- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... community resourcesParticipates and drives accountability in daily interdisciplinary meetings + Utilization Management :Adheres to guidelines to satisfy 3rd party… more
- Carle Health (Champaign, IL)
- …of research, new or existing regulatory requirements. Oversee and actively guide utilization review , medication monitoring, treatment plans and peer review ... **Or** Master's Degree Social Work **Licenses/Certifications** Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional… more
- Sevita (TN)
- …state strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . + Financial Management : + May be responsible for the ... career well lived. **State Nursing Director - IDD Services (Registered Nurse )** **_Starting Pay: $110,000_** **_Regular travel required_** Looking for rewarding work… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians;… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians;… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …Outlook, and Word. + Preferred Knowledge, Skills, and Abilities + Knowledge of utilization review and hospital finance processes preferred. + WORKING CONDITIONS ... SUMMARY + The Case Manager is responsible for coordinating the case management care plan to meet the individual/caregiver needs, promoting quality, and… more
- Mount Sinai Health System (New York, NY)
- …settings. The program manager supervises and directs a designated group of nurse clinical coordinators within the Bone Marrow Transplant and Multiple Myeloma ... Serves as a liaison to nursing, medicine, department chairs/chiefs, care management , administration, and other department leadership. Ensures the transplant program… more
- Carle Health (Urbana, IL)
- …utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- HCA Healthcare (Savannah, GA)
- …of experience in hospital case management is required. + Certification in case management or utilization review is preferred. + InterQual experience is ... an organization that invests in you as a Registered Nurse (RN) Case Manager? At Memorial Health University Medical...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more
- HCA Healthcare (Charleston, SC)
- …+ Prior experience in Case Management is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... you have the PRN career opportunities as a **Registered Nurse (RN) Case Manager** you want with your current...stay, managing the length of stay, ensuring appropriate resource management , while developing a safe appropriate discharge plan. +… more