- Cleveland Clinic (Port Saint Lucie, FL)
- …school of professional nursing (ADN or BSN program) + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) certification through the ... of the most respected healthcare organizations in the world. RN Case Managers work collaboratively with inter-professional teams across...or AHA) + Two years of recent experience in utilization review , quality or care management… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... services within the scope of practice as a registered nurse meeting all required standards both...three (3) years of experience in area of assigned responsibility. RN with 1 year acute hospital case management… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- …Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... Summary This Registered Nurse - Clinical Nurse ...the continuum of care, patient and family education, Veteran self- management after discharge, and supporting factors that impact customer… more
- Molina Healthcare (Sparks, NV)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... attitude for success **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). RN licensure… more
- Katmai (Fort Carson, CO)
- …Nursing (BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted ... Registered Nurses ( RN ) licensed in Colorado, be...checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... management experience Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill ... of care between settings. Required Skills and Experience * Registered nurse with current MN license and...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- CVS Health (Columbus, OH)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- HCA Healthcare (Denver, CO)
- …of optimal care and appropriate resource utilization . **What qualifications you will need:** + ( RN ) Registered Nurse license + Registered Nurse ... want you to apply! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is...opportunity compelling, we encourage you to apply for our RN Case Manager PRN opening. We promptly review… more
- Houston Methodist (Houston, TX)
- …(The Woodlands), HMSL (Sugar Land), HMCL (Clear Lake), HMCY (Cypress)** At Houston Methodist, the Registered Nurse ( RN ) PRN position is a licensed staff ... a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...clinical judgment to work autonomously as defined by the Nurse Practice Act + Demonstrates proficient time management… more