- Ascension Health (Baltimore, MD)
- …time of hire. **Additional Preferences** + One year of **recent** experience in Utilization Management required. + Local and national travel options are ... care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer...Heart Association or American Red Cross accepted. + Case Manager credentialed from the Commission for Case Manager… more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Specialized/technical training Graduate of an accredited school of registered nursing + Req 3 years Clinical experience. + Req...+ Pref Bachelor's degree + Pref 1 year Case management or utilization review experience within the… more
- Elevance Health (Walnut Creek, CA)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... to 5:05 PM Pacific. Training hours may vary. The ** Utilization Management Representative I** is responsible for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Elevance Health (West Des Moines, IA)
- ** Utilization Management Representative II** **Location:** The selected candidate for this position must reside in Iowa. **_Virtual:_** This role enables ... an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for...given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +… more
- Elevance Health (Houston, TX)
- **Title: Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Trinity Health (Mishawaka, IN)
- …and detail-oriented **RN** **Case Manager ** to coordinate patient care, utilization management , and discharge planning. This role ensures quality outcomes, ... in the State of Indiana + Bachelor's degree in Nursing (BSN preferred) + 3-5 years of clinical ...nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking, and… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Nurse Manager of Case Management you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Nurse Manager of Case Management ...supporting a balance of optimal care and appropriate resource utilization . **Essential Job Functions:** 1. Determines department staffing needs,… more
- Rochester Regional Health (Rochester, NY)
- …Week: 40Schedule: M-F Days, with flexibility to work night/off shift SUMMARY:The Assistant Nurse Manager (ANM) is responsible for the clinical care to patients ... ANM is the main contact for a variety of nursing functions in support of management and...resolve patient or family concerns in collaboration with the Nurse Manager /Director; promote optimal care through internal… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition ... Registered Nurse (RN) - Case Manager -...q) and other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management : Balances clinical and financial requirements… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is looking for a Nurse House Manager to join our Nursing Administration Team! The Nurse House Manager is responsible for ... concert with hospital leadership to reach departmental goals. The Nurse House Manager will work with other...utilization of personnel. Experience 5+ years' experience in management and supervisory nursing role required. Experience… more