- Virtua Health (Mount Holly, NC)
- …and/or certification from the State of New Jersey as a MSW or Registered Nurse . Case Management Certification (requirement within one year of ... RN or Masters prepared Licensed Social Worker.Preferred: 3 years clinical nursing ( RN ) experience and 1 year UR /CM/QM experience or 3 years experience as… more
- Stony Brook University (Stony Brook, NY)
- …in Care Management + Experience in Managed Care/Insurance Industry/MD Office. + Certified in Case Management, UR , Quality or Risk + PRI Certified + Experience in ... Outpatient Care Manager **Position Summary** At Stony Brook Medicine, a...projects or other duties as assigned. **Qualifications** **Required:** + RN Licensure in NY State + Outpatient community service… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... + 2 Years Medical Management experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA Board of Registered Nursing… more
- Cleveland Clinic (Cleveland, OH)
- …of admission and continued stays. + Maintain and support collaborative relationships with RN Case Manager , Physicians and the multidisciplinary team. + ... appropriately in UM notes to provide evidence that the UR process for the case was followed....School of Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic… more
- University of Utah Health (Salt Lake City, UT)
- …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… more
- CareFirst (Baltimore, MD)
- …in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact ... Manager appropriate information including, but not limited to, customer/ case issues, reports, trends/variances, action plans, etc. **SUPERVISORY RESPONSIBILITY:**… more
- Saint Francis Health System (Tulsa, OK)
- …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... internal processes. Provides staff education as needed to further the goals of UR . Minimum Education: Has completed the basic professional curricula of a school of… more
- UnityPoint Health (Des Moines, IA)
- …of clinical experience in focused areas working with multidisciplinary teams License(s)/Certification(s): + Current RN Licens ur e in state of Iowa Other: + Dept ... evaluation of patient-focused care for prioritized patients . + Documents the case management plan to include: clinical needs, barriers to quality care, effective… more