- HCA Healthcare (Derry, NH)
- …appropriateness of clinical care, medical necessity, admission status, level of care, and resource management . + The RN Case Manager Team Lead will ... supporting a balance of optimal care and appropriate resource utilization . + The RN Case Manager...Nursing, Bachelors strongly desired, Master preferred + Active NH Registered Nurse license or compact state … more
- Cambridge Health Alliance (Everett, MA)
- …Days** : Mon - Friday and Rotating Weekends/Holiday **Category** : Registered Nurse **Department** : Inpatient Case Management Everett **Job Type** : Part ... RN Case Manager - Inpatient Case Management Everett...members of the health care team to identify appropriate utilization of resources and to ensure reimbursement. Utilize criteria… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... We care like family! Jump-start your career as an RN Case Manager Part Time today with...license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position… more
- HCA Healthcare (Tallahassee, FL)
- …active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... the opportunity to make a real impact. As a(an) RN Case Manager you can be a...observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... join an organization that invests in you as an RN Case Manager ? At HCA Florida Capital...required within 90 days of hire + Advanced Practice Registered Nurse license is acceptable for position… more
- University of Utah Health (Salt Lake City, UT)
- …communication skills. + Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria. + The ability to ... a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
- Cedars-Sinai (Marina Del Rey, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic review for identified...like family. **Req ID** : 11818 **Working Title** : RN Case Manager - Case Management… more
- CenterWell (Shelby, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... sit on-site at our Shelby, NC branch location.** The ** RN Clinical Manager ** coordinates and oversees all...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
- UNC Health Care (Chapel Hill, NC)
- …satisfaction by promoting high-quality, coordinated care. **What You'll Do** As a Care Manager RN , you'll: + Provide ongoing support and clinical expertise ... of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in...Payer Communication: a. Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and… more
- HCA Healthcare (Portsmouth, NH)
- …knowledge and expertise! **Job Summary and Qualifications** **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting ... Do you have the career opportunities as a(an) Case Manager RN PRN you want with your...years experience in clinical nursing Required InterQual experience Preferred Registered Nurse license for New Hampshire or… more