- Kaiser Permanente (Aurora, CO)
- …of the unit staff, prepares department for internal and external audits, conducts utilization management audits and ensures compliance with policies and ... Nurse License (Colorado) Additional Requirements: Thorough knowledge of utilization management and clinical practice. Familiarity with Medicare and Medicaid… more
- Riverside County, CA (Moreno Valley, CA)
- …more 06 How many years of case management experience do you have working as a Registered Nurse in an acute care hospital? None Less than 6 months 6 months or ... nurse or supervisory experience working as a registered nurse in an accredited acute care...physicians and nursing managers to develop and implement case management / utilization review plans in compliance … more
- Ascension (Baltimore, MD)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. Requirements Licensure / Certification / ... Registration: Registered Nurse credentialed from the Maryland Board...compliance to federally mandated and third party payer utilization management rules and regulations. Qualifications Licensure… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant ... (CCM, ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital billing,… more
- Banner Health (Phoenix, AZ)
- …ED, Dialysis, Oncology or Telemetry. Must have a working knowledge of care management , resource/ utilization management , and hospital and community resources. ... part of our growth at BUMC Phoenix on our Heart Transplant team. As a RN Heart Transplant Coordinator, you will bring your experience and passion for health care to… 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 City ... their passion for patient care. Apply today for our Registered Nurse Case Manager opportunity. Job Summary...8:00am-4:30pm Monday - Friday with some weekends * Our RN Case Managers raise the bar by providing clinical… more
- Sentara Healthcare (Virginia Beach, VA)
- …your Keyword Search: JR-81890 Talroo - Nursing Care Coordination, Case Management , RN , Case Manager, Registered Nurse , BSN, ADN, Nursing, Hampton, ... 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 ... Performs related work as assigned. Job Requirements, Education, Training & Experience Registered Nurse with current Wisconsin Licensure in good standing. CPR… more
- Parkland Health and Hospital System (Dallas, TX)
- …in professional organizations. Maintains State of Texas Licensure as a Registered Nurse , plus any additional required licensures/certifications. Integrates ... than a job. It's our passion. Primary Purpose The RN is a licensed professional who uses the Parkland...a preceptor, and serve on rotation as a Charge Nurse . Must be able to prepare and conduct in-service… more
- Mayo Clinic (Rochester, MN)
- …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… 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 coordination of...and assessment of individuals in need of active Case Management services and promotes the right resources, at the… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- …groups, communities, and populations." Furthermore, the scope of practice of the registered nurse and the corresponding standards and competencies are dependent ... collaboration, communication, coordination, integration, and empowerment. Northside Hospital Staff Registered Nurse positions are based on a...descriptions for Staff RN I to Staff RN VI therefore imply that a nurse … more
- Prisma Health (Columbia, SC)
- …in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse . In Lieu Of In lieu of one (1) year of ... registered nurse experience, will accept successful completion...nurse . Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State… 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 time at ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Medical...are considered and aligned What qualifications you will need: Registered Nurse with current TX state license… more
- NR Consulting (Jersey Shore, PA)
- JOB DETAILS: Job Name- Registered Nurse REPORTS TO: RN Nurse Supervisor/Unit Manager/ADON/ADON-Unit/Center Nurse Executive. Specialty- RN - Rehab ... Nurse Executive ( Nurse Leader), the Registered Nurse ( RN ) delivers efficient...patient goals and minimize re- Hospitalizations. Actively participates in Utilization Management or Interdisciplinary Care Management… more
- Select Specialty Hospital - Hampton Roads (Newport News, VA)
- …Illness Recovery Hospital Director of Case Management Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... cost attentive care via a focus on resource management . Demonstrating compliance with facility-wide Utilization Management policies and procedures.… more
- Central Health (Austin, TX)
- …Under the supervision of Director of Utilization or designee - the Utilization Management RN is responsible for assessing the medical appropriateness ... services and monitoring patient progress for concurrent reviews. The Utilization Management RN will work...or case management - Required Licenses and Certifications: Registered Nurse License in the State of… more
- Vivo HealthStaff (Burbank, CA)
- …policies and influence process improvements. Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred. 2. Minimum of five years ... Job Description: Clinical Supervisor, UM Denial Compliance Location: Los Angeles Metropolitan Area Position Type:...HealthStaff is seeking a Clinical Supervisor for UM Denial Compliance . This role is essential in ensuring a high-quality,… more
- Pennsylvania Medicine (Philadelphia, PA)
- …as example. Ensures compliance with all JCAHO regulations. Credentials: BSN (Required) Registered Nurse - PA (Required) 5yrs prior experience as a Nurse ... each day. Are you living your life's work? Job Title: RN Pre Certification Case Manager Department: Business Operations -...Equivalent Experience: *And 5+ years Prior experience as a nurse case manager with knowledge of utilization … more
