- Ascension (Baltimore, MD)
- …the offer. Responsibilities Provide health care services regarding admissions, case management , discharge planning and utilization review . Responsibilities: ... OPT candidates. Responsibilities Provide health care services regarding admissions, case management , discharge planning and utilization review .… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025 Job ID: R-77849… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a ... (CCM, ACM, CCM-RN) preferred. Proven leadership experience in acute care, utilization review , case management . Strong working knowledge of hospital billing,… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025 Job ID: R-77850… more
- Geisinger (Pittston, PA)
- …2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered Medical Assist (RMA) required. Certified by one of the listed ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- NYC Health Hospitals (New York, NY)
- …orientation of new employees. 5. Supervision of staff of the Utilization Management Department. 6. Determine, outline, and review daily assignments for all ... staff of the Utilization Management Department. 7. Plan, prepare, manage, review ,...duties assigned by the Director of Utilization Management . Minimum Qualifications 1. Licensed and currently registered… more
- Riverside County, CA (Moreno Valley, CA)
- …Riverside - Riverside University Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case ... an accredited acute care hospital. Professional experience in case management and utilization review in...management experience do you have working as a Registered Nurse in an acute care hospital? None Less… more
- Kaiser Permanente (Panorama City, CA)
- …utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review / management , discharge planning or case ... the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining… more
- Geisinger (Danville, PA)
- …2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered Medical Assist (RMA) required. Certified by one of the listed ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Geisinger (Scranton, PA)
- …2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered Medical Assist (RMA) required. Certified by one of the listed ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- Kaiser Permanente (Aurora, CO)
- …audits and surveys and delegation oversight audits, as necessary. Manages and oversees the utilization review management training and education program for ... Basic Qualifications: Experience Minimum three (3) years of clinical and medical utilization / review management experience. Education Associate degree in… more
- Geisinger (Bellefonte, PA)
- …2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered Medical Assist (RMA) required. Certified by one of the listed ... reason for visit, weight, vital signs, visit screening information, medication review , and pertinent information for provider. Sets up examination and treatment… more
- NavitsPartners (Boston, MA)
- …or case management role Demonstrated experience in discharge planning and utilization review within the past 4 years Working knowledge of InterQual(R) ... Job Title: Travel - Registered Nurse (RN) - Case Management Location:...or equivalent clinical review system Case Management certification (CCM, CPUM, or… more
- Talent Software Services (Santa Barbara, CA)
- Certifications Required: CA RN License Job Duties: The role involves coordinating utilization management , resource management , discharge planning, post-acute ... care referrals, and care facilitation. The individual will oversee the management of acute patient populations across the care continuum, focusing on providing… more
- Singing River Health System (Ocean Springs, MS)
- …training. Experience: 3-5 years' Registered Nurse (RN) experience in surgical nursing, Utilization Review , Ambulatory or Acute Care that has relevance to the ... Utilization Review Surgery Nurse - RN...The Case Manager focuses on clinical quality and resource management resulting in defined clinical satisfaction and financial outcomes.… more
- Central Health (Austin, TX)
- …Under the supervision of Director of Utilization or designee - the Utilization Management RN is responsible for assessing the medical appropriateness for ... services and monitoring patient progress for concurrent reviews. The Utilization Management RN will work in conjunction...by Central Health or facility in the performance of utilization review cases. Complies with the established… more
- Vivo HealthStaff (Burbank, CA)
- …regulatory and quality measures, implementing strategies for improvement. 11. Review performance reports, identify deficiencies, and implement corrective action ... policies and influence process improvements. Qualifications: 1. Graduate from an accredited Registered Nursing Program; RN preferred. 2. Minimum of five years in… more
- Iconma LLC (Detroit, MI)
- …clinical experience which may include acute patient care, discharge planning, case management , and utilization review , etc. Demonstrated clinical knowledge ... Our Client, a Health Insurance company, is looking for a Registered Nurse- Review Analys for their Detroit, MI/Hybrid location. Responsibilities: Perform… more
- Tufts Medicine (Lowell, MA)
- …ED Clinical Resource Nurse. The ED Clinical Resource Nurse is a Registered Nurse with responsibility and accountability for the coordination of clinical activities ... practice and customer satisfaction, while striving for optimal efficiency, productivity and utilization of all resources. The ED Clinical Resource Nurse utilizes the… more
- MedPro Healthcare Staffing (Downey, CA)
- …Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management , Utilization Review , Case Manager RN *Weekly payment ... Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one...to $1,000 Duties Responsibilities The role of the case management nurse (RN) is to coordinate continuity of care… more
