- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** RN , Utilization Review Case Manager** **Why Mount Carmel?** With five hospitals ... www.experiencecolumbus.com ! **About the job:** The ** RN Case Manager, Utilization Review ** ensures...Licensure / Certification: Current license to practice as a Registered Nurse ( RN ) in the… more
- Covenant Health (Lewiston, ME)
- … RN license. + Minimum of three years' experience in utilization review , discharge planning, social work case management, or Utilization Manager ... Case Manager conducts medical necessity reviews per the Utilization Management (UM) plan for patients housed on a...experience preferred. + Certification as CCM or ACMA- RN preferred. + Proficient in Microsoft Office. + Strong… more
- Beth Israel Lahey Health (Burlington, MA)
- … Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a timely process. Registered Nurses (RNs) with utilization review experience, case management...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse ( RN ) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse ( RN...Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + **One year** ** Utilization Review or Case Management experience.** **Licenses ... case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review...Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
- BriteLife Recovery (Englewood, NJ)
- …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... care clinical setting. Must have utilization management, utilization review or case management...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- 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
- UTMB Health (Friendswood, TX)
- …a safe and efficient work environment. + Monitors the work performance of the Utilization Review Case Management staff and provides guidance as necessary. ... nursing. + Provides assistance with clinical issues for non-nursing Utilization Review Case Management staff....Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing ... a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in...experience required. + A minimum of 1 year of utilization review and/or case management,… more
- LifePoint Health (Warrenton, VA)
- …or local law./ **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN ) - Case Manager* **Location:** *Virginia-Warrenton* ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge… more
- HCA Healthcare (Derry, NH)
- …growth, we encourage you to apply for our RN Case Manager Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... the PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN... Case Manager's primary duties are to provide Utilization Review and Case Management… more
- Avera (Sioux Falls, SD)
- …transfers from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation ... with Utilization Review staff on patients status and ongoing coverage +...the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board… more
- 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
- Marshfield Clinic (Marshfield, WI)
- …**Minimum Required:** One year of healthcare experience. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in ... the most exciting missions in the world!** **Job Title:** RN Case Manager - Hospital **Cost Center:**...to the position._ **Minimum Required:** Current State of Wisconsin Registered Nurse license or Nurse … more
- Mohawk Valley Health System (Utica, NY)
- RN Case Manager - Case...Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or ... Job Summary Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive assessment,… more
- ChenMed (St. Louis, MO)
- … RN with Bachelor Degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + A minimum ... practice. Job duties/responsibilities that are performed by either the RN or LPN include: + Conducts utilization ...experience required + A minimum of 1 year of utilization review and/or case management,… more
- Trinity Health (Silver Spring, MD)
- …+ Assumes primary supervisory responsibility for the following direct reports: + Manager of Utilization Review and Case Management + Manager of Continuum of ... required. + Minimum of 2 years leadership experience in case management, utilization review or...basis, with the Vice President of Patient Care Services ( Nurse Executive), the Vice President of the Medical Affairs,… more