- Beth Israel Lahey Health (Burlington, MA)
- …people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey Clinic inpatient… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Ascension Health (Appleton, WI)
- …salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes ... implement quality review programs and key performance indicators for all utilization review activities. + Interact with medical, nursing, and executive… more
- Ascension Health (Pensacola, FL)
- **Details** + **Department: Utilization Review ** + **Schedule: Full time days** + **Hospital: Ascension Sacred Heart Pensacola** + **Location: Pensacola, ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...One of the following: Licensed RN - Kansas, Registered Nurse … more
- Ochsner Health (Lafayette, LA)
- …medical management, or other related MCO departments/functions. **Certifications** Required - Current registered nurse ( RN ) license in state of practice. ... *MSW accepted in lieu of registered nurse ( RN ) licensure. Preferred...Determines appropriate staffing levels and the interviewing, hiring, performance review , and termination of employees within practice unit(s); maintains… more
- Children's Hospital Boston (Boston, MA)
- … Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager , Utilization ...Description:Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission… more
- Prime Healthcare (Lynwood, CA)
- …Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/212260/case- manager %2c- rn utilization - review ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works...within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records,… more
- Ascension Health (Baltimore, MD)
- …job transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date ... required. Education: + Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required. **Additional Preferences** \#ATP **Why Join Our Team** Ascension associates are key to our commitment of… more
- Amergis (Stanford, CA)
- Salary: $4388 / Week Care Coordination Manager - Utilization Review RN | Palo Alto, CA | Contract-to-Perm Opportunity We're seeking a highly experienced ... Coordination Manager role, overseeing case management and utilization review functions in a dynamic, patient-centered...right candidate Strongly Preferred Qualifications: + 5+ years of RN experience + 3+ years of experience in case… 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 ... PRN career opportunities as a(an) RN Case Manager Registered Nurse PRN you...Case Manager 's primary duties are to provide Utilization Review and Case Management functions for… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas ... Short Hills Road, Livingston, NJ 07039 Job Title: Case Manager Registered Nurse ( RN...on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care,… more
- AdventHealth (Bolingbrook, IL)
- …skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associate's degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- HCA Healthcare (Webster, TX)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. ... the PRN career opportunities as a(an) Registered Nurse RN Case Manager PRN...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/ Manager the UR Nurse reviews all...programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. +… more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager *...team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure ... in employment. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN )- Case Manager * **Location:** *Pennsylvania-Johnstown*… more
- Billings Clinic (Billings, MT)
- …and coordinates care with the RN Care Manager , Social Services Care Manager , Utilization Review RN , Physician Advisor and Care Management ... high risk for readmission. * Interfaces effectively with the Utilization Review department to stay current on...years of professional nursing experience Certifications and Licenses *Current Registered Nurse license in the state of… more
- AdventHealth (Altamonte Springs, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... Altamonte Springs, FL 32701 **The role you'll contribute:** The RN Care Manager in collaboration with the...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
- HCA Healthcare (Port St. Lucie, FL)
- …you to apply for our Registered Nurse RN Case Manager PRN opening. We promptly review all applications. Highly qualified candidates will be contacted ... have the career opportunities as a(an) Registered Nurse RN Case Manager PRN...nursing experience required + Certification in case management or utilization review preferred + InterQual experience preferred… more