- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical- utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- Humana (Pierre, SD)
- **Become a part of our caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid ... organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director , Clinical...your skills to make an impact** **Required Qualifications** + Registered nurse ( RN ) with unrestricted… more
- Commonwealth Care Alliance (Boston, MA)
- …Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of … more
- HonorHealth (AZ)
- …hospitals, health plans and vendors, as required. Works closely with the Medical Director , Utilization Management , Nursing, the Chief Medical Officer and ... Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Case Management Director is accountable and responsible for departmental assessment,… more
- Gentiva (Mooresville, NC)
- … Manager** to join our team. This position will directly report to the Director of Utilization Management and is responsible for planning, coordinating, ... improvement. + This is a Remote position with travel expectations. **About You** + Registered Nurse preferred + Bachelor's degree preferred + 3 years experience… more
- Mount Sinai Health System (New York, NY)
- …and efficient care to patients, the delivery of comprehensive front-line Case Management services, including utilization management , care facilitation and ... **Job Description** The Assistant Director of Case Management supports the... management is preferred Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:**… more
- AmeriHealth Caritas (Washington, DC)
- …Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred. + A Registered Nurse ( RN ) license in the District of Columbia in ... Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services,… more
- St. Luke's University Health Network (Allentown, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
- McLaren Health Care (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 ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- St. Luke's University Health Network (Lehighton, PA)
- …management , including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates ... a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager...of Pennsylvania or seeking Pennsylvania licensure through reciprocity. NJ RN licensure required for Warren Campus. Advanced degree preferred.… more
- AdventHealth (La Grange, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- HCA Healthcare (Tamarac, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Manager with HCA Florida Woodmont ... in our organization. We are looking for an enthusiastic Registered Nurse RN Case Manager...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director… more
- HCA Healthcare (Fort Pierce, FL)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse RN Case Manager PRN? At HCA Florida Lawnwood Hospital, ... make a difference. We are looking for a dedicated Registered Nurse RN Case Manager...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director… more
- HCA Healthcare (Port St. Lucie, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Case Mgr you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Registered Nurse RN Case Mgr...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director… more
- Beth Israel Lahey Health (Wakefield, MA)
- …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... to the BILHPN provider's risk populations. The Care Manager, RN provides care management services to the...behavior. Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources,… more
- AdventHealth (Altamonte Springs, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Hinsdale, IL)
- …. BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION ... Manager is under the general supervision of the Care Management Supervisor or Manager or Director of...REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION… more
- HCA Healthcare (Richmond, VA)
- …you passionate about delivering patient-centered care?** Submit your application for Clinical Informaticist Registered Nurse RN position and spend more time ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Henrico...career! We are interviewing candidates for our Clinical Informaticist Registered Nurse RN opening. **Apply… more
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