- Erickson Living (Dallas, TX)
- …of medical practice; insurance benefit structures and related legal/medical issues; and utilization review and quality assurance procedures. Please note that ... by Erickson Senior Living Join our team as a RN Case Manager (also known as Care...+ Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,… more
- Children's Home Healthcare (Albuquerque, NM)
- …authorizations for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional ... LICENSE* Children's Home Healthcare is now hiring for a RN Clinical Supervisor/Case Manager ! Children's HH is...CPR + At least 2 years experience as a Registered Nurse + At least 1 year… more
- Trinity Health (Livonia, MI)
- …and applied criteria. Knowledge of federal, state and local regulation affecting utilization review programs and payments. Knowledge of regulatory and ... to Join our Remarkable Care Team as a** **Case Manager ** **in the Case Management Department awaits YOU **...accrediting agency standards and regulations relative to utilization review . **BENEFITS AVAILABLE TO YOU AS… more
- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... benefits/requirements/limits, discharge planning requirements, length of stay and resource utilization issues. + Adheres to the policies, procedures, rules,… more
- Amergis (Hyannis, MA)
- …management experience in the last 5 years + Experience in discharge planning & utilization review + Knowledge of InterQual or similar system Schedule: 40 hours, ... Amergis Healthcare has an exciting contract opportunity for an RN Case Manager in Hyannis, MA. Local Pay: $69/hour, paid weekly Travel Pay: $3,041/week… more
- Hartford HealthCare (Hartford, CT)
- …in a richly diverse work space. Under the direction and general supervision of the Nurse Manager , the registered nurse utilizes evidence based practices ... hospital and as directed by the medical staff. The registered nurse who through knowledge and ability...You will appropriately assign the workload and collaborate with manager to monitor and maintain staff performance. This leader… more
- Carle Health (Champaign, IL)
- …for nurses with 1 or more years experience - External Applicants Only** Hybrid Option The Registered Nurse ( RN ) who serves in the role of System Case ... are pivotal to the success of the incumbent. Qualifications **License/Certifications:** Licensed Registered Professional Nurse ( RN ) - Illinois Department of… more
- Mohawk Valley Health System (Utica, NY)
- …compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work experience. ... RN - Case Manager - Full... RN - Case Manager - Full Time - Days - 4...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- Carle Health (Urbana, IL)
- …federal, and local surveys and accreditations. Qualifications **Certifications:** + Licensed Illinois Registered Professional Nurse ( RN ) and + National ... Overview The Nurse Manager , OR Intraoperative has leadership...Operating Room. Responsible for planning, organizing, delegating, coordinating staff utilization , budgeting, and marketing OR services. Directly supervises nursing… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure optimal and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and with no restrictions * ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career Area:… more