- Community Health Systems (Fort Wayne, IN)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. The role… more
- Truman Medical Centers (Kansas City, MO)
- …positive outcomes. **Position Overview:** We are seeking a dedicated and detail-oriented Case Manager (CM)-a registered nurse committed to optimizing both ... and Excel + Proficiency in English, both spoken and written **Preferred Qualifications:** + RN experience in hospital utilization review , utilization … more
- UPMC (Delmont, PA)
- …OR Cardiopulmonary Resuscitation (CPR) + Certified Case Manager (CCM) + Driver's License + Registered Nurse ( RN ) + Act 33 with renewal + Act 34 with ... you are caring for? UPMC Health Plan is hiring a full-time Clinical Care Manager to support our partnership with various physician practices. This role will support… more
- Community Health Systems (Tucson, AZ)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... activities of clinical review , discharge planning, resource utilization and utilization review . Acts...prior case management experience preferred.** **Job Summary** The Care Manager - RN is responsible for coordinating… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care and manages ... Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory… more
- Penn Medicine (Philadelphia, PA)
- …health system organization **Credentials:** + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) **Education or Equivalent Experience:** + ... day. Are you living your life's work? **Job Title:** Associate Clinical Manager , Ambulatory RN **Department:** Gastroenterology **Location:** Perelman Center for… more
- HCA Healthcare (Niceville, FL)
- …million dollars to charitable organizations. Apply Today! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is responsible for promoting ... supporting a balance of optimal care and appropriate resource utilization . + Provides case management services for both inpatient...you to apply for our RN Case Manager Part Time opening. We promptly review … more
- Trinity Health (Fresno, CA)
- …through the effective utilization of the facility's resources. 1. Current licensure as a Registered Nurse ( RN ) in the state of California is required. 2. ... **Employment Type:** Part time **Shift:** **Description:** This position coordinates utilization review service for defined patient populations across the acute… more
- Molina Healthcare (NE)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... **Job Description** **Job Summary** The Medical Review Nurse provides support for medical...our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... process. Some of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review...experience + Req 2 years Ambulatory case management or utilization review experience within the last three… more