• NCH Healthcare System (Orlando, FL)
    …improvement activities relevant to identified opportunities. . Actively collaborates with utilization review team to facilitate and meet organizational and ... patient's plan of care and facilitating efficient throughput, ensuring appropriate utilization of resources, identifying needs, and establishing safe and appropriate… more
    Talent (05/22/25)
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  • JobAdX (Lakeville, MN)
    …all direct reports.Partners with internal Human Resources, Quality, and Technical Services departments.Collaborates with or functions as the Home Therapies Program ... and auditing activities.Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.Manages clinic financials… more
    Talent (07/07/25)
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  • JobAdX (Clinton, MD)
    PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ... Facilitate timely workup of patients for access management, dialysis services , patient education, hospitalizations, and kidney transplantation as appropriate, and… more
    Talent (06/24/25)
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  • JobAdX (Tampa, FL)
    …all direct reports.Partners with internal Human Resources, Quality, and Technical Services departments.Collaborates with or functions as the Home Therapies Program ... and auditing activities.Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.Manages clinic financials… more
    Talent (06/24/25)
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  • TrackFive (Springfield, MA)
    …week, 5 days/week 8-4:30p general hours. This is RN Case management, no utilization review responsibilities. It is discharge planning etc. ASAP Start40 hours ... patient and family members and community resources to facilitate the utilization management review /discharge planning processLocal candidates accepted. BR drops… more
    Talent (07/07/25)
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  • TrackFive (Eugene, OR)
    …physical therapy and social services . The role does not involve utilization review , although knowledge of this aspect is beneficial. Weekend coverage ... Information$2,538 per weekAbout The PositionJob Title: Case Manager RN Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day… more
    Talent (07/19/25)
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  • TrackFive (PA)
    …by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and conferences for quality and adherence to established standards ... Possession of a current license to practice as a registered nurse issued by the Pennsylvania State Board of...or an assessment coordinator providing nursing care and treatment services in a Commonwealth facility for individuals with a… more
    Talent (07/13/25)
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  • TrackFive (Los Angeles, CA)
    …patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services , third party payers and review agencies, claims and ... care patient experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely… more
    Talent (07/12/25)
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  • TrackFive (Pearl City, HI)
    …with the patient s clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of ... for acute care.Discusses with physicians, the appropriateness of resource utilization , consultations, treatment plan, estimated length of stay and discharge… more
    Talent (07/18/25)
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  • TrackFive (Atlanta, GA)
    …is seeking its next amazing RN ( Registered Nurse) to work in Case Management ( Utilization Review ). Read on if this sounds like your perfect fit! Nurses and ... workforce. Hit the road with Medical Solutions and you’ll experience the best service the travel nursing industry has to offer, plus the adventure, compensation, and… more
    Talent (07/19/25)
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  • Fort Duncan Regional Medical Center (Eagle Pass, TX)
    review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services , payors, and community providers. Track ... department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a… more
    Upward (07/13/25)
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  • Health eCareers (Franconia, NH)
    …accountable for providing accurate, efficient and cost effective coordination of clinical review and performance improvement support services for the performance ... assure data is interpreted appropriately.Provides input to the Director, Medical Support Services and Peer Review regarding opportunities to improve the medical… more
    Talent (07/08/25)
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  • JobAdX (Austell, GA)
    …put forth by the American Nurses Association. As a member of the patient services team, it is expected that the individual upholds the voice of the patient, ... system policies and procedures while supporting service excellence goals.Core Responsibilities and Essential Functions:Exemplary Practice and Outcomes A.Performs the… more
    Talent (07/16/25)
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  • JobAdX (Roswell, GA)
    …people's lives.Job Summary:Wellstar North Fulton Hospital has an opportunity for a Registered Nurse (RN) in Acute Care - Cardiac Telemetry. Full-Time Night ShiftThe ... put forth by the American Nurses Association. As a member of the patient services team, it is expected that the individual upholds the voice of the patient,… more
    Talent (07/07/25)
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  • JobAdX (Roswell, GA)
    …in people's lives.Job Summary:Wellstar North Fulton Hospital has an opportunity for a Registered Nurse RN - Acute Care - Cardiac Telemetry - Full-Time Day shiftThe ... put forth by the American Nurses Association. As a member of the patient services team, it is expected that the individual upholds the voice of the patient,… more
    Talent (07/07/25)
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  • JobAdX (Marietta, GA)
    …characteristics (eg age, gender, disease, etc) in a manner that adapts service delivery to reflect an understanding of cultural diversityAlways partners with the ... to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and promotion of a… more
    Talent (07/07/25)
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  • Health eCareers (Denver, CO)
    …health care services ; manages populations of patients to ensure appropriate utilization of health care resources. Leads health care team by influence and role ... guidelines those patients who need further treatment, evaluation, or assistance. Review and monitor therapy and treatment patient plans. Initiate appropriate… more
    Talent (07/17/25)
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  • Health eCareers (Manassas, VA)
    …Hub to support efficient system throughput and optimal patient flow.Partners with virtual Utilization Review (UR) Nurse to align payor and status requirements ... patients are progressing according to the care plan, there is efficient utilization management, treatment plans are executed promptly, and discharge planning is… more
    Talent (07/11/25)
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  • Life Care Center of Kirkland (Kirkland, WA)
    …clinical experience in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred Certified Case ... Manager is responsible for the coordination of the patient's care and services . Promotes quality care using a collaborative process that coordinates, monitors, and… more
    Upward (07/20/25)
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  • Health eCareers (Houston, TX)
    …improvement of department scores for employee engagement, ie peer-to-peer accountability. SERVICE ESSENTIAL FUNCTIONSPerforms review for medical necessity of ... a targeted patient population on a designated unit(s) and/or service line. This position works with the physicians and...years in case management LICENSES AND CERTIFICATIONS - REQUIREDHealth Services \RN - Registered Nurse - Texas State… more
    Talent (07/11/25)
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