- Pennsylvania Medicine (Philadelphia, PA)
- …Registered Nurse - PA (Required) 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... Equivalent Experience: *And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe… 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
- Kaiser Permanente (Panorama City, CA)
- …the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working ... the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all… more
- Enlyte (Schaumburg, IL)
- … (RN), Nursing, Home Care Registered Nurse , Emergency Room Registered Nurse , Clinical Nurse , Nurse Case Manager , Field Case Manager , ... Case Manager , Workers' Compensation Nurse Case Manager , Critical Care..., Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization … more
- CVS Health (Newark, NJ)
- Case Manager Opportunity At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are ... writing, and communication skills are required. Fundamental Components/Job Description The Case Manager is responsible for conducting face-to-face visits in… more
- MedPro Healthcare Staffing (Downey, CA)
- …, Contract Nurse , Agency Nurse , Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review, Case Manager RN ... Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one… more
- University of Utah Health (Salt Lake City, UT)
- …patients and families. Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients ... that are integral to our mission. EO/AA This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes… more
- Riverside County, CA (Moreno Valley, CA)
- …along with behavioral health experience. The department is looking for only option 1 ( Case Manager ) experience at this time. OPTION I Education: Graduation from ... Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join...current Case Management Certification? (I understand a Case Manager Certification must be obtained within… more
- Assurance Healthcare Staffing (Houston, TX)
- …program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for ... of Texas or Licensed Master Social Worker (LMSW) required, LCSW preferred. Case Manager Certification required. Experience/ Knowledge/ Skills: Minimum five (5)… more
- NavitsPartners (Boston, MA)
- …in Case Management for a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the continuum to ... Job Title: Travel - Registered Nurse (RN) - Case Management Location:...or financial needs and refer to appropriate resources Perform utilization reviews and respond to third-party payers with timely,… more
- Guidehealth (Dallas, TX)
- …and confident leading a team of certified but unlicensed personnel and Registered Nurse case managers Ability to read, analyze, and interpret the most ... inside and outside the exam room for all patients. Job Description The Manager , Clinical Care is primarily responsible for the day-to-day operations of an integrated… more
- Loma Linda University Health (Murrieta, CA)
- …Description MH: Case Management and Social-(Unscheduled, Rotating Shift) - Job Summary: The Case Manager serves as a key member of the patient care delivery ... case management functions. Maintains a solid working knowledge of specialized case and utilization management methodologies and practices and applies concepts… more
- HCA Healthcare (Arlington, TX)
- …nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. Benefits Medical City ... passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. Job...supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: Performs… more
- Elevance Health (Norfolk, VA)
- Anticipated End Date: 2025-07-28 Position Title: RN Nurse Case Manager I (Tidewater) Job Description: LOCATION: This is a virtual eligible position for the ... supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Nurse Case Manager I (Transition of Care) is… more
- Kaiser Permanente (Roseville, CA)
- …Quality Standards; Quality Assurance and Effectiveness; Community Health Preferred Qualifications: Certified Case Manager (CCM) in the state where care is ... managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post acute care… more
- Integrated Resources, Inc. (Detroit, MI)
- Days 8a-4:30p, rotating weekends. Job Summary: The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or ... Case Management experience (this does not include telephonic, utilization management, or therapy experience), Strong computer skills, Epic EMR experience,… more
- Valley Health (Winchester, VA)
- Department NURSE CASE MANAGERS - 208415 Worker Sub Type Regular Work Shift Third Shift (United States of America) Pay Grade 135 Job Description The Emergency ... Department (ED) RN Case Manager is responsible for establishing, coordinating,...experience in an acute care setting is preferred Prior Case Management or Utilization Management is preferred… more
- Cleveland Clinic Rehabilitation Hospital - Fairhill (Cleveland, OH)
- …committed to providing exceptional patient care Responsibilities Position Summary The Director of Case Manager is responsible for the coordination of health care ... Name: Cleveland Clinic Rehabilitation Hospital - Fairhill Position: Director of Case Management Location: Cleveland, OH Hours: 40 hours/week Opening in October,… more
- Pair Team (Lathrop, CA)
- …Care Management team by participating in systematic case reviews and consulting with nurse care manager , behavioral health care manager , and nurse ... You'll Do Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and...incorporate goals into Health Action Plan/Shared Care Plan Supports nurse care manager , behavioral health care … more
- Kaiser Permanente (Aurora, CO)
- … Nurse License (Colorado) Additional Requirements: Thorough knowledge of utilization management and clinical practice. Familiarity with Medicare and Medicaid ... - $73.93/hour Job Summary: Manages the day to day utilization management function of a team or teams of...procedures for adherence to governmental and accredited agency standards. Manager provides assistance and feedback to UR staff on… more
