- NHS Management (Madison, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... needs. We are in search of a qualified Unit Manager , RN to be a leader in our facility...skilled nursing facility or assisted living community. The Unit Manager is required to be dependable and personable liaisons… more
- NHS Management (Fayetteville, AR)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident ... a good match, make an application. We are in search of a qualified RN Unit Manager to be a leader in our facility - Unit Managers are primarily responsible for… more
- Memorial Health (Pana, IL)
- …group of patients in a structured setting through the appropriate utilization of assessment, diagnosis, planning, implementation, and evaluation. Provides care ... potentially hazardous materials. Attends all JCAHO, OSHA, and hospital/nurse manager specified mandatory in-services. Validates competencies and obtains credentials… more
- Yale New Haven Hospital (Meriden, CT)
- …professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And ... A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
- Yale New Haven Hospital (Easton, CT)
- …professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And ... A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
- Yale New Haven Hospital (Milford, CT)
- …professionals, every day. Works Under The Supervision Of The Nurse Manager /Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And ... Charge Nurse. 8. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
- Fresenius Medical Care (Eugene, OR)
- …Quality, and Technical Services departments. * Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program. * Maintains integrity ... data collections and auditing activities. * Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical ... Relations Manager to facilitate coordination of services related to utilization review . Collaborates with the multidisciplinary team, lending professional… more
- Houston Methodist (Katy, TX)
- At Houston Methodist, the Manager Centralized Utilization Review (UR) position is responsible for leading the daily operations of the Utilization ... care, and payer requirements. Reporting to the Director of Centralized Utilization Review , the Centralized Manager , UR position supports enterprise… more
- Huron Consulting Group (Chicago, IL)
- …Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the ... + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the...and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/rn-case- manager utilization - ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
- Cedars-Sinai (Los Angeles, CA)
- …more about you and your skills! **What will you be doing in this role?** The Utilization Review Case Manager validates the patient's placement to be at the ... accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour Days **Department**… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case Manager - 8 Hour Days **Department** ... us one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent Denials… more
- State of Indiana (Indianapolis, IN)
- …role of Utilization Management Manager oversees the integration of utilization review , clinically appropriate care and risk management for the purpose of ... Utilization Management Manager Date Posted: Jan 6, 2026 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career… more
- Behavioral Center of Michigan (Warren, MI)
- …skills to help educate the staff and physicians regarding charting. REPORTS TO: Utilization Review Lead/ Manager QUALIFICATIONS: + High School Diploma or ... Under general supervision, the Utilization Review Coordinator provides professional assessment,...those duties include all tasks requested by the UR Manager , CEO or Medical Director to meet the needs… more
- Wellpath (Franklin, TN)
- …make a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites ... Nursing or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience +… more
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- UNC Health Care (Chapel Hill, NC)
- …care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management ... needs are met and care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and discharge reviews in… more
