• RN Case Manager - Case Management - Full Time Day

    Guthrie (Corning, NY)
    …a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree ... two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's degree in a related… more
    Guthrie (09/23/25)
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  • RN Case Manager Part Time

    HCA Healthcare (Lake City, FL)
    …your potential! **Job Summary and Qualifications** Provides hospital case management/utilization review and discharge planning to assure that the patient progresses ... as indicated to facilitate correct DRG assignment on a concurrent basis. + Identifies appropriate delays in the health...manner. **What qualifications you will need:** + (RN) Registered Nurse + Associate Degree + One year experience in… more
    HCA Healthcare (09/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (Lake City, FL)
    …our team. **Job Summary and Qualifications** Provides hospital case management/utilization review and discharge planning to assure that the patient progresses ... as indicated to facilitate correct DRG assignment on a concurrent basis. + Identifies appropriate delays in the health...manner. **What qualifications you will need:** + (RN) Registered Nurse + Associate Degree + One year experience in… more
    HCA Healthcare (09/13/25)
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  • Clinical Documentation Specialist

    Kaleida Health (Buffalo, NY)
    …team, Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data.The ... of the health care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records and to identify clinical… more
    Kaleida Health (08/08/25)
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  • RN Manager Trauma Program

    HCA Healthcare (Manchester, NH)
    …at the community and state levels. Participates in State Trauma committees. Conducts concurrent monitoring and evaluation of trauma system plan by ongoing review ... the trauma committee, prepares agendas and selects cases for review according to the operational guidelines of the trauma...registration in the State of NH as a Registered Nurse + Current BLS, ACLS, PALS, TNCC required. CEN… more
    HCA Healthcare (10/04/25)
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  • RN Care Coordinator - Inpatient Specialty Program…

    Cedars-Sinai (Beverly Hills, CA)
    …by assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered ... of care and level of care. Use evidence based review guidelines to conduct utilization review as...are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's… more
    Cedars-Sinai (09/28/25)
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  • HIM Clin Doc Integrity Specialist NE - CFH

    Carle Health (Champaign, IL)
    …Field, Work Experience: Clinical bedside; CDI Responsibilities Conducts the initial concurrent review process for all selected admissions. Clarifies ... Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care… more
    Carle Health (09/18/25)
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  • Medical Director ( CA)

    Molina Healthcare (San Bernardino, CA)
    …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
    Molina Healthcare (10/02/25)
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  • Lead Case Manager RN - Inpatient Specialty Program…

    Cedars-Sinai (Beverly Hills, CA)
    …assessing their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/specialist and case manager ... are transitioning to the Skilled Nursing Facilities, refer to nurse practitioner and case manager assigned to the SNF's...and case manager assigned to the SNF's for continued review and follow up. + Authorize all appropriate services… more
    Cedars-Sinai (09/28/25)
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  • Case Manager Austin Market Float Pool

    HCA Healthcare (Austin, TX)
    …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...purposes of utilization review , care coordination compliance with requirements of external … more
    HCA Healthcare (09/19/25)
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