- UR Medicine Home Care Inc. (Webster, NY)
- …requested. QUALIFICATIONS: New York State Licensed RN . One year of experience as a clinical nurse in a hospital and one year of experience in certified home ... Full-Time/Part-Time Full-Time Location UR Medicine Home Care Certified Services Salary $45.00...geography will vary based on patient coverage needs. The registered nurse makes the initial evaluation visit,… more
- Amberwell Health (Atchison, KS)
- …Job Shift Day Job Category Nursing - Hospital Description The Utilization Review/ Case Manager will assure maximum coverage by third party payers for patients ... completeness, and accuracy of medical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff,… more
- FROEDTERT HEALTH (Milwaukee, WI)
- …with hospital coding is preferred. LICENSURE DESCRIPTION: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a ... Yes, as scheduled. Job Summary: Assumes responsibility for assessing a patient's clinical status on admission and daily to determine the appropriate admission status… more
- Parkview Health (Fort Wayne, IN)
- …(ASN); Bachelor of Science in Nursing (BSN) preferred. Licensure/Certification Current Indiana RN license. CPI required upon hire or within 3 months of employment. ... 3 months of employment. Experience Two years of psychiatric nursing. Case management, quality assurance experience preferred. Other Qualifications Application of and… more
- DHR Health (Edinburg, TX)
- …Health - US:TX:Edinburg - Varies Summary: POSITION SUMMARY: Under the general supervision of the Case Management Coordinator, the RN Case Manager acts as a ... achievement of quality and cost efficient patient outcomes. The RN Case Manager identifies opportunities to reduce...school for nursing required. A valid license as a Registered Nurse with the State of Texas… more
- Select Specialty Hospital - Mckeesport (Mckeesport, PA)
- …Minimum requirements: Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified ... Overview Critical Illness Recovery Hospital Case Manager (PRN) Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory… more
- Rush Specialty Hospital (Chicago, IL)
- …Minimum requirements: Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified ... Overview Rush Specialty Hospital Case Manager Hours/Shift: Per Diem (PRN) *Availability to...$40 per hour Requires a current licensure in a clinical discipline either as a Nurse or… more
- Select Specialty Hospital - Memphis East (Memphis, TN)
- …Bonus Requires a current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource...in a clinical discipline either as a Nurse or a Respiratory Therapist ( RN preferred)… more
- Kaiser Permanente (Clackamas, OR)
- …at hire. Additional Credentials from the secondary work state(s) are required post hire. Registered Nurse License (Washington) within 6 months of hire OR Compact ... for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care...License: Registered … more
- Tenet Health (Sunnyvale, TX)
- …Authorization Coordinator that collaborates with Insurance verification, insurance CM, Hospital Case Manager UR /transition Planner and physicians to facilitate ... for stay is required , Fax numbers to Send clinical reviews b) Follow up on each account during...potential disputes or denial of accounts to Director of Case Management or designee d) Trends disputed e) Coordination… more
- Henry Ford Health System (Detroit, MI)
- …provided. *The Case Management department has recently redesigned into a dyad Social Work/ RN Case Manager model where UR is remote, allowing staff to ... heart of Detroit. The 877-bed hospital is recognized for clinical excellence in the fields of cardiology and cardiovascular...a valid, unrestricted State of Michigan license. Certification in Case Management (CCM) by the Commission for Case… more
- Stony Brook Medicine (Stony Brook, NY)
- …a Care Manager is a valuable member of our team, who provides clinical services to our patient population. Qualified candidates will demonstrate superior patient ... review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit...is discussed with the team. Works closely with the Case Managers and Social Workers on the units and… 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 ... CMS, HCFA, AHCA). * Mentors staff on Utilization Review ( UR ) standards and Length of Stay (LOS) topics. *4....employment." **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ), Clinical Case… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor ( UR RN Preceptor) will be responsible for training, ... UR assignment/caseload. + The UR RN Preceptor will be regarded as a clinical...standards, and case management systems. + The UR RN Preceptor understands the key performance… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... requirements. + Documents all utilization review activities in the hospital's case management software, including clinical reviews, escalations, avoidable days,… more
- Seattle Children's (Seattle, WA)
- …employees in a clinical setting **Required Credentials** Current Washington State RN license. National certification in case management must be obtained ... provides leadership, supervision, and oversight of day-to-day operations of the Case Management department. Serves as the central resource to the director… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …of the interdisciplinary team. Responsibilities Duties include but not limited to: Utilization Review ( UR ) Registered Nurse ( RN ) is responsible for ... and discharge/disposition planning for inpatient and outpatient settings. The UR RN assists Veterans, family members, and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- AdventHealth (Altamonte Springs, FL)
- …Remote **The role youll contribute:** A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case management for Workers ... nursing (BSN) preferred. + Minimum of 2 years of clinical nursing experience, preferably in occupational health, case...is essential **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:** + Active Registered Nurse ( RN ) license in… more
- BJC HealthCare (St. Louis, MO)
- **City/State:** Saint Louis, Missouri **Categories:** Case Coordination **Job Status:** PRN **Req ID** : 86873 **Pay Range:** $32.80 - $50.39 / hour (Salary or ... (commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff nurse experience performing care for hospitalized patients. + 2 years of… more
- Guthrie (Sayre, PA)
- …BSN within two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's ... based on assessed needs and available resources. The Acute Case Manager monitors clinical approaches and make...degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant… more
