- HCA Healthcare (Nashville, TN)
- …High School diploma or GED required; Associate's Degree preferred. + 1 year of Case Manager , Insurance utilization and/or hospital experience preferred. + ... invests in you as a Clinical Appeals Specialist Medicare RN or LPN? At Parallon, you come first. HCA...are looking for a dedicated Clinical Appeals Specialist Medicare RN or LPN like you to be a part… more
- SSM Health (Jefferson City, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... management process, admission process, and act as a case manager liaison with post acute providers...Registered Nurse ( RN ) - Missouri Division of Professional… more
- BayCare Health System (Tampa, FL)
- …Occasional + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM ( Case Management) + Preferred CCM ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities include:** +... Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more
- 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...+ Minimum of two years current experience as an RN in utilization review, case … more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Supervisor, Utilization Management RN Job Category: Clinical...The Supervisor is a subject matter expert (SME) in Care/ Case / Utilization Management and supporting regulations, policies, protocols,… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Admissions Liaison RN II...California License Licenses/Certifications Preferred Certified Case Manager (CCM) American Case … more
- HCA Healthcare (Savannah, GA)
- …Do you want to join an organization that invests in you as a Registered Nurse ( RN ) Case Manager ? At Memorial Health University Medical Center, in ... We are looking for a dedicated Registered Nurse ( RN ) Case Manager...management or critical care is preferred. + Certification in case management or utilization review is preferred.… more
- Nuvance Health (Sharon, CT)
- …restore health to the patient. Responsibilities for this full time RN Case Manager position includes include utilization review, discharge planning and ... care transitions. Candidates require a CT state RN license, Bachelors Degree in Nursing or related field,...Nursing or related field, a minimum of 1 year Case Management experience in an acute care setting. CCM,… more
- HCA Healthcare (Tallahassee, FL)
- … basis** **Introduction** Do you want to join an organization that invests in you as an RN Case Manager ? At HCA Florida Capital Hospital, you come first. HCA ... make a difference. We are looking for a dedicated RN Case Manager like you...required within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position… more