- HCA Healthcare (Austin, TX)
- …of Austin we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … more
- HCA Healthcare (Austin, TX)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...supporting a balance of optimal care and appropriate resource utilization . + You will provide case management … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure optimal and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and with no restrictions * ... Impact You Will Have Utilizing key principles of case management , the RN Specialist will research and...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Penn Medicine (Philadelphia, PA)
- …(Outlook, Canopy, CERME, ECIN, shared drive, Internet) **Credentials:** + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... hospice, community resources, transportation, and quality data collection and risk management referral. **Responsibilities:** + Utilization management … 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
- UPMC (Pittsburgh, PA)
- …and proficiency in all aspects of member care, to include complex and/or specialized care. + Registered Nurse ( RN ) with an active PA License required + BSN ... experience preferred. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or...(BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) + Act… more
- 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
- Truman Medical Centers (Kansas City, MO)
- …both spoken and written **Preferred Qualifications:** + RN experience in hospital utilization review , utilization management , or case management ... for positions and apply.** Case Manager Care Continuity Services RN - Care Continuity - UH Truman Medical Center...are seeking a dedicated and detail-oriented Case Manager (CM)-a registered nurse committed to optimizing both patient… more
- CVS Health (Phoenix, AZ)
- …utilizes skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. They apply critical thinking and knowledge in ... Evaluation of Members + Through the use of care management tools and information/data review , conducts comprehensive...Education, or Counseling. **Education** + Bachelor's degree or licensed RN ( _Registered Nurse_ ), valid in the state… more
- Hartford HealthCare (Hartford, CT)
- …Glastonbury, Enfield, Farmington, West Hartford and Avon offices. Bachelor's Degree required . CT- Registered Nurse ( RN ) license- preferred * Minimum of 2 ... The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely collection, documentation,… more