- Actalent (Portland, OR)
- Job Title: Clinical Review Nurse - Prior Authorization Location: Remote (this position is looking for east coast nurses who would be willing to help out the PST ... 8:00 AM-5:00 PM PST (occasional weekend/holiday rotation) Position Summary The Clinical Review Nurse will conduct medical necessity reviews for prior… more
- HCA Healthcare (Pulaski, VA)
- …chain of command. .In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers .You will ... member of this team, you will develop a case management plan of care for new and reoccurring patients...personal growth, we encourage you to apply for our RN Case Mgr PRN opening. We review … more
- Prime Healthcare (Evanston, IL)
- …+ Responsible for the coordination of the various activities of the Case Management Department including utilization management , social services and ... Discharge Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and… more
- HCA Healthcare (Salem, VA)
- …of command.** **. In a RN Case Manager role, you will perform utilization management reviews and communicates information to third party payers** **. You ... member of this team, you will develop a case management plan of care for new and reoccurring patients...career path, we encourage you to apply for our RN Case Manager Behavioral Health opening. We review… more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... LCSW, LADAC) + Previous experience in Needs Assessment and Utilization Management strongly preferred. + Familiarity with...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- HCA Healthcare (Port Charlotte, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide...we encourage you to apply for our Case Manager RN PRN opening. We promptly review all… more
- MVP Health Care (Rochester, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... key responsibilities:** + Utilize the essentials of an integrated utilization management and case management ...with an established interdisciplinary team. + The role requires review of a comprehensive assessment and development of a… more
- HCA Healthcare (Port Charlotte, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... organization that invests in you as a(an) Case Manager RN ? At HCA Florida Fawcett Hospital, you come first....team. **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …health care settings (Inpatient, outpatient, or differing levels of care). + Utilization Management experience, preferred. + Active licensure in Massachusetts is ... Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for...standards to create, follow and appropriately document comprehensive care management plans. + Review medication list and… more
- HCA Healthcare (Trinity, FL)
- …and satisfaction. + You will promote cost effectiveness through the integration of case management , utilization review management and discharge planning. ... Today! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more