- CHRISTUS Health (Alamogordo, NM)
- …monitoring, and reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by payer source. ... Director when there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other care providers… more
- UT Health Tyler (Tyler, TX)
- …regulations related to case management services. Qualifications Job Requirements: Registered Nurse - Diploma, Associates Degree or BSN Licensure current ... Overview Join our team as a full-time Manager of Case Management in Tyler,...another with respect. Responsibilities The Manager of Case Management has overall responsibility for hospital utilization… more
- Beth Israel Lahey Health (Burlington, MA)
- …Days 8:00am-4:30pm weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... States of America) Joint role of Case Manager and Utilization Review Nurse ...a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- 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 by ... working knowledge of state and federal regulations. EDUCATION/EXPERIENCE Current California Registered Nurse License Five years nursing experience required… more
- 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 ... others as necessary. Skills: Case management, Care management, Acute care, Rn license, Health care, Epic, Discharge Planning, Utilization review, … more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- Universal Health Services (Dearborn, MI)
- Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is...degree in social work, counseling or a Michigan licensed Registered Nurse is required. + Full licensure… more
- Prime Healthcare (Reno, NV)
- …Management Certification (CCM) preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161653/ case - manager - rn smrmc- utilization ... an acute care setting within the last 5 years. + Current licensure as a Registered Nurse in the State of Nevada. + Must be able to communicate in English (Speak,… more
- Mayo Clinic (Rochester, MN)
- …workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review, including concurrent admission ... provides the resources you need to succeed. **Responsibilities** The RN CASE MANAGER provides ongoing...within a creative and challenging work environment. Experience in utilization review, ability to navigate medical records, value based… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... for services requiring prior authorization + Required experience: 3 years of RN work experience + Preferred Experience: Utilization Review/ Utilization … more
- Beth Israel Lahey Health (Milton, MA)
- …not just taking a job, you're making a difference in people's lives.** CASE MANAGER UTILIZATION SPECIALIST ( RN ) **Job Description:** CASE MANAGER ... UTILIZATION SPECIALIST ( RN ) **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated… more
- Universal Health Services (WA)
- Responsibilities Case Manager / Utilization Review/ Discharge Planning Registered Nurse - GW Hospital Full Time / Part Time (Weekend ONLY/both days ... every other weekend) Days only RN Benefits, Special Incentives & Perks Up to $3,000...Employee discounts and much more !! Qualifications POSITION REQUIREMENTS Registered Nurse , BSN required Current licensure in… more
- Trinity Health (Chelsea, MI)
- …Full time **Shift:** Day Shift **Description:** ** Registered Nurse Case Manager ** **Department:** Utilization Managment **Location:** Chelsea, MI ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case ...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Beth Israel Lahey Health (Cambridge, MA)
- …200-bed acute care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates ... discharge planning for MAH inpatient admissions. Inpatient Case Manager performance is evaluated using the...1. Bachelor's degree preferred. Current state license as a Registered Nurse . 2. Three years of medical/surgical… more
- Trinity Health (Fresno, CA)
- …starting at the time patients access the hospital in the emergency room. The case manager is responsible for utilization review, collaboration with ... time **Shift:** Rotating Shift **Description:** Reporting to the Lead Case Manager Emergency, Case Management,...evidenced based core measures. 1. Current licensure as a Registered Nurse in the State of California… more
- Henry Ford Health System (Detroit, MI)
- …working in a fun and dynamic environment? Join our team as a Registered Nurse ( RN ) Case Manager ! Who We're Looking For: Passionate, compassionate, ... + Innovative Team Structure:Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, allowing you to excel… more
- LifePoint Health (Rutherfordton, NC)
- …being admitted to the hospital by facilitating initiation of care starting.2. The ED Case Manager starts initiation and utilization process, encouragement of ... outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of...appropriate areas of the hospital, ie outpatient.3. The ED Case Manager is responsible for monitoring and… more
- Henry Ford Health System (Detroit, MI)
- …where every day is different? Join our Emergency Department team as a Registered Nurse ( RN ) Case Manager ! Who We're Looking For: Passionate, ... + Innovative Team Structure: Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, designed to let you excel… more
- Children's Hospital Boston (Boston, MA)
- 74825BRJob Posting Title: RN Case Manager , Inpatient & Ambulatory (Per Diem)Department:Patient Services-Patient Care ... per Week:1 Job Posting Category:NursingJob Posting Description:The Per Diem RN Case Manager (inpatient and/or...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
- Children's Hospital Boston (Boston, MA)
- 72065BRJob Posting Title: RN Case Manager , weekend only, on-site (16 hours)Department:Patient Services-Patient Care ... Hours per Week:16 Job Posting Category:NursingJob Posting Description: The RN Case Manager (inpatient) will...of employment. + Experience as a Case Manager (Discharge Planning and or Utilization Management)… more
