- Trinity Health (Chelsea, MI)
- …Part time **Shift:** Day Shift **Description:** **Registered Nurse ** ** Case Manager ** **Department:** Utilization Management **Location:** Chelsea, ... Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Trinity Health (Chelsea, MI)
- …Part time **Shift:** Rotating Shift **Description:** **Registered Nurse ** ** Case Manager ** **Department:** Utilization Management **Location:** Chelsea, ... Tuition Reimbursement **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Penn Medicine (Philadelphia, PA)
- …Registered Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) ... Equivalent Experience: * And 5+ years Prior experience as a nurse case manager with knowledge of utilization review and third-party payors. We believe… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- …https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 1-3 years Utilization Management, Nurse Case Manager /Caseworker, Patient Flow ... Summary The Registered Nurse Utilization Management Registered Nurse...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- Houston Methodist (The Woodlands, TX)
- …plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. **PEOPLE ... At Houston Methodist, the Utilization Review Nurse (URN) PRN position...Manages assigned patients and communicates and collaborates with the case manager to assist with appropriate interventions… more
- Trinity Health (Hartford, CT)
- …**Keywords: Case Management; Case Manager ; Registered Nurse ; RN; BSN; Connecticut; utilization management** **Our Commitment** Rooted in our ... well-being. **What you will do:** + As a **Registered Nurse RN Case Manager ,** you...of Care including an understanding of nationally recognized medical utilization criteria, HCFA/OBRA and state of Connecticut regulatory compliance… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Nurse (RN) Case Manager for Hospital at Home Care...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- Covenant Health (Nashua, NH)
- …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current...work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required + Minimum of… more
- Children's Hospital Boston (Boston, MA)
- 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization Management/ReviewDepartment:Patient Services-Patient Care ... experience preferred. + Experience as a Case Manager (Discharge Planning and or Utilization Management)...Nurse (RN) + A certification as a Certified Case Manager (or other pediatric specialty certification… more
- Holzer Health System (Gallipolis, OH)
- …organizational and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer ... A minimum of three years experience as a registered nurse in acute care for adult or pediatric patients...will be taken into consideration. . Professional experience with case management, utilization review, or discharge planning… more
- Providence (Anchorage, AK)
- …Qualifications:** + Associate's Degree or Diploma in Nursing upon hire. + Alaska Registered Nurse License upon hire. + 2 years acute care experience in a Medical ... Surgical or Inpatient setting. + IRR or annual competency testing in Utilization Review. **Preferred Qualifications:** + Bachelor's Degree in Nursing or higher… more
- Prime Healthcare (Montclair, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/215040/ case - manager -%28rn%29 ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (San Dimas, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214914/ case - manager -%28rn%29 ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/ case - manager %2c-rn ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves establishing ... of communication. + Introduces self to patient/family and explains Nurse Case Manager 's role and...experience required. + A minimum of 1 year of utilization review and/or case management, home health,… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Utilization Management Nurse Specialist RN II...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews… more
- Dignity Health (Carmichael, CA)
- …or related healthcare field + At least five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM ... **Responsibilities** **Day Per Diem Utilization Review Registered Nurse - Onsite...to be successful in the role:** + Understand how utilization management and case management programs integrate… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** +… more
- WellSpan Health (Lebanon, PA)
- …4pm Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use ... to address patient discharge needs. Provides leadership in the integration of utilization and case management principles. **Duties and Responsibilities** +… more
- ChenMed (St. Louis, MO)
- …ADLs, caregiver availability) + Facilitates the discharge plan in coordination with the hospital case manager , insurance case manager , social worker and ... the patient/caregiver, hospital staff. + Identifies patients for Community Case Manager or disease management (DM) programs...experience required + A minimum of 1 year of utilization review and/or case management, home health,… more