- Nuvance Health (Danbury, CT)
- …comprehensive, patient-centric vision and strategy for system-wide care coordination, encompassing utilization review (UR), denials management , discharge ... a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum...of 5 years of progressive leadership experience in case management or utilization review *… more
- Saint Francis Health System (Tulsa, OK)
- …PM Minimal call with 30 minute response time is required Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
- Saint Francis Health System (Tulsa, OK)
- …Call with a 30 minute response time is required \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum of two years… more
- Mayo Clinic (Rochester, MN)
- …nursing, social workers, physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Lawrence General Hospital (Methuen, MA)
- … experience in an acute care setting with discharge planning, continuing care, care management , and utilization review preferred. ? Strong verbal and written ... Job Description: The RN Care Coordinator is responsible for overseeing the...of the Hospital on a rotating basis to perform utilization reviews and other UM activities, as needed, to… more
- Sharp HealthCare (San Diego, CA)
- …case management experience. + 3 Years case management , utilization review , care coordination experience. + California Registered Nurse ( RN ) - ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more
- Carle Health (Normal, 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 acute illness requiring hospitalization for… more
- Dartmouth Health (Bennington, VT)
- …of clinical nursing experience required. Prior experience in utilization review , discharge planning and/or case management preferred. VT Nursing License ... The Health Resource Manager is responsible for providing case management services for SVMC sub acute patients.The case manager...required by date of employment. Case Management Certification required within 2 years of employment. *… more
- Tufts Medicine (Melrose, MA)
- …role is essential in developing and maintaining an infrastructure for the systematic review and management of complex patients. The position will work closely ... managers, TMIN Practice Optimization Coaches (POMs) and primary care providers to review patient records, analyze data, and identify practice and patient outlier … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …Degree in Nursing 4 years nursing in an acute hospital or 2 years Case Management , Utilization Review , or Discharge Planning experience in an acute hospital ... coordinating discharge needs, quality of care, and implementing the utilization management process for acute inpatients. Case... process for acute inpatients. Case Managers perform concurrent review and denials management based on acute… more