- Providence (Mission Hills, CA)
- …we must empower them. **Required Qualifications:** + Bachelor's Degree + Upon hire: California Registered Nurse License + California Fire and Life Safety Card - ... or Post-Acute). + 2 years experience in Acute Care Management (Care Coordination or Utilization Management ) or successful completion of the Transitions… more
- Elevance Health (Richmond, VA)
- …on relatively complex case types that require the training and skill of a registered nurse . Acts as a resource for more junior Clinicians. **Primary duties ... in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and… more
- Cleveland Clinic (Cleveland, OH)
- …from an accredited school of Professional Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) Certification through ... most respected healthcare organizations in the world. As an RN Case Manager , you will float between...approved entity + Two years of recent experience in utilization review, quality or care management +… more
- Nuvance Health (Carmel, NY)
- …our campus and discover what Putnam Pride is all about. *Summary* The Case Manager RN , working in conjunction with the centralized denial prevention team, ... of care for the hospitalized patient. Together with the medical provider, the Case Manager RN collaborates with all members of the care team, focusing on… more
- Stony Brook University (Stony Brook, NY)
- …while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not ... RN Case Manager **Position Summary** At...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Highmark Health (Jefferson Hills, PA)
- …effective resource utilization . Serves as key team members in the management of readmissions, length of stay, ED utilization , and patient/family ... or CERTIFICATIONS** **Required** + None **Preferred** + ACM Certification (Accredited Case Manager ) - American Case Management Association - American Case … more
- Fallon Health (Worcester, MA)
- … Nurse in a clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care payer preferred. * ... degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of… more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $83,200.00 - $128,960.00 Salary range: $33/hr. - $47.60/hr. Registered Nurse ( RN ) - Full TimeHIV Medicine Clinic - Albany, ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or ...Nursing program is required* Current NYS license as a Registered Nurse is required* Minimum of 1-2… more
- University of Southern California (Arcadia, CA)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care facilitation, and discharge planning functions. The ... to resolve problems with payers as needed. + Completes utilization management for assigned patients. + Coordinates/facilitates.... Licenses and Certifications Minimum (Required) * A current RN licensure in the State of California is required.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Emergency Department RN Clinical Case Manager will facilitate transitional care for an assigned number of cases by managing, coordinating, ... of services, and financial goals. The Emergency Department RN Clinical Case Manager oversees the discharge... or acute care, transitional care, or chronic care RN /case management experience OR Associates degree in… more