- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- 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 ... *BLS certification through AHA required, *ACLS certification through AHA required, * Case Management, Utilization Management, and Discharge Planning skill set… more
- Day Kimball Healthcare (Putnam, CT)
- … Manager as defined by that job description. Registered Nurse , Case Manager Education and Experience Requirements: Licensed RN currently registered ... Day Kimball Health is hiring for a Registered Nurse , Case Manager...Case Management Department functions and activities to include Utilization Review / Case Management/Clinical Documentation/RAC. Carries… more
- Medical Solutions (Omaha, NE)
- …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, travel healthcare helps you hone… more
- Kaiser Permanente (Los Angeles, CA)
- …graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: ... the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management.… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse , a sharp case manager, or a behavioral ... for Medical Director review as needed. We're Hiring for: General UM ( RN ): Mon-Fri, 8 AM-5:30 PM. Occasional evenings/weekends based on need. Pediatric Shift Care… more
- Surgery Partners (Bryan, TX)
- Job Summary: We are seeking a Part-Time Utilization Review Nurse to join our dedicated healthcare team. In this role, you will play a critical part in ... and must be worn. Qualifications, Knowledge & Ability: Current Registered Nurse ( RN ) license in...) license in the state of practice Experience in utilization review , acute hospital case … more
- MedPro Healthcare Staffing (Greensboro, NC)
- …Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a travel assignment with one of our ... up to $1,000 Duties Responsibilities The role of the case management nurse ( RN ) is... Manager, Case Management, Utilization Review , Case Manager RN *Weekly… more
- Seattle Children's Hospital (Seattle, WA)
- …Clinical experience caring for children with medical complexity Current or previous hospital case management or utilization review experience Current or ... in a clinical setting Required Credentials Current Washington State RN license. National certification in case management...previous case management or utilization review leadership experience Compensation Range $115,277.00… 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 ... Job Posting Description Department Summary: The UM Case Managers at Boston Children's review ...utilization trends, collaborating with the hospital's discharge planning case managers, healthcare team, and Patient Financial Services. They… 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...(STD/LTD claims) Knowledge of FMLA, ADAAA, EEOC, OFCCP regulations Utilization review experience CCM or CDMS certification… more
- UHS (Las Vegas, NV)
- …experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. Applicant must ... collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be… more
- NavitsPartners (Boston, MA)
- Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to ... Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in Case ... management role Demonstrated experience in discharge planning and utilization review within the past 4 years… more
- LHC Group, Inc. (Trumbull, CT)
- Job Description The Registered Nurse in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and ... in compliance with applicable laws, regulations, and agency policies. The Registered Nurse coordinates total plan of care with other health care professionals… more
- Software Placement Group (White Plains, NY)
- …Position Qualifications: BSN required or in progress for those hired after 1/1/18. Active Registered Nurse ( RN ) license in NYS. PRI Certification or obtained ... Registered Nurse Care Manager The role...members. Document activities as per department requirements and perform utilization review activities per department policy. Contribute… more
- Northwell Health (Riverhead, NY)
- …in Nursing, required. Current license to practice as a Registered Professional Nurse in New York State. Case Management Certification, preferred. Minimum of ... management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. Keeps… more
- NorthShore (Arlington Heights, IL)
- …Rescuer (American Red Cross) is preferred. Experience: Minimum three (3) years of utilization review , discharge planning, case management or disease ... for the Chronic and Complex Care Management Program is responsible for the case management, care coordination management, and utilization management of his/her… 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
- The LaSalle Group (Evanston, IL)
- …- 4:00 PM (Latest start time: 8:00 AM) Position Summary: We are actively hiring Registered Nurse ( RN ) Clinical Appeals Specialists to join our client's ... in Epic and other relevant systems. Required Qualifications: Active Registered Nurse ( RN ) license in...participating in peer-to-peer or physician-level appeal processes. Knowledge of utilization review and case management… more
- Northwestern Memorial Healthcare (Lake Forest, IL)
- …care of our employees. Ready to join our quest for better? Job Description The Registered Nurse BSN embodies the attributes of the Relationship Based Care model ... on a regular basis, and through participation in clinical case peer review . Works collaboratively with all...of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse Basic Life Support Preferred:… more
