• Case Manager - Utilization

    Prime Healthcare (Anaheim, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157767/ case - manager utilization - management ... Bachelor degree in a related field or at least one year experience in case management , discharge planning or nursing management ; + CCM or obtained within 6… more
    Prime Healthcare (04/05/24)
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  • Case Management Manager

    Prime Healthcare (Montclair, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162306/ case - management - manager utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of the Case Management more
    Prime Healthcare (05/17/24)
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  • Case Management Manager

    Prime Healthcare (Chino, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/162220/ case - management - manager utilization - ... Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The working Manager of Case Management is… more
    Prime Healthcare (05/16/24)
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  • Case Manager RN - Smrmc…

    Prime Healthcare (Reno, NV)
    … Certification (CCM) preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161653/ case - manager -rn smrmc- utilization - management ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (05/11/24)
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  • Utilization / Case Manager RN

    Mountains Community Hospital (Lake Arrowhead, CA)
    Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH ... to support medical necessity and intensity of services. Collaborates with physicians for case management and conducts daily Medical Surgical Case more
    Mountains Community Hospital (03/27/24)
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  • RN Utilization Manager - Rex…

    UNC Health Care (Raleigh, NC)
    …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... Utilization Management Plan. In addition, the Utilization Manager is responsible for revenue protection...of patient data and treatments. Communicates daily with the Case Manager to manage level of care… more
    UNC Health Care (05/10/24)
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  • RN Case Manager - Case

    Mayo Clinic (Jacksonville, FL)
    …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
    Mayo Clinic (05/22/24)
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  • RN Case Manager - Inpatient,…

    Mayo Clinic (Phoenix, AZ)
    …The RN Case Manager provides leadership through education on case management / utilization management concepts, committee work, research, and ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case ...resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
    Mayo Clinic (03/02/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: ... current and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager more
    LA Care Health Plan (03/02/24)
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  • Csmc 8750000 Utilization Management

    Cedars-Sinai (Los Angeles, CA)
    …**Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** : ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager ...(BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… more
    Cedars-Sinai (03/10/24)
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  • Utilization Management Case

    Universal Health Services (Dearborn, MI)
    Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... therapy. For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily… more
    Universal Health Services (05/22/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …Regular **Scheduled Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full ... to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management ...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
    Beth Israel Lahey Health (04/19/24)
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  • Case Manager RN-Mount Sinai West-…

    The Mount Sinai Health System (New York, NY)
    The Case Manager is responsible for all aspects of case management / utilization review for an assigned group of inpatients, ED patients and ... management and the transition of care. The Case Manager actively participates in specific clinical...of stay (LOS), improved efficiency and quality and resource utilization . Assignment will be by units/clinical areas of practice… more
    The Mount Sinai Health System (05/15/24)
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  • RN Case Manager , Inpatient…

    Children's Hospital Boston (Boston, MA)
    …as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Office/Site Location:BostonRegular, Temporary, Per Diem:Per Diem Remote ... 74825BRJob Posting Title:RN Case Manager , Inpatient & Ambulatory (Per...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (04/19/24)
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  • RN Case Manager , weekend only,…

    Children's Hospital Boston (Boston, MA)
    …+ Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. + Working 16 hours every Saturday and Sunday 8AM-4:30PM . ... 72065BRJob Posting Title:RN Case Manager , weekend only, on-site (16...length of stay, resource allocation, funding sources, and capacity management to optimize delivery of appropriate services. + Actively… more
    Children's Hospital Boston (04/05/24)
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  • Case Manager Generalist

    Covenant Health (Lewiston, ME)
    …+ Minimum of five years of broad clinical experience preferred. + Case Management and/or Utilization Manager experience preferred. + Certification as CCM ... Health Inc Position Description Job Title: Case Manager - Generalist Departments: Care Management Reports...Case Manager - Generalist Departments: Care Management Reports To: Director, Care Coordination FLSA Status: Exempt… more
    Covenant Health (05/10/24)
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  • System Manager - Utilization Review…

    Baptist Memorial (Memphis, TN)
    …Experience: Minimum-RN 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 ...Employee referral program Job Summary: Position: 18373 - System Manager - Utilization Review Facility: BMHCC Corporate Office Department:… more
    Baptist Memorial (05/18/24)
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  • Utilization RN Case Manager

    Atrius Health (Newton, MA)
    …benefit package. ** **Job:** **Nursing* **Organization:** ** Case Management * **Title:** * Utilization RN Case Manager (MNA) - Newton - FT* ... in the country. *SUMMARY* Under general direction of the Manager of Utilization Management Programs,...experience, which includes a minimum of 3 years in utilization management or case more
    Atrius Health (05/22/24)
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  • RN Case Manager ( Utilization

    Actalent (Florence, AL)
    Hiring a Utilization Review Case Manager for a great hospital FULLY REMOTE. Great culture and environment! MUST HAVE ACTIVE CA RN LICENSE, EPIC, AND ... license, Health care, Epic, Discharge Planning, Utilization review, Utilization management , interqual Top Skills Details: Case management , Care … more
    Actalent (05/23/24)
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  • Case Manager (LVN)…

    Sharp HealthCare (San Diego, CA)
    …and refer members to case management or quality management as appropriate for utilization or quality issues while maintaining department ... of need for further management , communicates this to the appropriate Case Management Program per UM policy.Gathers pertinent information to provide … more
    Sharp HealthCare (02/27/24)
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