- HCA Healthcare (San Antonio, TX)
- …in an acute hospital setting. + Prefer at least one year experience in utilization review , resource management , discharge planning or case management ... nursing program. **Preferred:** Bachelor of Science in Nursing + RN License to practice as a professional registered...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
- HCA Healthcare (San Antonio, TX)
- …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review , resource management , discharge planning or case management ... clinical RN Experience in acute setting. + RN License to practice as a professional registered...personal growth, we encourage you to apply for our RN Case Manager PRN opening. We review … more
- Baylor Scott & White Health (College Station, TX)
- …for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care coordination to ... SUCCESS FACTORS** Knowledge of Care Coordination, discharge planning, case management and utilization review . Knowledge...- 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a… more
- HCA Healthcare (San Antonio, TX)
- …program. Preferred:Bachelor of Science in Nursing + At least one year experience in utilization review , resource management , discharge planning or case ... clinical RN Experience in acute setting. + RN License to practice as a professional registered...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
- PruittHealth (Augusta, GA)
- …Minimum three years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case ... with long-term care population **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Licensed Registered Nurse with current, unrestricted license in state of… more
- Apex Health Solutions (Houston, TX)
- …TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ... and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider… more
- Carle Health (Urbana, IL)
- …utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during...team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) -… more
- ChenMed (Philadelphia, PA)
- …RN with bachelor's degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + Compact ... the remaining hours. The Acute Care Manager, Complex Care ( RN ) is responsible for achieving positive patient outcomes, managing...required + A minimum of one (1) year of utilization review and/or case management ,… more
- Centene Corporation (Trenton, NJ)
- …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN -… more
- Hartford HealthCare (Farmington, CT)
- …others as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse ( RN ) with 3-5 years CDS experience . ... CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as… more