- Ascension (Baltimore, MD)
- …health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: Review admissions and service ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to… more
- Riverside County, CA (Moreno Valley, CA)
- …Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in ... nurse or supervisory experience working as a registered nurse in an accredited acute care...acute care hospital. Professional experience in case management and utilization review in a hospital is preferred.… more
- Zenex Partners (Beverly Hills, CA)
- Description Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing Clinical Support Location: Beverly Hills, CA Employment Type: ... This position will be supervised and receive assignments from a remote RN Mileage reimbursement provided Schedule: Monday-Friday Shift: 0800-1700 Required: * 2+… more
- Singing River Health System (Ocean Springs, MS)
- Utilization Review Surgery Nurse - RN...Experience: 3-5 years' Registered Nurse ( RN ) experience in surgical nursing, Utilization ... and/or transfer. Prefer ACM or CCM (Certified Case Manager), Certification in Utilization Review , Certified Professional in Healthcare Quality-CPHQ is a plus.… more
- Baton Rouge General (Baton Rouge, LA)
- …team that shapes the future of patient care through resourceful and compassionate utilization review ? What We're Looking For: Strong leadership and advocacy ... a track record of team support and development Minimum 3 years of hospital utilization review experience preferred At least 1 year of supervisory experience… 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 ... (CCM, 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 ... qualified candidates, *Uses Epic charting for documentation, Job Requirements *Active RN license in Massachusetts required at time of consideration (no conditional… 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. Working… more
- Kaiser Permanente (Aurora, CO)
- …requests, including discharge planning activities when needed (collective referred to as Utilization Review ) for the Colorado region. Manages utilization ... concurrent requests. Responsible for the planning and decision-making related to utilization review . Develops and implements departmental policies and… more
- Ascension (Baltimore, MD)
- …or job transfer date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date ... transfer date required. American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer date required.… more
- Central Health (Austin, TX)
- …as may be required by Central Health or facility in the performance of utilization review cases. Complies with the established timeliness standards for referral ... flexibly within a dynamic work environment. Proficiency in understanding the utilization review process, healthcare policies, and compliance regulations.… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21,000 hiring incentive for eligible candidates!...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… more
- Talent Software Services (Santa Barbara, CA)
- …CA RN License Job Duties: The role involves coordinating utilization management, resource management, discharge planning, post-acute care referrals, and care ... Department. Promoting patient wellness and improved care outcomes. Ensuring efficient utilization of health services. Minimizing denials of payment among a patient… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… 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 ... which may include acute patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and experience relative… more
- Strategic Staffing Solutions (Detroit, MI)
- …SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest ... clients located in Detroit, MI! Title: RN Review Analyst Location: Detroit, MI (Mostly...relative to patient care and health care delivery processes. Registered Nurse with current unrestricted Michigan … 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 Friday ... - $2,890 Position 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
- Concord Hospital (Laconia, NH)
- …specialty or Care Management, Discharge planning, Quality Improvement and Utilization Review . Demonstrates effective interpersonal, organizational and ... Summary The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary...arranging for transitional care and discharge planning needs. Through utilization review determines if patient is meeting… more
- Pennsylvania Medicine (Philadelphia, PA)
- …5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) Pennsylvania State Licensed Nurse ... BSN (Required) Registered Nurse - PA (Required)...a nurse case manager with knowledge of utilization review and third-party payors. We believe that… 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 ... preferred *SW - minimum of 3 years experience in diverse clinical settings required * RN - minimum of 1- 3 years experience in diverse clinical settings required… more
