- Boston Childrens Hospital (Boston, MA)
- …Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: Current Massachusetts license as a ... Registered Nurse (RN) A certification as a Certified Case Manager (or other pediatric specialty certification like CPN or CCRN) is preferred. Boston Children's… more
- Alameda Health System (Oakland, CA)
- …requirements. 16. Participate in orientation of fresh staff as requested by the Manager of Utilization Management . 17. Maintains knowledge of current ... SUMMARY: The System Utilization Management [SUM] Utilization ...QUALIFICATIONS: Required Education: BSN from an accredited school of nursing Preferred Education: Master's degree in nursing … more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …budget, staffing, and training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas ... certification (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge of hospital… more
- Geisinger (Wilkes Barre, PA)
- … and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/01/2025 Job ID: ... Graduate from Specialty Training Program- Nursing (Required), Bachelor's Degree- Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse … more
- Geisinger (Wilkes Barre, PA)
- … and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/09/2025 Job ID: ... practice and quality patient care. Education Graduate from Specialty Training Program- Nursing (Required) Certification(s) and License(s) Licensed Practical Nurse … more
- Geisinger (Scranton, PA)
- … and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 05/10/2025 Job ID: ... Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: LPN -… more
- MedPro Healthcare Staffing (Greensboro, NC)
- …Contract Nurse , Agency Nurse , Travel Contract, Travel Nursing , Case Manager , Case Management , Utilization Review, Case Manager RN *Weekly ... Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel...to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity… more
- Geisinger (Danville, PA)
- …Trauma Operating Room Location: Danville, Pennsylvania Job Category: LPN - Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work ... proud to offer a full time Inpatient Licensed Practical Nurse (LPN) a $10,000 sign on bonus for eligible...Support and mentorship from a full range of dedicated nursing leaders Community involvement through our Employee Resource Groups… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …Lead with Clinical Insight. Whether you're an experienced utilization review nurse , a sharp case manager , or a behavioral health clinician ready ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape… more
- Valley Health System (Paramus, NJ)
- …years'" cents experience in clinical nursing , minimum of 3 years in case management / utilization . SPECIAL SKILLS: Registered Nurse , Licensed in State of ... and Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management / prevention within the assigned caseload.… more
- Kaiser Permanente (Los Angeles, CA)
- …completion of RN Leadership Development Program and/or demonstrated experiential exposure to Nursing Leadership. Knowledge of Nurse Practice Act, TJC, and other ... Job Summary: Manages the delivery of nursing services and safe patient care within assigned...which meet or exceed cost, quality, and clinical and utilization standards and performance measures. Establishes, implements, and maintains… more
- Northwell Health (New York, NY)
- …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... duties with a defined patient population, and as it relates to care management and the delivery of patient care services. Communicates with payers addresses and… more
- Software Placement Group (White Plains, NY)
- Registered Nurse Care Manager The role of the RN Care Manager is integral to our patient care strategy. This position involves performing initial ... and effective discharge planning to prevent readmissions. The RN Care Manager ensure coordination of care through intra-hospital and inter-hospital levels,… more
- AdventHealth (Altamonte Springs, FL)
- …Bachelor's degree in Nursing Health-related master's degree or MSN Prior Care Management / Utilization Management experience Professional Certification ... the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is...avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient… more
- Kaiser Permanente (Los Angeles, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... Affiliation: B21|AFSCME|SCNSC Job Level: Individual Contributor Department: Sunset Medical Center - Utilization Management - 0801 Pay Range: $60.79 - $74.4 /… more
- EvergreenHealth (Kirkland, WA)
- …arrange for equipment, and arrange for additional services in the community. Utilization Management /Case Management Nurses provide clinical information to ... met. Primary Duties: Under the direction of the department Director/ Manager of Care Management , supervises the day-to-day...REQUIRED for the position: Bachelor of Science degree in Nursing 2 years acute care or case management… more
- EmblemHealth (New York, NY)
- …Experience in case management /care coordination, managed care, and/or utilization management (Preferred) Strong communication skills - verbal, written, ... RN required, with current active RN license CCM certification (Preferred) Certification in utilization or care management (Preferred) 4 - 6 years of clinical… more
- Day Kimball Healthcare (Putnam, CT)
- Day Kimball Health is hiring for a Registered Nurse , Case Manager for Case Management Department as a 1st Shift job in Putnam, CT. Registered Nurse , Case ... needs of the staff. Registered Nurse , Case Manager Job Responsibilities: Manages the Case Management ...Case Manager Job Responsibilities: Manages the Case Management Department functions and activities to include Utilization… more
- Baystate Health (Springfield, MA)
- … Care Manager , High Street Community Health Center The ACO Nurse Care Manager is responsible for the management of care for a defined group of patients ... care management application is required and is vital. Care management program metrics including, emergency room utilization , and hospital… more
- Valley Presbyterian (Los Angeles, CA)
- Job Summary: As a Registered Nurse /Case Manager , Case Management Unit, you will play a pivotal in a variety of tasks that lead to a high level of customer ... satisfaction in the most cost-effective manner. Responsible for Utilization Management , Case Management , and Discharge planning activities on designated… more
