- Logan Health (Kalispell, MT)
- …settings, ensuring seamless coordination of services for optimal patient outcomes. Inpatient Utilization Management + Manage and review inpatient services ... Logan Health Medical Center is looking for a PRN RN to join our Case Management Team!...Health, State, and Federal requirements as they relate to Utilization Review , Discharge Planning, and Care Coordination… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Hinsdale, IL)
- …Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) Preferred ... documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- Trinity Health (Howell, MI)
- …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... leadership role in achieving desired clinical, financial and resource utilization outcomes. + This is achieved by coordinating care...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
- Novant Health (Wilmington, NC)
- …day supervision, operations, monitoring ongoing quality, productivity, and efficiency for both Utilization Review and Case Management activities. Is ... (CCM), preferred. + Additional Skills Required: Current practice in case management / utilization review ; regulatory/governing standards, policies, and… more
- Horizon Services, Inc. (Albuquerque, NM)
- …collective experiences enrich each other's growth. This position, which must be held by a Registered Nurse ( RN ), serves as the clinical and operational lead ... Respect, Diversity, and Quality to provide residential treatment, withdrawal management , and sobering programs to support the well-being of...Medical Center. What else is required? + New Mexico Registered Nurse ( RN ) + 3+… more
- Molina Healthcare (Los Angeles, CA)
- …Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of InterQual / MCG ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 DAY SHIFT 7:30AM - 08:30PM PACIFIC HOURS NON EXEMPT, 3 days a week will… more
- Health Advocates Network (Selinsgrove, PA)
- Registered Nurse ( RN )DC- Short-Term **Pay Rate** : $58 / hour *W2 Minimum Qualifications Possession of a current license to practice as a registered ... nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse...is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review… more
- Molina Healthcare (Omaha, NE)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing....Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and… more