- Nuvance Health (Poughkeepsie, NY)
- …BSN preferred. Must have current RN license. *Preferred Experience: * Utilization Review / Management .Company: Vassar Brothers Medical Center Org Unit: ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
- HCA Healthcare (Kissimmee, FL)
- …monitor and improve the patient flow program effectiveness as it relates to utilization review , resource management , and discharge planning and care ... leader to physicians and employees as it relates to utilization review , resource management , patient...obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate… more
- UNC Health Care (Morrisville, NC)
- …the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible ... for designing, implementing, and standardizing utilization management functions across a large healthcare...Operational oversight of centralized and site-specific UM teams, including utilization review nurses and support staff. Cultivate… more
- Catholic Health Initiatives (Bismarck, ND)
- …+ **Bonus Points (But Not Required!):** If you have experience in Case Management , discharge planning, or utilization review , consider yourself one ... and Responsibilities** **Unleash Your Inner Healthcare Hero as an RN Case Manager at CHI St. Alexius Bismarck!** **Are...Health Bismarck is actively seeking a dynamic and dedicated Registered Nurse Case Manager to join our… more
- CVS Health (Carson City, NV)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... And we do it all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must… more
- Cleveland Clinic (Cleveland, OH)
- …stellar care at one of the top healthcare organizations in the nation. As a Registered Nurse ( RN ) Case Manager, you will work collaboratively with ... of professional nursing + Current state licensure as a Registered Nurse ( RN ) + Basic...or AHA) + Two years of recent experience in utilization review , quality or care management… more
- Centene Corporation (New York, NY)
- …clinical license; and a NYS Driver's License or Identification card.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical ... of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them...beneficiary and the Network Provider. + Provides first level RN review for all outpatient and ancillary… more
- Cleveland Clinic (Medina, OH)
- …build a rewarding, lifelong career while receiving endless support and encouragement. As a Registered Nurse ( RN ) Case Manager, you will work collaboratively ... of professional nursing + Current state licensure as a Registered Nurse ( RN ) + Basic...or CCM) + Two years of recent experience in utilization review , quality or care management… more
- Mohawk Valley Health System (Utica, NY)
- …regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review /case management experience or social work ... RN - Case Manager - Full Time -...Reports to and is under direct supervision of Case Management Department. Provides ongoing support and expertise through comprehensive… more
- AnMed Health (Anderson, SC)
- …, continued stay/concurrent review , retrospective review , bed status management , resource utilization management , regulatory compliance, and related ... issues. Duties & Responsibilities + Performs assigned utilization management functions daily: initial, concurrent and retrospective review of the… more