- Kaiser Permanente (Aurora, CO)
- … Nurse License (Colorado) Additional Requirements: Thorough knowledge of utilization management and clinical practice. Familiarity with Medicare and ... Minimum three (3) years of clinical and medical utilization /review management experience. Education Associate degree in Nursing with current unrestricted… more
- MedPro Healthcare Staffing (Downey, CA)
- …Contract Nurse , Agency Nurse , Travel Contract, Travel Nursing , Case Manager , Case Management , Utilization Review, Case Manager RN *Weekly ... Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel...to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …budget, staffing, and training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas ... certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital… more
- Geisinger (Wilkes Barre, PA)
- … and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/01/2025 Job ID: ... Graduate from Specialty Training Program- Nursing (Required), Bachelor's Degree- Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse … more
- Geisinger (Wilkes Barre, PA)
- … and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/09/2025 Job ID: ... practice and quality patient care. Education Graduate from Specialty Training Program- Nursing (Required) Certification(s) and License(s) Licensed Practical Nurse … more
- Geisinger (Scranton, PA)
- … and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/10/2025 Job ID: ... Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: LPN -… more
- Reef Systems (Charleston, SC)
- …Staff (ProStaff) meetings. *Identify and notify the Government MTF case manager , Utilization Management (UM) nurse or Primary Care Management ... Licensed Practical Nurse (LPN) - JB Charleston, SC Reef Systems...Air Force medical Service (AFMS) mission at the Referral Management Center (RMC) located at JB Charleston, SC. This… more
- Sheppard Pratt (Amesbury, MA)
- …ensure the equitable distribution of utilization review assignments. Assists Utilization Review Coordinators and Financial Case Management Representatives in ... General Summary Under general supervision, provides day-to-day leadership of the utilization review process of patients admitted to the Hospital for Inpatient and… more
- Geisinger (Danville, PA)
- …Trauma Operating Room Location: Danville, Pennsylvania Job Category: LPN - Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work ... proud to offer a full time Inpatient Licensed Practical Nurse (LPN) a $10,000 sign on bonus for eligible...Support and mentorship from a full range of dedicated nursing leaders Community involvement through our Employee Resource Groups… more
- Kaiser Permanente (Panorama City, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... Affiliation: B21|AFSCME|SCNSC Job Level: Individual Contributor Department: Panorama City MOB #4 - Utilization Management - 0801 Pay Range: $60.79 - $74.4 / hour… more
- Riverside County, CA (Moreno Valley, CA)
- …with physicians and nursing managers to develop and implement case management / utilization review plans in compliance with federal and state laws and ... nursing is preferred. Experience: Three years of charge nurse or supervisory experience working as a registered ... nursing and patient care services for case management , discharge planning, utilization review, social work,… more
- Community Health Systems (Bentonville, AR)
- …to live! Job Summary The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under ... the supervision of a Registered Nurse or physician. This role involves reviewing medical records...of clinical nursing experience required Experience in utilization review, case management , or discharge planning… more
- Northwell Health (New York, NY)
- …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
- Fitchburg Healthcare (Fitchburg, MA)
- …Under the direction and supervision of the RN Nursing supervisor, Unit manager , DON and/or ADON the registered nurse delivers efficient and effective ... care to achieve patient goals and minimize hospitalizations Actively participates in Utilization Management or interdisciplinary Care Management Meeting to… more
- CVS Health (Newark, NJ)
- …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Case Manager Opportunity At CVS Health, we're building a...responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong… more
- Kaiser Permanente (Halethorpe, MD)
- …(KSAs): Emergency Preparedness; Patient Safety; Evidence-Based Medicine Principles; Nursing Principles; Licensure Principles; Change Management ; Confidentiality; ... , health care, or directly related field and Bachelor's degree in Nursing (BSN). Two (2) years of project/program management and/or implementation-related… more
- Singing River Health System (Ocean Springs, MS)
- …training. Experience: 3-5 years' Registered Nurse (RN) experience in surgical nursing , Utilization Review, Ambulatory or Acute Care that has relevance to ... Utilization Review Surgery Nurse - RN...Springs, Mississippi, 39564 United States Position Overview: The Case Manager focuses on clinical quality and resource management… more
- University of Southern California (Los Angeles, CA)
- The Nurse Manager holds 24-hour accountability for the quality of patient care, efficiency of operations, and human resources management for area(s) ... experience in a cost-effective manner, while applying evidenced-based leadership and practice. The Nurse Manager is responsible for the provision of safe patient… more
- University of Southern California (Pasadena, CA)
- …the assigned area(s) and for nursing care safety and quality. The Assistant Nurse Manager uses sound human resource and budget principles to guide the daily ... of nursing services to patients and families. The Assistant Nurse Manager participates in organizational and unit-based quality improvement activities… more
- NYC Health Hospitals (New York, NY)
- …of latitude for independent initiative and judgment, coordinates and monitors the management of patient-centered quality care, ensuring optimal utilization of ... from $1,097 up to $9,100 for up to 10 years of experience if you have outside nursing experience as an Accountable Care Manager . If you wish to apply for this… more
