- HCA Healthcare (San Antonio, TX)
- …Case Management will be performed. + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. + RN ... 156,000 hours volunteering in our communities. As a Case Manager RN with Methodist Hospital Texsan you can be...care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of… more
- State of Colorado (Colorado Springs, CO)
- ADMINISTRATOR IV: Clinical Contracts Manager (Colorado Springs, Colorado) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5167059) Apply ... ADMINISTRATOR IV: Clinical Contracts Manager (Colorado Springs, Colorado) Salary $5,962.00 - $9,541.00 Monthly...pharmacy appropriations oversight, and financial analysis related to healthcare utilization trends. Job Duties: + Work leads one or… more
- CenterWell (Atlanta, GA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff documentation… more
- International Medical Group (Indianapolis, IN)
- …of the use of health care services, procedures, and facilities for utilization review and /or /evacuation/repatriation. Work as a liaison between the ... Word and Excel. PREFERRED SKILLS + BSN Preferred + Minimum two years utilization review with a managed care or insurance company + Proficient verbal… more
- Elevance Health (Washington, DC)
- …and experience, which would provide an equivalent background. **Preferred Qualifications** + Utilization review / utilization management experience is a must ... + Supervises approximately 20 non-clinical medical management specialists. + Manages resource utilization to ensure appropriate delivery of care to members,… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …The Director - System Care Coordination is responsible for system-wide Care Coordination functions ( Utilization Review , Social Work, Navigation, and ... + A minimum of five years of experience in care management or utilization review ...ie, Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM),… more
- HCA Healthcare (Ocala, FL)
- …required + 4 year Bachelor Degree preferred. + Certification in Case Management or Utilization Review preferred HCA Florida Ocala Hospital is a 323-bed facility. ... hours volunteering in our communities. As an RN Case Manager with HCA Florida Ocala Hospital you can be...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . + Provides… more
- Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health ... for consideration is: 11/28/2025. The Mental Health Integrated Services (MHIS) Program Manager is directly responsible to the Associate Chief of Staff for Mental… more
- Nuvance Health (Carmel, NY)
- …medical provider, the Case Manager RN collaborates with all members of the care team, focusing on the delivery of efficient, high-quality care . This position ... you and your career. Putnam Hospital, a 164-bed acute care hospital, has been serving the local community in...Program (MBSAQIP) * Robotic Center of Excellence - Surgical Review Corporation (SRC) At Putnam Hospital, our team members… more
- Marshfield Clinic (Marshfield, WI)
- …Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a clinic/hospital ... of America) **Job Description:** **JOB SUMMARY** The RN Case Manager serves as part of the collaborative care... team with regards to discharge planning, and provides review of medical utilization to third party… more