- Whidbey General Hospital (Coupeville, WA)
- …health, Hospice, skilled nursing, anti-biotic regime, etc. The RN - Care Manager follows the hospital's Case Management / Utilization Plan that integrates ... regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an...resource utilization , the discharge planning and appeal/denial management . The RN - Care Manager… more
- Swedish Health Services (Seattle, WA)
- **Description** **Care Manager RN @ Swedish Medical Center** **Full time 1 FTE** **Day shift** **Fantastic benefits and compensation package offered by ... background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient...an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years … more
- Corewell Health (Grand Rapids, MI)
- …clinical nursing and or case management /managed care or related field Preferred + Registered Nurse ( RN ) - State of Michigan Upon Hire required + ... within 7 years for those who start in this RN role on or after January 1, 2017 (Spectrum...Support (BLS) - ARC American Red Cross Ambulatory Care Management Upon Hire required + Case Manager ,… more
- HCA Healthcare (Salem, VA)
- …**. In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers** **. You will ... **Introduction** Do you have the career opportunities as a RN Case Manager Behavioral Health you want...member of this team, you will develop a case management plan of care for new and reoccurring patients… more
- Molina Healthcare (Las Vegas, NV)
- …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is also desirable (InterQual, MCG guidelines) To ... care or medical or behavioral health settings. Prior experience in Utilization Management and discharge planning. **Preferred License, Certification,… more
- Ascension Health (Baltimore, MD)
- …options for post-discharge 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...**Additional Preferences** + One year of **recent** experience in Utilization Management required. + Local and national… more
- Prime Healthcare (Ontario, CA)
- …of nursing and a current state Registered Nurse license. + Minimum 3 years RN Utilization Manager working for a Health Plan. + At least 3 years of ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/222731/ utilization -review- rn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Dignity Health (Mesa, AZ)
- …and Responsibilities** Under the general direction of the Director of Care Management , performs criteria-based concurrent and retrospective utilization review to ... field + At least five (5) years of nursing experience + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification **Where… more
- Children's Mercy Kansas City (Kansas City, MO)
- …experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...+ One of the following: Licensed RN - Kansas, Registered Nurse … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional...in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National… more