- University of Southern California (Los Angeles, CA)
- The Manager of Utilization Review provides administrative and operational support to the Director of Case Management. The Manager of Utilization Review ... Utilizes advanced theoretical knowledge and skills to act as consultant to the staff and to the administrative team.... review. Req 2 years Consecutive years' experience in Utilization Review leadership in a manager or… more
- Renown Health (Reno, NV)
- …stay. By assuming a leadership role with the interdisciplinary team, the Case Manager promotes appropriate utilization of care and services, and cost effective ... status, current medical condition and post-acute needs. The Case Manager works closely with the Utilization Management...from payers. Utilizing an interdisciplinary team approach, the Case Manager acts as a consultant and educator… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …of patient care provider, advocate (patient, family, and health care professional), consultant , educator, researcher and quality manager . Use relevant nursing ... Description This requisition represents multiple Nurse Clinician openings within the department. By applying...on the plan of care recommendations and guiding the utilization of cost-effective resources. This position will manage a… more
- Advocate Aurora Health (Park Ridge, IL)
- …Operations, site leadership and other key stakeholders. Serves as an internal consultant on Care Management opportunities. Acts as an expert resource for care ... the organization's business. Licensure, Registration, and/or Certification Required: Registered Nurse license issued by the state in which the...within 1 year, or RN or SW: Certified Case Manager (CCM) issued by the Commission for Case … more
- Edgerton Hospital And Health Services (Edgerton, WI)
- …CARE Integrity. Compassion. Accountability. Respect. Excellence. Our Emergency Department & Urgent Care Manager is a registered nurse who has expertise in the ... providing patient care, acting as a clinical resource to staff and consultant to other departments. Analyze clinical practice and identify opportunities to increase… more
- Hendricks Regional Health (Danville, IN)
- …with sponsoring Physicians, Medical Staff, Management Council, Department Heads, Clinic Manager , Hospital Associates, defined customers, and the general public. Job ... provides assistance to patients in arranging continuity of care through utilization of community resources. Completes timely billing for services rendered. Quality… more
- MedStar Health (Baltimore, MD)
- …discharge planning, and payer concerns such as LOS. Collaborates with utilization review team members on medical necessity determinations. Refers cases that ... with patient, family and/or significant other, health care team, external case manager , and facility to address issues relating to transition from acute to… more
- Bronson Healthcare (Kalamazoo, MI)
- …and departmental processes. *Provides guidance for and supervision of personnel accountable to nurse manager . o Provides ongoing feedback to staff related to job ... *Facilitates charge nurse and other unit meetings, reporting to nurse manager . *Participates in recruitment, selection and retention of personnel.… more
- Adventist Health (Willits, CA)
- …management program. Acts as a liaison between the patient, family, nurse , physicians, multidisciplinary team and patient's healthcare benefactor to optimize ... outcomes. Serves as a consultant to the healthcare team on specific patient items....Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice: Required… more
- Southern Illinois University School of Medicine (Springfield, IL)
- …patients. Utilizing advanced knowledge and clinical expertise, the Physician Assistant/Certified Nurse Practitioner acts as a clinician, coordinator, consultant , ... Days ExemptorNon_Exempt: Exempt SMS/SWS#: 3706 Description The Physician Assistant/Certified Nurse Practitioner is a member of a multidisciplinary team responsible… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management, Nurse Case Manager ... Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …Experience: 1-3 years Utilization Management, Nurse Case Manager /Caseworker, and/or Process Improvement Consultant Experience 3-5 years of experience ... Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is responsible and… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- Houston Methodist (Baytown, TX)
- …childbearing family's educational needs. Maintains an open line of communication with Nurse Director, Clinical Manager and Charge Nurses regarding actual or ... At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according...breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff… more
- MyFlorida (Orlando, FL)
- HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: Jul 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Pay Plan: Career Service Position...Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- Albany Medical Center (Albany, NY)
- …(United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, ... care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, Social… more
- Trinity Health (Mishawaka, IN)
- … nurse responsible for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a resource to ... for quality care. **JOB SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant ), Registered Nurse ** will provide clinical… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- University of Utah (Salt Lake City, UT)
- …care planning based on current clinical and research information. 8. Collaborates with Nurse Manager in orientation of new employees and provides feedback ... **Open Date** 06/18/2025 **Requisition Number** PRN42207B **Job Title** PS Clinical Nurse Specialist **Working Title** Clinical Research Nurse **Job Grade**… more
