- 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...procedures for adherence to governmental and accredited agency standards. Manager provides assistance and feedback to UR staff on… more
- MedPro Healthcare Staffing (Downey, CA)
- …Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a travel assignment ... Nurse , Agency Nurse , Travel Contract, Travel Nursing, Case Manager , Case Management , Utilization Review, Case Manager RN *Weekly payment… more
- Fitchburg Healthcare (Fitchburg, MA)
- … RN Nursing supervisor, Unit manager , DON and/or ADON the registered nurse delivers efficient and effective nursing care while achieving positive clinical ... outcomes and patient family satisfaction. The RN operates within the scope of practice defined by...achieve patient goals and minimize hospitalizations Actively participates in Utilization Management or interdisciplinary Care Management… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... Direct management and development of the case management team ( RN and licensed staff). Create...RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge… more
- Northwell Health (New York, NY)
- …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... defined patient population, and as it relates to care management and the delivery of patient care services. Communicates...Master's Degree, preferred. Current license to practice as a Registered Professional Nurse in New York State.… more
- NavitsPartners (Boston, MA)
- Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to ... Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in Case Management...management role Demonstrated experience in discharge planning and utilization review within the past 4 years Working knowledge… 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
- St. Luke's University Health Network (Quakertown, PA)
- …but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. Facilitates communication among all treatment ... to pay for health care. The Social Worker Care Manager is responsible for coordinating the complex discharge planning...the continuum of care. Also works with the providers, registered nurse care managers, and multi-disciplinary care… more
- HCA Healthcare (Arlington, TX)
- …our nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Case Manager to join our healthcare family. Benefits Medical ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity....highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting… more
- Sentara Healthcare (Virginia Beach, VA)
- …Talroo - Nursing Care Coordination, Case Management , RN , Case Manager , Registered Nurse , BSN, ADN, Nursing, Hampton, Newport News, Peninsula, ... utilization of health benefits; conducts gap in care management for quality programs Assists with the implementation of...solving with provider, claims or service issues. Required qualifications: Registered Nurse ( RN ) License (Compact… more
- Kaiser Permanente (Panorama City, CA)
- …graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: ... the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining… more
- Rock County, WI (Janesville, WI)
- …shift differential New Hire Bonus of $2,000 distributed over the course of 1st year. A registered nurse ( RN ) is a professional nurse who is responsible ... of care. Reports significant resident health concerns to the nurse manager and the physician. Assures continuity...work as assigned. Job Requirements, Education, Training & Experience Registered Nurse with current Wisconsin Licensure in… more
- Mayo Clinic (Rochester, MN)
- …rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team to ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case... Manager provides leadership through education on case management / utilization management concepts, committee work,… more
- Concord Hospital (Laconia, NH)
- Summary The Inpatient Nurse Care Manager , in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating ... family across the continuum of care. The Inpatient Care Manager will recognize and intervene to secure resources necessary...of 2 years in a clinical specialty or Care Management , Discharge planning, Quality Improvement and Utilization … more
- American Traveler (Boston, MA)
- American Traveler is seeking an experienced RN Case Manager with acute case management experience and an active MA RN license. Job Details *Position is ... based in a hospital setting within the case management department, *Day shift schedule from 08:00 to 16:30,...candidates, *Uses Epic charting for documentation, Job Requirements *Active RN license in Massachusetts required at time of consideration… more
- Compunnel (Burbank, CA)
- Primary Focus: To provide patient-centered care through utilization management , case management , and discharge planning for patients in acute care, extended ... care standards and regulatory requirements. Core Competencies: Strong understanding of utilization review processes to optimize care efficiency. Expertise in case … more
- Bon Secours (Mechanicsville, VA)
- …mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership. ... States of America) Primary Function/General Purpose of Position The RN Care Manager is responsible for providing...are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management … more
- South Shore Health (Weymouth, MA)
- …desirable Required Licenses / Registrations RN - Registered Nurse Required Certifications ACM-Accredited Case Manager or CCM-Certified Case Manager ... of America) Under the general supervision of the Case Management Manager acts as a patient advocate/Case...American Heart Association (AHA) (Including courses offered through SSH), RN - Registered Nurse - Board of… more
- HCA Healthcare (Plano, TX)
- …efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Case Manager position and spend more ... highest quality care in the most compassionate way. The RN Case Manager is responsible for promoting...in your career! We are interviewing candidates for our Registered Nurse Case Manager opening.… more
- University of Southern California (Los Angeles, CA)
- …The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and coordination of ... Preferred Qualifications: Pref Bachelor's degree Pref 1 year Case management or utilization review experience within the...within the last three years preferred. Required Licenses/Certifications: Req Registered Nurse - RN (CA… more
