- Ochsner Health (New Orleans, LA)
- …Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma. Preferred - Associate's degree in nursing. **Work ... in case management or utilization review. **Certifications** Required - Current Registered Nurse license in state of practice. Preferred - Commission for… more
- Ascension Health (Pensacola, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Florida Board of Nursing ... obtained prior to hire dateor job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board ofNursing or current… more
- Help at Home (Evansville, IN)
- …who keep our clients safe and comfortable in their homes and communities. **The RN Case Manager will support clients and caregivers throughout our Evansville, IN ... territory.** **A typical day for an RN Case Manager includes:** + Conducting initial...creating service plans for clients following client assessments and admissions + Assisting and supervising field staff, ensuring successful… more
- Sharecare (Montpelier, VT)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- SSM Health (Madison, WI)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... the role. + **Responsibilities:** Placement for interdepartmental transfers, ED admissions , post ops and direct admissions , along...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Children's Hospital Boston (Boston, MA)
- …Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified Case Manager (or other pediatric ... 80501BRJob Posting Title:Behavioral Health RN Case Manager - 20hrsDepartment:Patient Services-Patient...obtaining authorizations for the appropriate level of care for admissions and with post-discharge appeals of payer denials. They… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER: (Care Management- D. Dan and Betty Kahn Health Care Pavilion ) Apply Now **Job Summary** The RN Case Manager assesses, develops, ... effective utilization of resources while promoting quality outcomes. **Organizational Relationships** The RN Case Manager reports directly to the Manager of Care… more
- Ochsner Health (New Orleans, LA)
- …**Certifications** Required - Current State of Louisiana Registered Nurse ( RN ) License Preferred - Certification in Case Management (CCM) or Certified ... relates to all medical necessity audits. **Education** Required - Registered Nurse Diploma Preferred - Associate's or...experience in the delivery of patient care as an RN . Experience in Case Management, Utilization Review… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Job Title:** RN Case Manager - Utilization Management **Employment Type:** Full Time ... **Shift:** Day **Location** : Holy Cross Hospital **Position Purpose:** As a Case Manager in Utilization Management, you will be the key to ensuring patients receive… more
- Actalent (Orlando, FL)
- …relevant field. + Must have and maintain a current, valid, and unrestricted Registered Nurse license. + Strong computer skills including Microsoft Office Suite. ... is responsible for providing care management services to beneficiaries with planned admissions to acute care hospitals, or to those transitioning from case… more
- Diversicare Healthcare Services & Diversicare Ther (Wichita, KS)
- …as well as discharge planning. Additionally, this is a home-based and fully remote RN Case Manager position. **Responsibilities** Responsibilities * This ... a Difference in our Residents' Lives! Diversicare Healthcare Services is seeking an outstanding RN Case Manager that has a passion for providing the highest… more
- Sutter Health (Salt Lake City, UT)
- … RN license in your state of residence. + SCAH After Hours Department: RN - Registered Nurse of California within 90 days **TYPICAL EXPERIENCE:** + ... Home - UT **Position Overview:** Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health… more
- Ochsner Health (Jefferson, LA)
- …are subject to change at the company's discretion. **Education** **_Required -_** Registered Nurse Diploma **_Preferred -_** Bachelor's degree in Nursing **Work ... experience in an Outpatient & Home Infusion setting **Certifications** **_Required -_** Current RN License in the state of practice Basic Life Support (BLS) from the… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- The Behavioral Health Case Manager for Transitions of Care is dedicated to proactive engagement with members admitted to Acute Inpatient Psychiatric facilities\. ... the Murfreesboro area\. The caseload is fluid, adapting to changes in facility admissions and referrals\. **Please note this role will require in person visits with… more
- Hillside Family of Agencies (Rochester, NY)
- …of youth/individuals. This role may also include performing all clinical functions of a Registered Nurse ( RN ). Essential Job Functions + Understand and ... + Monitor and respond to patient movement, including referral, admissions , health care and discharge and provide discharge summary...2 years of experience as a Registered Nurse required. SPECIAL REQUIREMENTS + Active, unrestricted RN… more
- Select Medical (Peoria, AZ)
- …14. Performs other duties as requested. **Qualifications** **Minimum Qualifications** + Licensure as a Registered Nurse or LVN/LPN is required + 2 years of of ... & Banner Health Peoria, AZ **Prior Authorization Specialist ( RN or LPN ) - Part-Time Weekends** **This is...to include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that… more
- HCA Healthcare (Dallas, TX)
- …(RRT / RCP), or State Registered Respiratory Therapist, or Occupational Therapy (OT), or ( RN ) Registered Nurse + 2 years of clinical experience in an ... The Clinical Rehabilitation Specialist is responsible for establishing relationships with case managers, physicians, payors, and other referral sources. The Clinical… more
- Penn Medicine (West Chester, PA)
- …Assistant position provides patient care under the direction and supervision of a Registered Nurse . Both the Unit Secretary and Nursing Assistant performs duties ... at the request of nursing leadership. Seeks clarification from Nurse Manager or Director as needed. Performs follow up...specimens are sent to laboratory promptly, when requested. Notifies RN if there are any unclear or incorrect orders.… more
- Actalent (Des Moines, IA)
- …and production metrics as established for the utilization management unit. Essential Skills + Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) ... Utilization Management Nurse Job Description This role involves providing members...facilities, assisting with discharge planning and facilitating referrals to Case Management. Responsibilities + Provide precertification and continued stay… more
- Riverside Community Care (Milford, MA)
- …of an accredited school of nursing. + Licensure as a LPN required; Licensure as a Registered Nurse preferred + Must be in good standing with the Board of ... an integral part of the CBHC interdisciplinary treatment team, including Nurse Practitioners, prescribers, clinicians, case managers, peer/recovery coaches, and… more