- 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
- American Traveler (Puyallup, WA)
- American Traveler is seeking an experienced RN for a Case Management position in an acute inpatient hospital setting requiring WA RN license, BSN, and ... management experience. Job Details *Work in the Case Management unit of an acute care...days with immediate patient assignments while paired with another RN case manager, Job Requirements *Active WA… more
- Memorial Hermann Health System (Pearland, TX)
- …Qualified Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or ... : 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
- FROEDTERT HEALTH (Milwaukee, WI)
- …DESCRIPTION: Minimum of 3 years of acute care nursing experience is required; Prior utilization management or case management experience is required. ... 5 years of acute care nursing experience is preferred. Utilization of Interqual, MCG care web QI or Indicia...is preferred. LICENSURE DESCRIPTION: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing… more
- Healthier Mississippi People (Jackson, MS)
- …Type Full-time Description Job Summary: Accountable to perform utilization management services for designated patient case load, including prospective, ... and DSM-IV codes. Current working knowledge of discharge planning, utilization management , case management...50%, constant-51% or more) Requirements Must be licensed as RN and have at least one (1) year acute… more
- Trinity Health (Troy, NY)
- …through Friday - Samaritan Hospital If you are looking for a position in RN ( Registered Nurse ) Case Management in a dynamic hospital, this could be ... member of our caring, compassionate health care team the RN Case Manager will enjoy: Tuition assistance...experience in case management or utilization management Case Management… more
- McLaren Health Care Corporation (Indianapolis, IN)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... nursing experience. One (1) year previous experience in Managed Care Utilization Management , Medical Management , Case Management . Preferred: Two (2)… more
- FC Compassus LLC (Lorain, OH)
- …of an accredited School of Nursing (BSN/BS required). Experience in Performance Improvement, Utilization Management , Case Management and/or Discharge ... Licenses, and Registrations Current RN license in Ohio. CPR certified. Case Management Certification desirable. Physical Demands and Work Environment: The… more
- Medicine Journal (Chattanooga, TN)
- …one year experience and evidence of clinical knowledge. Preferred: Experience preferred in either utilization management or case management . Knowledge of ... Job Summary: A registered professional nurse employed by Erlanger...Education: Required: Graduate from an accredited school of Nursing. Case Management certification with the ACMA within… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- Job Details The Utilization Management Nurse is responsible assure cost effective, quality utilization management in the acute level of care setting ... other duties as assigned Key Job Requirements: Education: Licensed Registered Nurse , must have an active license...a hospital, insurance company, or independent review company in utilization , quality review or case management… more
- Copious Staffing Solution (Houston, TX)
- … case management program consist of the following: Care Facilitation, Utilization Management , Case Management and Discharge Planning. The ... : Current and valid license to practice as a Registered Nurse in the state of Texas...Experience/ Knowledge/ Skills: Minimum five (5) years experience in utilization management , case management… more
- MedPro Healthcare Staffing (Portsmouth, NH)
- …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
- Kaiser Permanente (Decatur, GA)
- …services, clinical standards, and outcomes is preferred. Complex Case Management Certification preferred. Knowledge of the Nurse Practice Act, TJC, ... experience in an acute care setting. Minimum two (2) years of experience in utilization review, case management , and discharge planning preferred. Bachelors… 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
- Montclair Hospital Medical Center (Montclair, CA)
- …work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015. Minimum ... Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years...nursing experience preferred. At least one year experience in case management , discharge planning or nursing … more
- Universal Healthcare Resources (Los Angeles, CA)
- …in an acute care setting. Job Details: Job Title Registered Nurse ( RN ) - Care Coordinator ( Case Management ) Location: Los Angeles, CA Unit Type: ... Job Overview: Seeking an experienced Registered Nurse ( RN ) Care...Care Coordinator/ for a 13-week contract assignment in the Case Management / Utilization Review department. This… more
- Tenet Health (San Antonio, TX)
- …CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse , Accredited Case Management (ACM) #LI-NS1 Tenet complies ... in Nursing Experience: MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization / case management experience. Certifications: REQUIRED… more
- Wellstar Health System (Hiram, GA)
- …bonus eligible demonstrated commitment to excellence required as we grow and develop The RN Clinical Nurse Critical Care is a proactive member of an ... Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated. RN - Reg Nurse (Single State) or RN -COMPACT - … more
- Wellstar Health System (Canton, GA)
- …or BLS - Instructor Additional License(s) and Certification(s): Current/active license as a registered nurse in the State of Georgia. Required Must have a ... of America) **Weekends Only - Saturday/Sunday 7:00am-7:00pm & 10:00am-10:00pm** Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary… more
- Children's Health (Dallas, TX)
- Job Title & Specialty Area: Prospective Review RN Department: Utilization Management Location: Dallas Shift: Day Job Type: Remote (This position does require ... Prospective Review Nurse will work collaboratively with Utilization Management Nurses to monitor and resolve...degree or equivalent experience Pref LICENSES AND CERTIFICATIONS * Registered Nurse Req * Accredited Case… more
