable (eg safety, infection control, incident/accident review , human rights, etc.).* Participates in the development of the… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …foundation of improving the health of our communities. About the Role:Job SummaryThe Nurse Manager (NM) is responsible for leading inpatient wound care services ... which includes 2 wound care clinics that provide hyperbaric oxygen therapy. The Nurse Manager (NM) functions as the first-line administrative nursing leader,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …a foundation of improving the health of our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nurse ... care delivery including budget of a nursing unit(s). The Nurse Manager must be able to navigate...to patientsSkill in supervision (eg hire, train, assign and review work, motivate, prepare performance evaluations and effectively handle… 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 - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Adventist Health (Portland, OR)
- Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: Care ... exemptions may apply. Adventist Health Job ID #6563. Posted job title: field nurse care manager , home health, portland, part timeAbout Adventist HealthAdventist… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:7 Days on 7 Days OffNortheast Georgia Health System is rooted in a foundation of improving the health of ... on a designated shift including the effective and efficient allocation, utilization , and management of the financial, human, and material resources. Demonstrates… more
- Integrated Resources, Inc (Riverside, CA)
- Job Title: RN Case Manager Location : Riverside, CA Duration : 3+ Months (Possibility of extension) Shift : 8 Hours X 5 days (40 Hours/week) 08:00 AM to 05:30 PM Pay ... the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all… 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 is responsible...Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating closely with ... them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent judgment in… more
- Providence (Medford, OR)
- …based on population focus. Duties also include complex discharge planning and utilization review . The Nurse Case Manager must be competent to analyze ... **Description** The RN Case Manager is an expert professional registered nurse...year home health, mental health, substance use, hospice, and/or utilization review + Progressive nursing leadership experience,… 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 potential ... and varying other shifts **Job Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at...Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality… more
- Lowe's (Mooresville, NC)
- …Degree in Nursing and 3 years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Associate's Degree + Experience in ... **Job Summary** The Lowe's Care Nurse position is a telephonic medical case management...Clinical experience + 3 Years of Experience required with Nurse Case Management Software, along with Microsoft Office Unrestricted… 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 full-time ... + Monitors active duty, reserve/guard admissions to civilian hospitals and notifies Utilization Manager and Patient Administration Element as required. + Serves… 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 Type- ... a Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the...duty and reserve/guard admissions to civilian hospitals and notifies Utilization Manager and Patient Administration Element as… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of CMS Regulations. **Working… more
- Sharp HealthCare (San Diego, CA)
- …unrestricted. **Essential Functions** + Referral Coordination Ensures consistent application of the utilization review process for effective utilization of ... **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &...medically necessary and/or not covered benefit and refer to Utilization Review Committee. Ensures that all denials… 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 ... based on nationally accepted admission criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual...1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review -… more
- Milford Regional Medical Center (Milford, MA)
- …services to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization ... Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual… more
