- Surgery Partners (Altoona, WI)
- …related to resource utilization , discharge planning and psychosocial aspects of healthcare delivery The RN Case Manager will assist PI RN with data ... APPLICATION DEADLINE: 07/26/2025 Job Summary: The Registered Nurse - Utilization ...Per Week - Day Shift Essential Job Functions: The Case Manager conducts medical record reviews using… more
- Select Specialty Hospital - San Diego (San Diego, CA)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... Overview Critical Illness Recovery Hospital Case Manager (PRN) Requires a current...Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- Select Specialty Hospital - York (York, PA)
- …ideas, providing high-quality care and doing well by doing what is right. The Case Manager is responsible for utilization reviews and resource management, ... Overview Critical Illness Recovery Hospital Case Manager Requires a current licensure...current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... (CCM, ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review, case management. Strong working knowledge of hospital billing,… more
- Zenex Partners (San Pedro, CA)
- …of Acute Care experience (can consider 1.5 years) Experience with Utilization Review and Discharge Planning Experience with InterQual 1st-time travelers accepted ... All RTO must be submitted upfront Requirements: 2 years… more
- Connecticut Children's (Hartford, CT)
- …Knowledge: Knowledge of pediatric growth and development 0-21 yrs. Demonstrates current knowledge of Nurse Case Manager , Utilization Review Nurse , ... care team with guidance from the nurse case managers, social workers and utilization review... Review staff to provide discharge planning assistance to RN Case Managers and Social Workers. All… more
- Wellstar Health System (Roswell, GA)
- …people's lives. Job Summary: Wellstar North Fulton Hospital has an opportunity for a Senior Registered Nurse ( RN ) Care Coordinator - PRN Day Shift The Care ... RN - Multi-state Compact Basic Life Support or BLS - Instructor Certified Case Manager -Preferred or Accredited Case Manager -Preferred Additional… more
- WellSpan Health (York, PA)
- …Associates Degree Required Work Experience: 1 year Relevant experience. Required Licenses: Licensed Registered Nurse Upon Hire Required or Registered ... of care, the patient's diagnosis, corporate policy and procedures and the Nurse Practice Act. Carries primary care management functions for assigned patients.… more
- Team Select Home Care (Covina, CA)
- A Registered Nurse ( RN ) administers...care plans under the supervision of a physician Provides case management to an assigned group of patients and ... progress notes for each patient visit and summaries Attends case conferences as assigned Informs physician and other personnel...and holidays, as assigned. When functioning as the on-call RN acts as the after-hours supervising nurse … more
- Avera Health (Sioux Falls, SD)
- …surg or ER experience preferred. 8am-8:30pm weekend and call time involved Hospital at Home RN Case Manager : Delivers Nursing Care in the patients home by ... not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse ( RN ) - Board of Nursing Upon Hire… more
- AdventHealth (Tarpon Springs, FL)
- Registered Nurse Case Manager - AdventHealth Home...The role you'll contribute: The Home Health Registered Nurse ( RN ) Care Manager is a ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent...succeed : Minimum qualifications: Minimum of one-year relevant clinical RN experience Current Registered Nursing License in… more
- US Tech Solutions (Canton, MA)
- … license required. Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her ... what you need to perform the job Bachelor's degree in Nursing, preferred Registered Nurse with current nd unrestricted Massachusetts license required Minimum of… more
- Sentara Healthcare (Virginia Beach, VA)
- …preferred. Proficient with NCQA guidelines keywords: LinkedIn, Case Management, RN , Registered Nurse , BSN, Talroo-Nursing, Monster, care coordinator, ... VA Work Shift First (Days) Overview: Sentara Health Plan is hiring a Full-Time Day-shift RN Case Manager for the Commercial Complex Cases Integrated Care… more
- Mount Sinai Hospital (New York, NY)
- Job Description RN / Case Manager MSH Case...or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a ... are not limited to: a. Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using… more
- Hopscotch Primary Care (Hudson, NC)
- …coordination of care across different physicians and within the healthcare system. As a Care Manager Registered Nurse , you will play an important role in ... 2 years of clinical work experience A valid, active Registered Nurse ( RN ) license in...State of employment A minimum of 1 year of utilization review or case management (required) Certification… more
- Vensure Employer Services (Dallas, TX)
- …experience required. Experience in acute care or ICU case management highly preferred. Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) in ... while working in a supportive and patient-focused environment. Position Summary The Case Manager is responsible for facilitating effective and efficient patient… more
- Tenet Health (San Antonio, TX)
- …REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case ... in Nursing MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization / case management experience. PREFERRED EXPERIENCE: Previous Case … more
- Veracity Solutions (Santa Monica, CA)
- RN Care Manager *F/T Variable* Santa...not be a condition of employment. Upon hire: California Registered Nurse License 2 years' Experience in ... Monica, California Full Time RN Care Manager on our Care Management Team at our Health...field (Acute, Ambulatory, Post-Acute, etc.) 2 years' Experience in Case Management (Care Coordination or Utilization Management)… more
- CVS Health (Atlantic City, NJ)
- …assessment, writing and communication skills are required. Fundamental Components/Job Description: The Case Manager is responsible for conducting face to face ... Member assignment may include pediatric population and medically complex cases. The case manager is responsible for coordinating and collaborating care with… more
- Elevance Health (Los Angeles, CA)
- … case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable ... Anticipated End Date: 2025-08-31 Position Title: LTSS Service Coordinator- RN Clinician Job Description: LTSS Service Coordinator - RN Clinician Location:… more
