- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... certification: 12 months full-time case management experience supervised by a certified case manager , or 24 months full-time case management experience… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care...Guidelines. This position will provide cross coverage for all Case Managers as required across all settings in the… more
- Blanchard Valley Hospital (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate an organized inpatient case management ... patients under the direction of the attending provider. The RN Case Manager will assist...Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management, Utilization Management, HIPAA Privacy and Security regulations. ... Provides Disease Management (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and evaluate the… more
- ICONMA (Kentfield, CA)
- Requirements: Must have strong Utilization Review and InterQual experience required! Conducting patient initial assessments Acute Care hospital experience EPIC EMR ... documentation experience Active CA RN License Shift Information: Day shift (0800-1630), Monday thru Friday Minimum Years of Experience: 2… more
- Ascension (Hanover, MD)
- …qualifications. Connect with your Talent Advisor for additional specifics.Responsibilities Manage assigned Registered Nurse ( RN ) case managers, related ... a resource for complexcase management issues.Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the Maryland Board of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …situation, as well as disposition needs for each referred patient. Collaborates with RN Case Manager , patients, families, healthcare team members, and ... of improving the health of our communities. About the Role:Job SummaryThe Social Worker Case Manager II is responsible for the provision of medical social work… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …or Master's degree in Behavioral Health preferred for behavioral health care management); or Registered nurse ( RN ) license (must have a current unrestricted ... of creating a person-focused health care experience.Are you a Registered Nurse looking to transition out of...at least one of the following: Certification as a case manager from the URAC-approved list of… more
- Blanchard Valley Health System (Findlay, OH)
- …and procedures for service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care Coordination ... to the Acute Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review, and Emergency Department Care Navigation to… more
- Equiliem (Orange, CA)
- Summary:We are seeking a highly motivated and experienced Care Manager , with Behavioral Health experience. The Care Manager is responsible for the oversight and ... Applied Behavior Analysis (ABA) services offered to eligible members. The Care Manager will screen, triage and assess members to determine the appropriate level… more
- Accounting Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervisionPrevious experience in case management/ utilization management with a broad range of experience with ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- Staffing Now (Carson City, NV)
- …(ABA) services only, and there is licensed staff supervision. Previous experience in case management/ utilization management with a broad range of experience with ... and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification… more
- Prime Healthcare (Blue Springs, MO)
- …and maintain current. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/171723/ registered - nurse - case - manager ... these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Nurse Case Manager in an… more
- UNC Health Care (Raleigh, NC)
- **Description** **Full time on-site staff Utilization Manager ** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to ... care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …St. Louis Health Care System (VASTLHCS), St. Louis, Missouri. The Registered Nurse Case Manager ( Utilization Management) demonstrates leadership, ... rewards package: VA Nurse Total Rewards The primary purpose of this Registered Nurse Case Manager (RNCM) is to deliver fundamental knowledge-based… more
- Sharp HealthCare (San Diego, CA)
- … Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Accredited ... clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA...Experience and understanding of federal and state regulations governing utilization management. + Accredited Case Manager… more
