- Baptist Memorial Health (Southaven, MS)
- …illness, and/or life situation. Performs other duties as assigned. Responsibilities Utilization Review Discharge planning Readmission Reduction Participation ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...Hospital Department: DC Case Management Admin BMH Desoto Category: Nurse RN Type: Clinical Work Type: Full… more
- Sanford Health (Rapid City, SD)
- …provide care coordination, transitional care planning, facilitation and coordination of discharge needs. Enhances the quality of clinical outcomes and patient ... patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services, and appropriate level of care for patients… more
- Logan Health (Kalispell, MT)
- …all applicable Logan Health, State, and Federal requirements as they relate to Utilization Review , Discharge Planning, and Care Coordination processes as ... doing as an RN in Case Management: Facilitating Care Coordination and Discharge Planning + Oversee the transition of care from inpatient to outpatient settings,… more
- New York State Civil Service (Syracuse, NY)
- …2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planningORCandidates within State Service ... NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Hutchings Psychiatric Center, P26038 Occupational Category Health… more
- Actalent (San Antonio, TX)
- … review , prior authorization, utilization review , case management, and discharge planning is must + Active RN Compact License is Must If you ... Immediate Hiring for "Remote Clinical Review Nurses" Job Description: + Review approximately 20 cases a day for medical necessity. + Advocate for and protect… more
- Hartford HealthCare (Willimantic, CT)
- …is*your moment.* **Job:** **Nursing* **Organization:** **Windham Hospital* **Title:** * Registered Nurse Case Manager ( RN ) - Utilization Management* ... * Three years clinical nursing required. * Two years experience with case management, discharge planning, utilization review and/or home care required. *… more
- Mount Sinai Health System (New York, NY)
- …+ Experience Requirements + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager ... a. Reviews all new admissions to identify patients where utilization review , discharge planning, and/or...Planning: a. Responsible for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates… more
- Trinity Health (Columbus, OH)
- …5-7 years of clinical nursing experience with at least 2 years experience in utilization review , discharge planning, case management, or disease management ... analysis, audit, provider relations and more. **Position Purpose:** The RN Case Manager MCHP is responsible for the coordination...common symptoms they might experience. + Coordinates with the utilization review , case management, discharge … more
- Ochsner Health (New Orleans, LA)
- …team to develop and implement discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson ... discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in state of practice. Basic… more
- Dartmouth Health (Bennington, VT)
- …currently matriculated into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management ... nursing experience and BS required. BSN preferred. Prior experience in utilization review , discharge planning and/or case management preferred. VT Nursing… more
- Community Health Systems (Siloam Springs, AR)
- …supporting collaborative care planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient ... coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves...years of clinical nursing experience required + Experience in utilization review , case management, or discharge… more
- Community Health Systems (Bentonville, AR)
- …supporting collaborative care planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient ... coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves...years of clinical nursing experience required + Experience in utilization review , case management, or discharge… more
- UNC Health Care (Raleigh, NC)
- …of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be ... Case Management Team is seeking an experienced full time RN Care Manager for Emergency Department patients. This role...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- Community Health Systems (Naples, FL)
- …for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. ... effectively, and in compliance with organizational standards. + Oversees utilization review and discharge planning...systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse -… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards,...+ Working knowledge of laws, rules, and regulations regarding utilization review and discharge planning… more
- Community Health Systems (Franklin, TN)
- …necessity, discharge planning, and payer requirements. + Documents all utilization review activities in the hospital's case management software, including ... or coordinating peer-to-peer reviews. + Communicates effectively with utilization review coordinators, case managers, and discharge planners to ensure a… more
- Dartmouth Health (Bennington, VT)
- …eligible) Three-Five years of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management ... patient, family/caregiver, providers and other community resources prior to discharge * Developing a patient transition plan, providing patient/caregiver education… 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 management...in a hospital environment preferred. + Previous case management, utilization review , and discharge planning… more
- ChenMed (Cleveland, OH)
- …of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent in this ... outcomes within specific timeframe. + Conducts review for appropriate utilization of services from admission through discharge . Evaluates patient… more
- Massachusetts Institute of Technology (Cambridge, MA)
- …families, providers, and community agencies. PREFERRED: two years of case management, utilization review , and discharge planning experience. 11/18/2025 ... Registered Nurse , Care Coordinator + Job...Graduate of an accredited nursing program; bachelor's degree; current RN license in Massachusetts; CPR Certified; a minimum of… more
