- Prime Healthcare (Inglewood, CA)
- …provides leadership and supervision to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and ... Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients… more
- Saint Francis Health System (Tulsa, OK)
- …as needed by the department; limited benefit offerings. Days Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum of 2 years of… more
- Saint Francis Health System (Tulsa, OK)
- …as needed by the department; limited benefit offerings. Variable Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
- Geisinger (Scranton, PA)
- …Specialty Training Program-Nursing (Required) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21k hiring incentive for eligible candidates!...& Children's Perks of joining Geisinger as a Graduate Nurse ! + Offer GNs up to a year in… more
- Mayo Clinic (Rochester, MN)
- …nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Molina Healthcare (Yonkers, NY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. MULTI… more
- Molina Healthcare (North Las Vegas, NV)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **WORK… more
- State of Colorado (Pueblo, CO)
- …are understood, actionable, and tied to CMHHIP's improvement goals. + Participate in utilization management and review activities when requested, applying ... Nurse I - RN Critical Incident/Occurrence...listed. + Description + Benefits + Questions Department Information Registered Nurse I-Full Time CMHHIP This position… more
- Northwell Health (Bay Shore, NY)
- …Performs retrospective reviews as required. + * Participates in the maintenance of Utilization Management , Discharge Planning and Case Management statistics ... of all changes in policies and procedures relating to Utilization Management , Discharge Planning and Case ...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Dartmouth Health (Bennington, VT)
- …of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management preferred. VT Nursing License ... The Health Resource Manager is responsible for providing case management services for SVMC sub acute patients.The case manager...required by date of employment. Case Management Certification required within 2 years of employment. *… more