- American Traveler (Salem, MA)
- American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job ... is required, *BLS certification through AHA required, *ACLS certification through AHA required, * Case Management , Utilization Management , and Discharge… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant ... Responsibilities Direct management and development of the case management team ( RN and...RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong… more
- HEALTH FIRST CAREERS (Melbourne, FL)
- …or Emergency Department Nursing Knowledge/Skills/Abilities: Current working knowledge of care transitions, utilization management , case management and ... Job Requirements POSITION SUMMARY The Utilization Review (UR) nurse performs medical...analysts as necessary. Is an active member of the Utilization Management Committee. Work Experience MINIMUM QUALIFICATIONS… more
- Medical Solutions (Omaha, NE)
- A facility in Santa Barbara, CA 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 allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go - personally and professionally. Wherever you may roam,… more
- Boston Childrens Hospital (Boston, MA)
- …Licensure/ Certifications: Current Massachusetts license as a Registered Nurse ( RN ) A certification as a Certified Case Manager (or other pediatric ... utilization trends, collaborating with the hospital's discharge planning case managers, healthcare team, and Patient Financial Services. They...Utilization Management ) preferred.… 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… more
- Valley Health System (Paramus, NJ)
- …in clinical nursing, minimum of 3 years in case management / utilization . SPECIAL SKILLS: Registered Nurse , Licensed in State of New Jersey, ... and Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management / prevention within the assigned caseload.… more
- WellSpan Health (York, PA)
- …limited weekend requirement General Summary Performs a variety of duties and applies utilization and case management techniques to determine the most ... patient discharge needs. Provides leadership in the integration of utilization and case management principles....Management , or Clinical Nursing Specialty. Preferred Licenses: Licensed Registered Nurse Upon Hire Required or … more
- EvergreenHealth (Kirkland, WA)
- …hospice, arrange for equipment, and arrange for additional services in the community. Utilization Management / Case Management Nurses provide clinical ... for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity and coordination of care...Nursing 2 years acute care or case management experience Current State of Washington RN … more
- Amazon (Doylestown, PA)
- …years medical advisory experience in occupational health, worker compensation, disability, health case management , or utilization review. 3+ years clinical ... for the company and employees. Required Qualifications: Be a Registered Nurse , Nurse Practitioner, or...large organizational settings Key Job Responsibilities: Clinical Expertise & Case Management Provide expert medical evaluations and… more
- Seattle Children's Hospital (Seattle, WA)
- …Required Credentials Current Washington State RN license. National certification in case management must be obtained within three years (3) of employment. ... experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous … more
- Sharp HealthCare (La Mesa, CA)
- …Years Recent acute care nursing experience or case management experience. California Registered Nurse ( RN ) - CA Board of Registered Nursing ... and individual development planning process. Maintain current knowledge of case management , utilization management...case management software (eg, Allscripts Care Management ). The RN CM will develop and… more
- Kaiser Permanente (Los Angeles, CA)
- …Two (2) years combined RN experience in an acute care setting or case management required. Education Completion of an accredited RN training program ... graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements:… more
- Healthcare Staffing Plus (Houston, TX)
- …Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or ... program. Current and valid license to practice as a Registered Nurse in the state of Texas...and PC skills. Current working knowledge of discharge planning, utilization management , case management… more
- Alameda Health System (Oakland, CA)
- SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while ... Required Experience: Minimum three (3) years of experience in Utilization Management or Case ...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- UHS (Las Vegas, NV)
- …experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant ... establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum...License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.… more
- Surgery Partners (Bryan, TX)
- …equipment is made available and must be worn. Qualifications, Knowledge & Ability: Current Registered Nurse ( RN ) license in the state of practice Experience ... Job Summary: We are seeking a Part-Time Utilization Review Nurse to join our...in utilization review, acute hospital case management...in utilization review, acute hospital case management , or quality assurance is required… more
- LanceSoft (New York, NY)
- …license in New York State *Prefer minimum of 1-3 years relevant experience in case management , utilization review and/or quality assurance *Experience in ... Job Description: Position Purpose: Provide case management and clinical services to...transitional (modified) or full return to work assignments. *Assist nurse practitioner as needed with patient care activities such… more
- Northwell Health (New York, NY)
- …or throughout the entire continuum of health care delivery. Performs resource management , utilization management , discharge planning, care facilitation, ... interdisciplinary health care team to achieve clinical pathway and case management goals and ensures instruction to...Master's Degree, preferred. Current license to practice as a Registered Professional Nurse in New York State.… more
- MedPro Healthcare Staffing (Greensboro, NC)
- …401(k) matching Unlimited Referral Bonuses up to $1,000 Duties Responsibilities The role of the case management nurse ( RN ) is to coordinate continuity of ... agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a...Case Manager, Case Management , Utilization Review, Case Manager RN … more
