- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW /CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) ... GENERAL SUMMARY The Utilization Review /Case Management Nurse is directly responsible for ...to interact with patients/families, healthcare providers, and outside agencies. Registered Nurse with at least two years… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: Inpatient RN - ... Program - occurs during your entire first year as a GN!Job Description:The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: Inpatient RN - ... and License(s)Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaOur Purpose &… more
- Geisinger (Danville, PA)
- Job Title: RN - Registered Nurse - Hospital Case ManagerLocation: Danville, PennsylvaniaJob Category: RN - Registered Nurse , Nursing and Nursing ... rotation. In-house holiday rotation.At least two (2) years of RN work experience is required. Registered Nurse...results for assigned population.Works to appropriately apply benefits and utilization management serving as a resource to… more
- Health eCareers (Maryville, TN)
- …of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan and CMS regulation. Maintains expert level knowledge of ... within 24 hours or next business day. Partners with RN Hospital Care Managers and SW Hospital Care Managers...acute care nursing experience. One (1) year acute case management or utilization management experience… more
- Aveanna Healthcare (Birmingham, AL)
- $7500 Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice ... of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as...Time, and Paid Holidays Qualifications: Current license as a Registered Nurse in the State of Alabama… more
- HireMaster (Maryville, TN)
- …care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. Navigates the team through complex compliance, regulatory ... N or Nursing Diploma.Required Certifications, Registrations, LicensesLicensed to practice as a Registered Nurse in South CarolinaAccredited Case Manager (ACM) or… more
- UnitedHealth Group (Seattle, WA)
- …certification 3+ years of experience working in acute care 1+ years of care management , utilization review or discharge planning experience HMO experience ... (AHA) or CPR/AED for the Professional Rescuer (American Red Cross) Washington State Registered Nurse license. 3+ years of experience in a clinical setting… more
- Ciena Health Care Management (Blanchester, OH)
- …with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: Registered Nurse ( RN ) or Licensed Practical Nurse ... values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- Ciena Health Care Management (Ann Arbor, MI)
- …current with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) AANC certification a plus. ... Are you an experienced MDS Registered Nurse interested in the next...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: ... - 16:30 Experience: Minimum of 2 years in Case Management License: Registered Nurse License...discharge planning and utilize interqual criteria - Experience in utilization review and concurrent reviews Description: This… more
- SR International, Inc. (Phoenix, AZ)
- …Skills Required: *Medical nursing practice, medical case management protocols, quality management and utilization review protocols as related to all ... pertaining to the AHCCCS program *Good written and communication skills *Computer skills * Utilization Review skills *Medical Claims Review skills *Producing… more
- HireMaster (Lincoln, NE)
- …vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as ... of care. 9. *Maintains awareness of financial reimbursement methodology, utilization management , payer/reimbursement practices and regulations and participates… more
- University Health (San Antonio, TX)
- …Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (San Antonio, TX)
- …(as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS ... Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or… more
- Ciena Health Care Management (Defiance, OH)
- …with the American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications: Registered Nurse , RN AANC certification a plus. RAC-CT ... values communication and strong teamwork abilities. Responsibilities: The Care Management Nurse , MDS Nurse works...PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management… more
- Health eCareers (Memphis, TN)
- …Clinical Documentation Integrity Specialists (ACDIS). the RN shall serve as the Registered Nurse Advisor (CDI RNA). CDI RNA supports CDI activities by ... as appropriate.The Clinical Documentation Integrity Specialist (CDIS) is a registered nurse ( RN ) accountable for...patient caregivers and Facility HIMS coding staff and Revenue Utilization Review Team to ensure clinical documentation… more
- UnitedHealth Group (Cape Coral, FL)
- …the total work process directly monitoring assigned membersDemonstrates knowledge of utilization management and care coordination processes and current standards ... of the Optum family of businesses, is seeking a RN Case Manager to join our team in Tampa,...acutely ill patients with multiple disease conditionsProven knowledge of utilization management , quality improvement, discharge planning, and… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- … License Certifications: BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager ... ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines.… more
- Monster (Allentown, PA)
- …care hospital setting required. Prefer minimum of 2-5 years' experience in case management and/or utilization management . Prefer financial experience related ... regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and… more
Related Job Searches:
Management,
RN,
RN Utilization,
Review,
Utilization,
Utilization Management,
Utilization Management RN