- 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
- 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
- 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
- Ascension Health (Pensacola, FL)
- …two (2) years of proven leadership or management experience, preferably overseeing Case Management or Utilization Review teams in an Acute Care setting. ... **Details** + **Department:** Case Management + **Schedule:** Full time Day Shift +... department. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Florida Board… more
- UPMC (Pittsburgh, PA)
- …evidence on medical interventions, as well as coverage policies and utilization management standards of national insurers, accountable care organizations, ... report results. + BSN required. Advanced degree is preferred. + Prior experience with utilization management and/or case management is strongly preferred. +… 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 (Spokane, WA)
- **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
- Fresenius Medical Center (Akron, OH)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Costa Mesa, CA)
- + This role requires a minimum of 3 years of Dialysis RN experience **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that ... auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic… more