- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the ... daily operation of the Utilization Management Review Nurse and Specialist staff...decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director… more
- Valley Health System Consolidated Services (Las Vegas, NV)
- …collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be ... by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for… more
- Desert View Hospital (Pahrump, NV)
- …collection/management computer programs. License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada. Other: Must be ... by establishing a safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is achieved for… more
- Greenspring Village by Erickson Senior Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Nurse Manager , RN also known as the Clinical Manager ! The Clinical ... care of our 32-bed Rehab neighborhood . The Clinical Manager will also facilitate, precept, and mentor staff to...term care, assisted living or hospital) is required. Current Registered Nurse license for the state in… more
- The George Washington University Hospital (Washington, DC)
- …shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care. ... an individualized birth experience BSN required. 1 year charge nurse experience preferred Professional experience that demonstrates ability to...Please allow two to three business days for the manager to review your application. Thank you for your… more
- The George Washington University Hospital (Washington, DC)
- …shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care. ... an individualized birth experience BSN required. 1 year charge nurse experience preferred Professional experience that demonstrates ability to...Please allow two to three business days for the manager to review your application. Thank you for your… more
- The George Washington University Hospital (Washington, DC)
- …shift oversight for clinical practice, staffing, patient flow, safety, service, and utilization of resources for daily operations. Maintains the environment of care. ... Qualifications Position Requirements: BSN required. 1 year resource relief nurse experience preferred Professional experience that demonstrates ability to understand… more
- Houston Methodist Clear Lake Hospital (Nassau Bay, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which ... and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to...Case management experience preferred LICENSES AND CERTIFICATIONS - REQUIRED RN - Registered Nurse -… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- …etc a plus. Minimum 3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). Experience with an electronic medical record (EMR) ... loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee. Reviewing… more
- ChristianaCare (Wilmington, DE)
- Assistant Nurse Manager Day Shift Charge $15K Sign-On Bonus (For eligible applicants) Day Shift Monday through Friday - No scheduled weekends * 9 hour Shifts (4 ... planning for your retirement, a 403(b) and a defined contribution plan. The Assistant Nurse Manager Day shift Charge is responsible for the coordination and… more
- CoxHealth (Lake Spring, MO)
- …Educator will be responsible for working closely with the CDI Manager , CDI Supervisor, CDI Team Lead, CDI Specialists, Medical Director-Coding/CDI, Inpatient ... picture of the patient to include severity of illness, risk and resource utilization through correct MS/APR DRG assignment and CC/MCC captures. Will be responsible… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary Medical ... 09/08/2025 End Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration:… more
- Daiichi Sankyo, Inc. (Phoenix, AZ)
- …driver's license with a driving record that meets company requirements Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact ... customer needs.Monitor, collect, and communicate to the Director, Clinical Nurse Manager on customer insights regarding their...State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger South Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - Licensed… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote ... Houston TX . Daily Responsibilities for Utilization Review RN : WIll need to use...Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the… more
- Fox Run Village by Erickson Senior Living (Novi, MI)
- …etc a plus. Minimum 3 years' experience in a healthcare leadership role (Charge Nurse , Unit Manager , etc.). Experience with an electronic medical record (EMR) ... loss, and dehydration. Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee. Reviewing… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... Evaluation Unit (THMEU) in San Antonio, Tx. The Case Manager will be required to attend a 1 (one)...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the ... of Mary Medical Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531148 Job Title RN -… more
- Boost Home Health (Southfield, MI)
- …the healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse ( RN ) who has graduated from an accredited school of ... of professional nursing who is currently licensed as a registered nurse in the state of Michigan....nurse in the state of Michigan. Current unrestricted RN license in the state of Michigan Two (2)… more
