- 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 ... ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… 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...candidates, *Uses Epic charting for documentation, Job Requirements *Active RN license in Massachusetts required at time of consideration… more
- University of Utah Health (Salt Lake City, UT)
- …level education in healthcare or a related field. One year of experience in a utilization review or case management environment. Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more
- MedPro Healthcare Staffing (Downey, CA)
- …Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a travel assignment with one of our ... up to $1,000 Duties Responsibilities The role of the case management nurse ( RN ) is... Manager, Case Management, Utilization Review , Case Manager RN *Weekly… more
- Riverside County, CA (Moreno Valley, CA)
- …of Riverside - Riverside University Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR ... nurse or supervisory experience working as a registered nurse in an accredited acute care...in an accredited acute care hospital. Professional experience in case management and utilization review … 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 general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management.… more
- Valley Health System (Paramus, NJ)
- …case management certification preferred. EXPERIENCE: Minimum five years experience in utilization review management and/or case management preferred. ... relates to a multidisciplinary approach to patient care and utilization of resources. EDUCATION: Bachelor's degree required. ANCC ...Minimum 5 years experience as a registered nurse required. SPECIAL SKILLS: … more
- Kaiser Permanente (Atlanta, GA)
- …experience in an acute care setting. Minimum two (2) years of experience in utilization review , case management, and discharge planning preferred. Bachelors ... quality and efficiency of care for hospitalized members by carrying out daily utilization and quality review , monitoring for inefficiencies and opportunities to… more
- Aptive (Denver, CO)
- Job Summary Job Title: Registered Nurse ( RN ) - Community Care & Referral Coordination Location: Office of Community Care (OCC), 4100 E. Mississippi Ave, ... leave. Position Overview: We are seeking dedicated and experienced Registered Nurses (RNs) to provide professional nursing services to...by the VA. Preferred Skills: Experience in care coordination, case management, or utilization review .… 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 role Demonstrated experience in discharge planning and utilization review within the past 4 years… more
- Ascension (Baltimore, MD)
- …care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: Review admissions and service requests ... care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: Review admissions and service requests… more
- Universal Healthcare Resources (Los Angeles, CA)
- …experience in an acute care setting. Job Details: Job Title Registered Nurse ( RN ) - Care Coordinator ( Case Management) Location: Los Angeles, ... Job Overview: Seeking an experienced Registered Nurse ( RN ) Care...Care Coordinator/ for a 13-week contract assignment in the Case Management/ Utilization Review department. This… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission ... and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- University of Southern California (Los Angeles, CA)
- …care team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, ... multi-task. Preferred Qualifications: Pref Bachelor's degree Pref 1 year Case management or utilization review ...within the last three years preferred. Required Licenses/Certifications: Req Registered Nurse - RN (CA… more
- Adventist HealthCare (Rockville, MD)
- …patient care; communicate barriers to leadership for resolution and trending *Communicate with Utilization Review staff on any denials, issues, or barriers to ... of 3 years experience in diverse clinical settings required * RN - minimum of 1- 3 years experience in...federal, state, and local laws that govern healthcare and case management *Knowledge of community resources Work Schedule: Occupational,… more
- Iconma LLC (Detroit, MI)
- Our Client, a Health Insurance company, is looking for a Registered Nurse - Review Analys for their Detroit, MI/Hybrid location. Responsibilities: Perform ... experience which may include acute patient care, discharge planning, case management, and utilization review ,...patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and… more
- Wilmington VA Medical Center (Wilmington, DE)
- Summary The Nurse Specialty Care Outpatient Staff Registered Nurse ( RN ) is located at the Wilmington VAMC in the Ambulatory Care Service for Cardiology. ... Duties Help The Nurse Specialty Care Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based specialty care to… more
- Banner Health (Tucson, AZ)
- …and empowering work environments, and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you ... provider networks, and regulatory agencies. Must possess knowledge of case management or utilization review ... case management or health care. Requires current Registered Nurse ( RN ) license in… more
- All Medical Personnel (Detroit, MI)
- …Experience with discharge planning - Required Experience with all patient populations Required Case Management or Utilization Review Certification - Highly ... Job Description Specialty: RN Case Management Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious… more
- Wellstar Health System (Roswell, GA)
- …States of America) Job Summary: Wellstar North Fulton Hospital has an opportunity for a Registered Nurse ( RN ) at North Fulton Hospital in the Emergency ... Department. PRN Various Shifts The RN Clinical Nurse Emergency Department is a...to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation… more
