- Ascension Health (Pensacola, FL)
- …case management department. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Florida Board of Nursing ... years of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in...teams in an Acute Care setting. + **Certification:** Current Case Manager certification from a recognized body,… more
- University of Southern California (Glendale, CA)
- …of California, BSN preferred Minimum Experience/Knowledge: Recent experience in Utilization /Quality/ Case Management in acute setting preferred Required ... License/Certification: Current BCLS certificate from the American Heart Association As part of Keck Medicine of USC, USC Verdugo Hills Hospital is the only community hospital in the Foothills area of Los Angeles backed by an academic medical center. With its… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance… more
- Cleveland Clinic (Cleveland, OH)
- …rewarding career with one of the most respected healthcare organizations in the world. As an RN Case Manager , you will float between all bedside units at ... of Professional Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic...approved entity + Two years of recent experience in utilization review, quality or care management + Knowledge of… more
- Calvary Hospital (Bronx, NY)
- …all new hires prior to beginning employment at Calvary Hospital. Requirements + Registered professional nurse , current unencumbered NYS licensure. + Five (5) or ... Transit Check. + Free On-Site Parking Requirements Participates in the Utilization Review, Discharge Planning, Risk Management, and Quality Assessment and… more
- Essentia Health (Brainerd, MN)
- …and accurate information to payers. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. This role is ... meet patient needs, manage length of stay, and promote efficient utilization of resources for a designated caseload. **Education Qualifications:** Educational… more
- Good Samaritan (Brainerd, MN)
- …**Department Details** Primarily day time hours, 32-40 hours per week. Includes RN on-call rotation. Generous sign on bonus opportunity. Additional weekend incentive ... outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured health care settings described… more
- Elevance Health (CA)
- **Behavioral Health Care Manager I, Utilization Management** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables associates ... an accommodation is granted as required by law. The **Behavioral Health Care Manager I, Utilization Management** is responsible for managing psychiatric and… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The ** Manager of Utilization Management** **ll** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary duties may… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case management of a ... case management **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse -...initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks… more
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