- Dartmouth Health (White River Junction, VT)
- … Case Manager – Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire? * ... CT, MA, MD, NJ, NY, OH, RI, WY. Visiting Nurse and Hospice for VT & NH covers more...that enrich the lives of the people we serve. Utilization Review Case Managersat VNH… more
- Beth Israel Lahey Health (Burlington, MA)
- … Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a timely process. Registered Nurses (RNs) with utilization review experience, case management...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
- Trinity Health (Columbus, OH)
- …information technology, financial analysis, audit, provider relations and more. **Position Purpose** RN Utilization Review MCHP is responsible for the ... Sr. Director of Medical Management. + Coordinates with the utilization review , case management, discharge...Licensure / Certification: Current license to practice as a Registered Nurse in their home state or… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + **One year** ** Utilization Review or Case Management experience.** **Licenses ... case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review...Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
- BriteLife Recovery (Englewood, NJ)
- …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... care clinical setting. Must have utilization management, utilization review or case management...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- Actalent (Sunrise, FL)
- …Florida license ( RN , LCSW, LMSW, LPHA, or LMHC). + 2+ years in utilization review / case management; 1+ year in acute care discharge planning preferred. ... Utilization Management Behavioral Health ClinicianUtilization Management Behavioral Health...this role, you'll collaborate with an interdisciplinary team to review and authorize behavioral health and substance use services,… more
- UTMB Health (Friendswood, TX)
- …a safe and efficient work environment. + Monitors the work performance of the Utilization Review Case Management staff and provides guidance as necessary. ... nursing. + Provides assistance with clinical issues for non-nursing Utilization Review Case Management staff....Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing ... a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in...experience required. + A minimum of 1 year of utilization review and/or case management,… more
- HCA Healthcare (Derry, NH)
- …growth, we encourage you to apply for our RN Case Manager Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... the PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN... Case Manager's primary duties are to provide Utilization Review and Case Management… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- Marshfield Clinic (Marshfield, WI)
- …**Minimum Required:** One year of healthcare experience. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital - Casual...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Marshfield Clinic (Marshfield, WI)
- …**Minimum Required:** One year of healthcare experience. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:**...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Mohawk Valley Health System (Utica, NY)
- RN Case Manager - Case...Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or ... Job Summary Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment,… more
- ChenMed (St. Louis, MO)
- … RN with Bachelor Degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + A minimum ... practice. Job duties/responsibilities that are performed by either the RN or LPN include: + Conducts utilization ...experience required + A minimum of 1 year of utilization review and/or case management,… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more
- Scottish Rite for Children (Dallas, TX)
- …one priority! We're committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - ... and other areas as assigned + Serve on the Utilization Review Committee for the Scottish +...compliance with healthcare regulations and standards + Document all case management activities accurately + Provide education and support… more
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