- CenterWell (Westbury, NY)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home health, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- HCA Healthcare (Las Vegas, NV)
- …Manager PRN opening and continue to learn! **Job Summary and Qualifications** **The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... colleagues in their positions. Join our Team as an RN Case Manager PRN and access programs to assist...+ **InterQual experience preferred** + **Current license as a Registered Nurse in the state(s) of practice… more
- WellSpan Health (Lewisburg, PA)
- …experience. Required + Lean Daily Management experience. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse ... safety and efficient care. Assists the Director of Clinical Operations in management of staff to deliver high quality, patient-centered care. Assists with directing… more
- HCA Healthcare (Kansas City, MO)
- …the UR physician to adhere to the self-denial process. **What qualifications you will need:** + ( RN ) Registered Nurse + Registered Nurse Diploma, or ... IQ criteria. + Adheres to HCA standards regarding observation management . In addition, the RN SM Lead...supporting a balance of optimal care and appropriate resource utilization . + Responsible for ensuring other RN … more
- LA Care Health Plan (Los Angeles, CA)
- …adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert ... of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted… more
- Fallon Health (Worcester, MA)
- … Nurse in a clinical setting required. * 2 years' experience as a Utilization Management /Prior Authorization nurse in a managed care payer preferred. * ... degree in nursing required **License/Certifications:** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience:** * A minimum of… more
- HCA Healthcare (Englewood, CO)
- …patient through the continuum of care, including discharge planning. Oversee utilization management process including verification of insurance coverage, ... Current licensure in the State of Colorado as a Registered Nurse , or current active multistate ...personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review … more
- Hartford HealthCare (Manchester, CT)
- … Management * **Organization:** **Manchester Memorial Hospital* **Title:** *Clinical Resource Management Nurse ( RN ) - Case Coordination* **Location:** ... of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works...accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing… more
- UnityPoint Health (Fort Dodge, IA)
- …week; no nights or weekends! Possible call shifts. + Job ID: 175357 Overview Registered Nurse ( RN ) Outpatient Surgery/Endoscopy (4) 8-hour shifts per week. ... communicating with, and educating patients and caregivers related to health, wellness, and disease management and prevention. The registered nurse is able to… more
- HCA Healthcare (Kansas City, MO)
- …procedure to optimize outcomes and maximize available resources. **What qualifications you will need:** + ( RN ) Registered Nurse + Registered Nurse ... you will do in this role:** + Responsible for utilization review , discharge planning and care coordination...RN Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more