- 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 SolutionsAt Medical… more
- OU Health (Oklahoma City, OK)
- Position Title: Manager Case Management Utilization Review - OU Medical CenterDepartment: Case ManagementJob Description:General Description: Under ... departmental goals, and departmental policies and procedures.Evaluates work performance of case manager in collaboration with the Director.Ensures appropriate … more
- 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
- ICONMA (Apple Valley, CA)
- …years of Acute care CM experience - can consider travelers with 1.5 years. . Experience with Utilization Review and Discharge Planning. . Experience with InterQual.
- 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...required within two (2) years of hire into the Case Manager position. Experience / Knowledge /… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... the integrating and functions of case management, utilization review and discharge planning. The Care Manager...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in...RN ) licensure in the state of practice: Required Case management certification: Preferred Basic Life Support (BLS OR… more
- University Medical Center of El Paso (El Paso, TX)
- …case management experience or related experience preferred. License/Registration/Certification: Current Texas RN License. Certified Case Manager (CCM) or ... Job Summary The Case Manager comprehensively plans for ...and computer skills. Current working knowledge of discharge planning, utilization management, case management, performance improvement and… more
- University Medical Center of El Paso (El Paso, TX)
- …management experience or related experience preferred. B. License/Registration/Certification: 1. Current Texas RN License. 2. Certified Case Manager (CCM) ... and computer skills. 4. Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
- South Shore Health (Weymouth, MA)
- …required to work a weekend rotation and also an occasional holiday.Job Description1 - The RN Case Manager is responsible for reviewing the medical record of ... physicians, nursing and staff with accurate determination of a patient's observation status. The RN Case Manager is an important resource in preventing… more
- 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: ... delivery for patient under the direction of the department manager .Job Responsibilities- Anticipates patient's needs and advocates for patient...- Licensed in the Commonwealth of Virginia as a Registered Nurse - Experience - 3 to 5… more
- ICONMA (CA)
- . Provide inpatient case management to patients in a busy medical center. Responsible for utilization review and discharge planning.
- Integrated Resources, Inc (Detroit, MI)
- …the organization and Performs other duties as assigned. Education: Certifications/licensures required: . Registered Nurse ( RN ) or a Licensed Social Worker ... Job Title: Integrated Case Manager Job Location: Detroit, MI...pm. Schedule Notes: . Full Time Day Shift Position Utilization Management or Telephonic Case management experience… more
- CHRISTUS Health (Alamogordo, NM)
- …monitoring, and reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by payer source. ... Director when there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other care providers… more
- Christus Health (Alamogordo, NM)
- …and reporting individual cases and/or trends to the infection control nurse .Performs utilization management functions as required by payer source.Complies ... Utilization Management Plan.RequirementsEducationRequired: Associate of SciencePreferred: Bachelor of ScienceLicenses & CertificationsRequired: L- RN SinglestatePreferred: L- RN Multistate… more
- Cambia Health Solutions, Inc (Vancouver, WA)
- …or Master's degree in Behavioral Health preferred for behavioral health care management); or Registered nurse ( RN ) license (must have a current unrestricted ... OR - Vancouver ClinicPrimary Job Purpose The Care Management Nurse provides clinical care management (such as case...at least one of the following: Certification as a case manager from the URAC-approved list of… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- 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
- Mountains Community Hospital (Lake Arrowhead, CA)
- Full Time - Exempt position SUMMARY The Case Manager is responsible for utilization management and case management of patient admissions at MCH by ... working knowledge of state and federal regulations. EDUCATION/EXPERIENCE Current California Registered Nurse License Five years nursing experience required… more
- Beth Israel Lahey Health (Burlington, MA)
- …Days 8:00am-4:30pm weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... States of America) Joint role of Case Manager and Utilization Review Nurse ...a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
