- Alameda Health System (Oakland, CA)
- … Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management . **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The ... Nurse , Care Management + Oakland, CA +...background. Within the last 3 years, experience in Case Management in an acute setting or utilization review… more
- Ventura County (Ventura, CA)
- …Inpatient Psychiatric unit of the Ventura County Medical Center including utilization management , transfer coordination, discharge planning, and securing ... CANDIDATE The ideal candidate is an experienced Mental Health Nurse with a background in utilization review...and review; + Performs daily clinical reviews to support utilization and quality management , ensuring compliance with… more
- CVS Health (Charleston, WV)
- …intervention skills * Managed care/ utilization review experience * Certified Case Manager (CCM) certification * Case management experience in an integrated ... of the state. Through a strong, localized team, an innovative care management model, and creative provider and community advocacy partnerships, Aetna Better Health… more
- Banner Health (Casper, WY)
- …based with no budgetary responsibility. Internal customers: Patients, families, all levels of nursing management and staff, medical staff, and all other members ... networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the… more
- Calvary Hospital (Bronx, NY)
- …experience in a progressive leadership/ management position. Education: + Masters of Nursing , required. Responsibilities: The Nurse Manager manages a ... of nursing personnel and other departments to assure effective utilization of resources, which meet the physiological, safety, spiritual and psychosocial needs… more
- Fresenius Medical Center (New York, NY)
- …closely with, providing oversight as needed to, the Clinical Coordinator/Charge RN or Nurse Supervisor acting as nurse manager , the Medical Director, ... and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient… more
- City and County of San Francisco (San Francisco, CA)
- …AND EXPERIENCE: Four (4) years of verifiable, full-time experience as a Director of Nursing Services or a similar clinical management position, all of which must ... on or after September 19, 2025 + Salary - 0942 Manager VII (https://careers.sf.gov/classifications/?classCode=0942) (Range A Salary between $207,558 and $264,836… more
- Catholic Health Initiatives (Little Rock, AR)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing , physicians, ancillary departments, insurers ... as assigned. **Job Requirements** + Must be a graduate of an accredited school of Nursing (Required) + Masters degree in Case Management or Nursing field… more
- Intermountain Health (Sandy, UT)
- **Job Description:** The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for ... of Science in Nursing (BSN) from an accredited institution. + Case Management Certification + Demonstrated experience in case management , utilization … more
- Beth Israel Lahey Health (Cambridge, MA)
- …care teaching hospital affiliated with Harvard Medical School. The Inpatient Case Manager (CM) performs utilization reviews and coordinates discharge planning ... adheres to all insurance, contractual, and regulatory requirements as required. 7. The Case Manager abides by MAH Case Management Standards as outlined in the… more
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