- Huron Consulting Group (Chicago, IL)
- …Join our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, ... Review Plan and the overall operation of the Utilization Management Department in accordance with federal,...goals. **Requirements** + BSN is required. Master's Degree in nursing or related field preferred. + 5 years recent… more
- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of ... Arts (BA) degree in addition to a degree in Nursing . A registered nurse with five (5)...admissions and short procedures by translating clinical information to Utilization Management requirements using pre ‐ determined… more
- Actalent (Duluth, GA)
- Case management & Utilization management registered nurse opportunity! Description Nurse will be working on site. Responsibilities will include: Case ... Manager / Utilization Management (90%) and Discharge... Manager / Utilization Management (90%) and Discharge Planning. Develop...At least 1 year of case management /care management Must be a RN (Registered Nurse )… more
- Access Dubuque (Dubuque, IA)
- …Management and Accreditation Program Manager UnityPoint Health Finley Hospital Utilization Management Nurse Cottingham & Butler/ SISCO CNA Psychiatric ... Utilization Management CNA **Cottingham & Butler/... Utilization Management CNA **Cottingham & Butler/ SISCO** 1 Positions...will also triage the call to determine if a Utilization Review Nurse is needed to complete… more
- Corewell Health (Grand Rapids, MI)
- …of insurance prior authorizations, initial reviews, continuous stay reviews and appeals. Nurse Care Manager - Plans and prioritizes care for individuals ... optimal health within populations. Demonstrates expertise, current knowledge in nursing care and management of a caseload...management /managed care or related field Preferred + Registered Nurse (RN) - State of Michigan Upon Hire required… more
- Community Health Systems (Siloam Springs, AR)
- **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the ... supervision of a Registered Nurse or physician. This role involves reviewing medical records...clinical nursing experience required + Experience in utilization review, case management , or discharge planning… more
- Community Health Systems (Bentonville, AR)
- …live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under ... the supervision of a Registered Nurse or physician. This role involves reviewing medical records...clinical nursing experience required + Experience in utilization review, case management , or discharge planning… more
- Access Dubuque (Dubuque, IA)
- …IA UnityPoint Health Finley Hospital Account Manager Cottingham & Butler/ SISCO Utilization Management Nurse Cottingham & Butler/ SISCO Neonatal - ... Hospice Nurse Case Manager **Hospice of Dubuque**...of each patient's plan of care, + performs case management and direct patient care, and + participates in… more
- Billings Clinic (Billings, MT)
- …issues, escalates to Supervisor, Manager , or Director * Insurance and Utilization Management * Maintains working knowledge of CMS requirements and ... manager staff provide services consisting of comprehensive case management , care coordination, continuing care services, and clinical social...assigned patients * Attends 1400 afternoon huddles with charge nurse and nurse care manager … more
- Houston Methodist (Houston, TX)
- …of hospital clinical nursing experience, which includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + ... At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position...to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of… more