- CVS Health (Baton Rouge, LA)
- …Lead, coach, and develop a multidisciplinary team responsible for utilization review , prior authorization, and case management functions. + Monitor team ... we do it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical… more
- The County of Los Angeles (Los Angeles, CA)
- …squatting. Considerable ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management ... Nurse ? In the County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management experience whose primary charge is to ensure… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality- related job preferred.… more
- Carle Health (Urbana, IL)
- …utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during...team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) -… more
- Baylor Scott & White Health (College Station, TX)
- …for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care coordination to ... SUCCESS FACTORS** Knowledge of Care Coordination, discharge planning, case management and utilization review . Knowledge...- 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a… more
- HCA Healthcare (Port Charlotte, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... apply! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
- HCA Healthcare (Largo, FL)
- …satisfaction.** + **You will promote cost effectiveness through the integration of case management , utilization review management and discharge ... apply! **Job Summary and Qualifications** **We are seeking a Registered Nurse Case Manager. You will provide...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
- HCA Healthcare (Anchorage, AK)
- …service. **What qualifications you will need:** + Current licensure as a Registered Nurse in the State of Alaska or RN compact license from participating ... is responsible for the following functions: Care Coordination, Resource Management , and Discharge Planning. The RN Case...(BLS or BCLS) and Certification. + Certification in case management or utilization review preferred.… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40...+ + + + Introduction Are you an experienced Registered Nurse looking to make a difference in ... to learn more about joining our team as a Utilization Review Nurse Coordinator! The...GENERAL EXPERIENCE Five (5) years of experience as a Registered Nurse . MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE… more
- HCA Healthcare (Sanford, FL)
- …in Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team. We...patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to… more