- Alameda Health System (Oakland, CA)
- Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review /Medical and Case Management services for Workers' Compensation. The Workers' ... services for timely return to work. + Provides case management , utilization review , continued stay...MagnaCare policies and procedures. Essential Qualifications + Currently licensed Registered Nurse in the state of NY,… more
- BayCare Health System (St. Petersburg, FL)
- …clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the… more
- HCA Healthcare (Gainesville, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... the opportunity to make a real impact. As a(an) RN Coordinator Patient Throughput you can be a part...location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential… more
- HCA Healthcare (Fort Pierce, FL)
- …PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred InterQual experience preferred ... collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates efforts...personal growth, we encourage you to apply for our RN Case Mgr opening. We promptly review … more
- HCA Healthcare (Aventura, FL)
- …PCU, ICU, CVICU etc.) hospital nursing experience required + Certification in case management or utilization review preferred + InterQual experience ... apply for our RN Case Mgr opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock the… more
- HCA Healthcare (Port St. Lucie, FL)
- … + experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA ... our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Case Mgr PRN with HCA Florida St. Lucie Hospital you can be a… more
- AmeriHealth Caritas (Washington, DC)
- **$5,000.00 SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring ... in the least restrictive and most effective manner. The Utilization Management Reviewer must maintain a strong...of 3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management , Quality Screening and Delay Management for ... assigned patients. * Completes Utilization Management and Quality Screening for assigned patients.* Applies MCG...with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State… more
- Cleveland Clinic (Cleveland, OH)
- …from an accredited school of Professional Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) Certification through ... most respected healthcare organizations in the world. As an RN Case Manager, you will float between all bedside...approved entity + Two years of recent experience in utilization review , quality or care management… more