• MUSC (Charleston, SC)
    Registered Nurse required. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. ... Fair Labor Standards Act Status: Salaried Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to...education requirement. Required Licensure, Certifications, Registrations: Licensure as a registered nurse by the state of South… more
    JobGet (06/17/24)
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  • Detroit Medical Center (Detroit, MI)
    Detroit Medical Center is seeking a Registered Nurse ( RN ) Utilization Review for a nursing job in Detroit, Michigan.Job Description & ... case basis. This position integrates national standards for case management scope of services including: Utilization ...Detroit Medical Center Job ID #4369-2406002204-0. Posted job title: RN Utilization Review FT DaysAbout… more
    JobGet (06/17/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... and cost effectiveness through the integrating and functions of case management, utilization review and...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
    JobGet (06/16/24)
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  • North Mississippi Health Services (Amory, MS)
    North Mississippi Health Services is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Gilmore Amory, Mississippi.Job Description & ... **Licenses and Certifications** Licenses/Certifications Licenses/Certification Details Time Frame Required/ Preferred RN - Registered Nurse - State Licensure… more
    JobGet (06/16/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
    JobGet (06/16/24)
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  • MUSC (Charleston, SC)
    …policy A141 for more details. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. ... as a clinical expert related to discharge planning, resource utilization , and case management.Entity Medical University Hospital... Case Management certification preferred. Licensure as a registered nurse by the state of South… more
    JobGet (06/17/24)
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  • MUSC (Charleston, SC)
    …policy A141 for more details. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. ... as a clinical expert related to discharge planning, resource utilization , and case management. Minimum Training and... Case Management certification preferred. Licensure as a registered nurse by the state of South… more
    JobGet (06/17/24)
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  • System Manager- Utilization Review

    Baptist Memorial (Memphis, TN)
    …with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical experience ... with Utilization Review or Case Management experience in a...and computer skills. Problem solving; and governmental regulations. Licensure: Minimum- RN Preferred-CCM; ACM About Baptist Memorial Health Care At… more
    Baptist Memorial (05/18/24)
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  • Case Manager - Utilization

    Trinity Health (Mason City, IA)
    …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
    Trinity Health (05/30/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm weekend ... and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case...a timely process. Registered Nurses (RNs) with utilization review experience, case management… more
    Beth Israel Lahey Health (04/19/24)
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  • Utilization Review RN

    Providence (Everett, WA)
    …in consultation with the Human Resources leader. + Upon hire: Washington Registered Nurse License + Experience as an RN in an acute care setting within ... 5 years, OR recent Utilization Management experience **Preferred qualifications:** + Utilization review or case management experience + Experience with… more
    Providence (06/04/24)
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  • Utilization Coordinator

    Universal Health Services (Conway, SC)
    Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...REQUIREMENTS : One to three years of experience in utilization review , case management, or… more
    Universal Health Services (04/22/24)
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  • Utilization Management Specialist RN

    Fairview Health Services (St. Paul, MN)
    …role (grandfather status) + Current RN licensure in MN + 3-5 years utilization review or case management experience in hospital, clinic, insurance ... meets regulatory requirements. Participates in interdisciplinary communication related to utilization review issues. Educates on status. Provides all… more
    Fairview Health Services (06/06/24)
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  • Utilization Management Nurse

    Actalent (Des Moines, IA)
    …platforms, etc. Skills: registered nurse , utilization management, utilization review , case management, interqual, medical surgery, OR, ER, CPC, ... Skills Details: registered nurse , utilization management, utilization review , case management,interqual Additional Skills & Qualifications:… more
    Actalent (06/13/24)
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  • Corporate Director of Clinical Utilization

    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
    Prime Healthcare (04/29/24)
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  • Registered Nurse ( RN )…

    Glens Falls Hospital (Glens Falls, NY)
    …per week, can be found here. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse ( RN ) - Case Manager (Emergency Services)* ... the CM ED include, but are not limited to, utilization review , case management, physician...other experience will be considered *Licenses, Certifications, Registrations* * Registered Nurse ( RN ) in New… more
    Glens Falls Hospital (05/21/24)
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  • Director, Case Management - FT Days

    LifePoint Health (Bullhead City, AZ)
    …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management of discharge planning. ... five (5) years management experience, five (5) years of utilization review / case management...with MedHost EMR and with MorCare Required Licenses[United States] Registered Nurse Current RN Licensure… more
    LifePoint Health (05/21/24)
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  • Case Manager (Inpatient Units)

    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
    Ellis Medicine (06/11/24)
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  • Director Case Management-Full Time-Temecula…

    Universal Health Services (Temecula, CA)
    …22, TJC). Qualifications MINIMUM ESSENTIAL EXPERIENCE + Five (5) years managerial experience in Utilization Review and/or Case Management + Strong acute care ... required MINIMUM ESSENTIAL EDUCATION + Completion of an accredited Registered Nurse Program + Bachelor degree in...+ CPUR, CPUM, CCM or other national certification in Utilization Review or Case Management… more
    Universal Health Services (05/17/24)
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  • Case Manager- RN Hospital (36…

    Marshfield Clinic (Marshfield, WI)
    …Required:** Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a ... (United States of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as part of...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse more
    Marshfield Clinic (05/30/24)
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