- Amergis (Santa Rosa, CA)
- The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service ... delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case Management experience… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for...Compact State Licensure required + CCM - Certified Case Manager preferred or + Accredited Case Manager … more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- BayCare Health System (St. Petersburg, FL)
- … Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and...+ This position will report to the hospital based Manager and support the goals and policies of the… more
- Elevance Health (Tampa, FL)
- …is granted as required by law. *Must reside in the state of Florida* The ** Manager of Utilization Management** is responsible for managing a team of physical ... and/or behavioral health practitioners responsible for coordinating member service, utilization , access, care management and/or concurrent review to ensure cost… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager ? Here is your opportunity...include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review … more
- Mohawk Valley Health System (Utica, NY)
- …care to our diverse member population. Provides direct oversight of the case manager 's daily operations of utilization review practice, process and ... timely and consistent manner also in conjunction with HR. + If working as a Registered Nurse , practices in accordance with New York State Practice Act and… more
- HCA Healthcare (Orange Park, FL)
- …**Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager ** you want with your current employer? ... and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager for...this PRN position. + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more
- Guthrie (Sayre, PA)
- …or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or ... of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who...in an acute care setting with strong care management, utilization review , and payer knowledge. A Case… more
- HCA Healthcare (Kissimmee, FL)
- …patient safety. + Other duties as assigned. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + Bachelor's in Nursing ... + 1+ year of prior case management experience + Registered Nurse - Currently licensed as a...you to apply for our RN Case Manager PRN opening. We promptly review all… more