- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate...and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents… more
- HCA Healthcare (Englewood, CO)
- …**What qualifications you will need:** Current licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ... join an organization that invests in you as a(an) RN Case Mgr Rehab PRN? At HCA HealthONE Swedish,...care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness of… more
- HCA Healthcare (Thornton, CO)
- …Position Requirements: + Current licensure in the State of Colorado as a Registered Nurse , or current active multistate Registered Nurse ... join an organization that invests in you as a(an) RN Case Manager? At HCA HealthONE Mountain Ridge, you...care with the cost effective utilization of resources. Performs concurrent clinical review to determine appropriateness of… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of ... of revenue reimbursement processes and under moderate supervision and instruction by the registered nurse manager. Responsibilities of the RUR nurse include,… more
- University of Utah (Salt Lake City, UT)
- …by the American Association of Nurse Anesthetists ( AANA ) as a Certified Registered Nurse Anesthetist ( CRNA ); current registered nurse licensure ... **Open Date** 09/16/2025 **Requisition Number** PRN43111B **Job Title** PS Certified RN Anesthetist **Working Title** CRNA- Certified RN Anesthetist **Career… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... SUMMARY As a Registered Nurse - Care Manager, your...at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third… more
- Dignity Health (Chandler, AZ)
- …the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the ... and follow upwith physicians, payers, Care Coordinators and other stakeholders regarding review outcomes. + Collaborates with facility RN Care Coordinators to… more
- Dignity Health (Gilbert, AZ)
- …the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the ... and follow upwith physicians, payers, Care Coordinators and other stakeholders regarding review outcomes. + Collaborates with facility RN Care Coordinators to… more
- HCA Healthcare (Corpus Christi, TX)
- …Trauma Nursing Core Course must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Bachelors Degree + Basic Cardiac Life Support, ... join an organization that invests in you as a(an) RN Coordinator Trauma PI? At Corpus Christi Medical Center,...adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality,… more
- Guthrie (Troy, PA)
- …or, 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 ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or… more