- Beth Israel Lahey Health (Burlington, MA)
- …people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...One of the following: Licensed RN - Kansas, Registered Nurse … more
- Ochsner Health (Lafayette, LA)
- …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains… more
- Children's Hospital Boston (Boston, MA)
- … Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization ...Description:Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission… more
- Covenant Health (Nashua, NH)
- …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge...to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/case- manager %2c- rn ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Ascension Health (Baltimore, MD)
- …job transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date ... required. Education: + Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required. **Additional Preferences** \#ATP **Why Join Our Team** Ascension associates are key to our commitment of… more
- Holzer Health System (Gallipolis, OH)
- …organizational and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer ... . A minimum of three years experience as a registered nurse in acute care for adult...taken into consideration. . Professional experience with case management, utilization review , or discharge planning highly desirable.… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Hospital-Plymouth** is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and ... plays a vital role in ensuring seamless, patient-centered care. ** RN - Utilization Review ** This...or other case management certification preferred or in progress ** Manager - Utilization Review &… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager * PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment ... outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources,...employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case Manager … more
- HCA Healthcare (Richmond, VA)
- …at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. Currently offering ... outcomes for your patients as a Registered Nurse RN Case Manager . We...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
- HCA Healthcare (Kansas City, MO)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. **Benefits** Research ... patient care. Apply today for our Registered Nurse RN Case Manager opportunity....you will do in this role:** + Responsible for utilization review , discharge planning and care coordination… more
- AdventHealth (La Grange, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- HCA Healthcare (Webster, TX)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. ... the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- Billings Clinic (Billings, MT)
- …and coordinates care with the RN Care Manager , Social Services Care Manager , Utilization Review RN , Physician Advisor and Care Management ... high risk for readmission. * Interfaces effectively with the Utilization Review department to stay current on...years of professional nursing experience Certifications and Licenses *Current Registered Nurse license in the state of… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
- Penn Medicine (Philadelphia, PA)
- … Nurse - PA (Required) + 5yrs prior experience as a Nurse Case Manager with knowledge of utilization review and 3rd Party Payors (Required) + ... each day. Are you living your life's work? Job Title: RN Pre Certification Case Manager Department: Business...years Prior experience as a nurse case manager with knowledge of utilization review… more
- AdventHealth (Orlando, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... 125,000 outpatients each year **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
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