- CVS Health (Baton Rouge, LA)
- …per our company expense reimbursement policy. **Preferred Qualifications** + Managed care/ utilization review experience + Case management experience ... group homes, shelters, and community facilities. The Case Manager RN (CM RN ) is responsible for telephonically...in Orleans, Jefferson, St. Bernard or Plaquemines parishes. + Registered Nurse with current unrestricted Louisiana (LA)… more
- HCA Healthcare (Sanford, FL)
- …in Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team. We...patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to… more
- HCA Healthcare (Sanford, FL)
- …in Case Management is preferred + BSN is preferred + Certification in Case Management , Nursing or Utilization Review is preferred HCA Florida Lake Monroe ... Summary and Qualifications** We are seeking a dynamic Case Management RN to join our team. We...patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to… more
- Bassett Healthcare (Cobleskill, NY)
- …needs. The RN contributes to the support of patients through interdisciplinary teamwork. + Registered Nurse I: The RN I status is only appropriate for a ... + Salary Range: $39.01 - $58.51 per hour + Registered Nurse II: The RN ...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule + ( RN… more
- Fresenius Medical Center (Anderson, IN)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN , for a limited period of time, ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Centene Corporation (Springfield, IL)
- …Illinois.** **Are you a passionate RN with a strong background in case management or utilization management within an inpatient setting? Join our ... of St. Louis MO.** **What We're Looking For:** + ** Registered Nurse ( RN ) with active...) with active Illinois license** + **Experience in case management and/or utilization review ** +… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …care sites and clinicians are recognized for clinical and operational excellence. RN Quality Specialist Summary: Ensures the delivery of high quality, excellent care ... improvement committees and projects as needed. Supports Medical Staff Quality and Peer Review . Essential Functions: + Collaborates and acts as a resource to the… more
- Highmark Health (Concord, NH)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Ochsner Health (Lafayette, LA)
- …care. Preferred - Experience in case management or utilization review . **Certifications** Required - Current Registered Nurse license in state ... Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare Management… more
- Dignity Health (Los Angeles, CA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more