- CHRISTUS Health (San Antonio, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Geisinger (Danville, PA)
- Job Title: RN- Registered Nurse -Advanced Acute Care Surgery Location: Danville, Pennsylvania Job Category: Inpatient RN - Registered Nurse , Nursing and ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
- Harris Regional Hospital (Sylva, NC)
- Registered Nurse (RN) - Case Manager Schedule: PRN, As Needed. Primarily Weekends Your experience matters Harris Regional Hospital is part of Lifepoint ... you can provide exceptional care to others. As a Registered Nurse (RN) joining our team, you're...utilization review activities. Reports to the Director or Manager of Department. Patient Populations Served: Neonate, Infant, Early… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger South Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - Licensed… more
- Daiichi Sankyo, Inc. (Philadelphia, PA)
- …meet targeted customer needs.Monitor, collect, and communicate to the Director, Clinical Nurse Manager on customer insights regarding their need for information ... to 90% within geography and to required meetings. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure The ideal… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/ registered - nurse -case- manager ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN Compensation + Medical… more
- Beth Israel Lahey Health (Plymouth, MA)
- …the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... this position is able to cover a multitude of utilization review functions through point of entry, observation progression...management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure --… more
- Corewell Health (Grand Rapids, MI)
- …experience clinical nursing and or case management/managed care or related field Preferred + Registered Nurse (RN) - State of Michigan Upon Hire required + Basic ... prior authorizations, initial reviews, continuous stay reviews and appeals. Nurse Care Manager - Plans and prioritizes care for individuals and population… more
- University of Utah Health (Salt Lake City, UT)
- …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... advancement, and overall patient outcomes. **Responsibilities** + Applies approved utilization criteria to monitor appropriateness of admissions with associated… more
- Saint Francis Health System (Tulsa, OK)
- …their placement in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
- WellSpan Health (Lebanon, PA)
- … Management, Case Management, or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of… more
- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager - Registered Nurse (RN) position is with Aetna's National Medical ... is a blended role doing both Case Management and Utilization Management. The RN Case Manager is...the member to facilitate the member's overall wellness. Case Manager - Registered Nurse +… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager (RN) - 2506003132 Description : DMC Detroit Receiving Hospital , Michigan's first Level I Trauma Center, helped pioneer the ... Geriatric Center of Excellence. Job Summary The RN Case Manager is responsible to facilitate care along a continuum...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- Summary The Durham VA Health Care System is looking to fill one (1) full time Registered Nurse (Care Manager ) vacancy for the Patient Aligned Care Team. ... immunizations, ear irrigations and education related to disease/self-management and equipment The Registered Nurse in this position will serve as a primary… more
- HCA Healthcare (Houston, TX)
- …at HCA Houston Healthcare Northwest have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can be a part of change. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager PRN....patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
- Henry Ford Health System (Detroit, MI)
- The Certified Registered Nurse Anesthetist (CRNA) Manager is a Certified Registered Nurse Anesthetist who ensures the delivery of safe anesthetic ... activities in accordance with regulatory and accrediting organizations. . Hires certified registered nurse anesthetists for the department. Accepts input on… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...to 5) years of professional leadership experience (ie, charge nurse , team leader, preceptor, committee chair, etc.) * Five… more
- HCA Healthcare (Kingwood, TX)
- …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** ... their passion for patient care. Apply today for our Registered Nurse RN Case Manager ...patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and… more
