- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Elevance Health (CA)
- **Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables ... is granted as required by law. The **Behavioral Health Care Manager I, Utilization Management**...background. + Current active unrestricted **California** license, such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to… 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 ... in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... REQUIRED QUALIFICATIONS: + 3 years of acute hospital care , Case Management and/or Utilization Management experience...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (UM) or (UR)… more
- Cedars-Sinai (Los Angeles, CA)
- …reviews with accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM - 8 Hour ... and contribute to our mission of providing word-class health care and the best quality service to our patients...**What will you be doing in this role?** The Utilization Review Case Manager validates the patient's… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... of care . Also works with the providers, registered nurse care managers, social... care management, including but not limited to: RN care managers, assistants, coordinators, utilization… more
- St. Luke's University Health Network (Sellersville, PA)
- …of a patient's ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... of care . Also works with the providers, registered nurse care managers, social... care management, including but not limited to: RN care managers, assistants, coordinators, utilization… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... employment status Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Banner Health (Tucson, AZ)
- …resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will have the opportunity to ... case management or health care . Requires current Registered Nurse ( RN ) license in...Travel positions require a minimum of one year Case Manager experience in an acute care hospital.… more
- Geisinger (Danville, PA)
- …Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life ... a vital role in ensuring patients receive the right care , at the right time, in the right place....life and pet and legal insurance Position Details The RN Case Manager assesses, plans, implements, coordinates,… more
- HCA Healthcare (Brownsville, TX)
- …Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. **Benefits** ... for your patients as a (an) Registered Nurse RN Case Manager . We...and patient throughput while supporting a balance of optimal care and appropriate resource utilization **What qualifications… more
- Mayo Clinic (Rochester, MN)
- …Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team ... utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Banner Health (Phoenix, AZ)
- …of a bachelor's degree in case management or health care . Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... lives, we want to hear from you. As the RN Case Manager in Care ...pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of… more
- Mayo Clinic (Phoenix, AZ)
- …Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary team ... utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …**Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide clinical care management ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway ... planning, case management or utilization review. **Certifications** Required - Current registered nurse license in state of practice. Basic Life Support… more
- Trinity Health (Howell, MI)
- …am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment of ... utilization outcomes. + This is achieved by coordinating care and service for defined patient populations during an...issues and documentation completeness. + The RN Registered Nurse Case Manager will… more
- Avera (Sioux Falls, SD)
- …cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active ... Work where you matter.** **A Brief Overview** Manages the care of patients referred to the Care ...the patient including expected outcomes, including efficient and effective utilization of resources to achieve positive outcomes. + Manages… more
- Geisinger (Lewistown, PA)
- …of 2 years-Related work experience (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... AM to 4:30 PM. Flexibility is needed to provide care at the right time. You'll occasionally cover weekends...life and pet and legal insurance Position Details The RN Hospital Case Manager assesses, plans, implements,… more