• Medical Solutions (Glendale, CA)
    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years...tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical… more
    JobGet (04/08/24)
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  • RestoraCare Staffing (Houston, TX)
    RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management more
    JobGet (04/25/24)
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  • Inova Health System (Fairfax, VA)
    Inova Health System is seeking a Registered Nurse ( RN ) Nurse Navigator for a nursing job in Fairfax, Virginia.Job Description & RequirementsSpecialty: ... the patient's health and psycho-social needs, and develops a case management plan in collaboration with the...- Licensed in the Commonwealth of Virginia as a Registered Nurse - Experience - 3 to 5… more
    JobGet (04/22/24)
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  • Adventist Health (Portland, OR)
    …(BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in the state of practice: ... Adventist Health is seeking a Registered Nurse ( RN ) Home...in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison… more
    JobGet (04/15/24)
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  • Per Diem Registered Nurse III…

    Ventura County (Ventura, CA)
    Registered Nurse III - Hospital Case Management / Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply ... Registered Nurse III - Hospital Case Management / Utilization Review Salary $119,061.54...supervision commensurate with their experience. APPROXIMATE SALARY: Per Diem Registered Nurse III (PD RN more
    Ventura County (04/22/24)
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  • Utilization Management Case

    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
    Universal Health Services (04/10/24)
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  • Case Manager with Utilization Review…

    Beth Israel Lahey Health (Burlington, MA)
    …potential for weekends, evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital ... Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse...a timely process. Registered Nurses (RNs) with utilization review experience, case management more
    Beth Israel Lahey Health (04/19/24)
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  • Case Manager- Utilization Review

    Actalent (Oklahoma City, OK)
    Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment ... Skills: Acute care, acute, nurse , clinical, healthcare, Case management , Utilization management...* Active Oklahoma RN license required. * Case Manager, Discharge Planner, UR experience. * Utilization more
    Actalent (04/20/24)
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  • Csmc 8750000 Utilization Management

    Cedars-Sinai (Los Angeles, CA)
    …Coordination **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 ... (BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical...**Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
    Cedars-Sinai (03/10/24)
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  • Director Utilization Management

    Virginia Mason Franciscan Health (Bremerton, WA)
    …Health Care Administration or advanced clinical degree. + Minimum 3 years of clinical case management ( Utilization Management , Denial Management , ... annual bonus eligibility, and more! **Responsibilities** **Job Summary / Purpose** The Utilization Management (UM) Director is responsible for the market(s)… more
    Virginia Mason Franciscan Health (04/26/24)
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  • Utilization Review RN

    Beth Israel Lahey Health (Boston, MA)
    …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... optimize hospital reimbursement when appropriate. 4. Works collaboratively with RN Case Managers to expedite patient discharge....standardized medical necessity criteria + Three years of recent case management or utilization more
    Beth Israel Lahey Health (04/20/24)
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  • Registered Nurse Case Manager…

    Prime Healthcare (Weslaco, TX)
    …#hiringrns #patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse - case -manager ... medical necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education...a related field. At least one year experience in case management , discharge planning or nursing … more
    Prime Healthcare (04/05/24)
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  • Case Manager Registered Nurse

    RWJBarnabas Health (Livingston, NJ)
    Case Manager Registered Nurse ( RN ), ...hospital setting + Minimum of one year experience in Case Management / Utilization Management ... 94 Old Short Hills Road, Livingston, NJ 07039 The Case Manager Registered Nurse develops...on other classifications of patients as designated by the Utilization / Case Management Review Plan. Coordinates… more
    RWJBarnabas Health (04/11/24)
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  • Integrated Care Management Assistant…

    McLaren Health Care (Detroit, MI)
    …degree in coding/medical records/billing or healthcare related field + Two years of case management or utilization review, billing, or coding experience ... observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that… more
    McLaren Health Care (04/16/24)
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  • Utilization Review Nurse

    Beth Israel Lahey Health (Burlington, MA)
    …other related duties as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three years of recent ... to optimize hospital reimbursement when appropriate. Works collaboratively with RN Case Managers to expedite patient discharge...in standardized medical necessity criteria Three years of recent case management or utilization more
    Beth Israel Lahey Health (04/17/24)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …of three years clinical experience in an assigned service. + Recent experience in case management , utilization management and/or discharge planning/home ... Salary Range: $31.28 - $51.61 per hour Responsible for Utilization Management , Quality Screening and Delay ... for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State… more
    Albany Medical Center (04/17/24)
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  • RN Case Manager I - Case

    Sharp HealthCare (San Diego, CA)
    Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered Nursing **Hours** ... or equivalent experience in the healthcare setting. + California Registered Nurse ( RN ) - CA...competency and individual development planning process.Maintain current knowledge of case management , utilization management more
    Sharp HealthCare (04/21/24)
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  • Case Manager Registered Nurse

    RWJBarnabas Health (Livingston, NJ)
    Case Manager Registered Nurse ( RN ), ...hospital setting + Minimum of one year experience in Case Management / Utilization Management ... together with Social Workers and Providers, all discharge needs will be coordinated. The Case Manager Registered Nurse develops safe discharge plans in order… more
    RWJBarnabas Health (04/21/24)
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  • Registered Nurse RN

    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 acute ... Our Care Coordination staff is seeking a part time RN Case Manager to work closely with...and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review… more
    Banner Health (03/03/24)
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  • Registered Nurse RN

    Banner Health (Gilbert, 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 acute ... Apply today. Our Care Coordination staff is seeking an RN Case Manager to work closely with...and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review… more
    Banner Health (04/18/24)
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