- Sutter Health (San Francisco, CA)
- …an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California + CCM - Certified Case Manager (certification may be ... A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- CVS Health (Topeka, KS)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Sutter Health (San Francisco, CA)
- …+ Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Awareness of… more
- Sutter Health (Roseville, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Baystate Health (Springfield, MA)
- …$53.13 - $62.85 **Per Diem Hospital Case Manager** The ** RN Hospital Case Manager** is a registered nurse responsible for the coordination of ... and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party payers… more
- HCA Healthcare (Asheville, NC)
- …compelling, we encourage you to apply for our Home Care Registered Nurse Coordinator PACE opening. We promptly review all applications. Highly qualified ... is recognized. Submit your application for our Home Care Registered Nurse Coordinator PACE (Program of All...Aides, Homecare Services Non-Skilled Aides and the Homecare Schedulers. Utilization of nursing skills to assess participants in their… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse Case Manager IIDepartment: Home Care Location: West Monroe Hours Per Week: 40Schedule: Days SUMMARY:The RN Case Manager ... of Care, making changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those… more
- Charter Care Health Partners (North Providence, RI)
- …experience that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is ... specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care...(BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode… more
- Charter Care Health Partners (North Providence, RI)
- …experience that includes recent experience with case management, patient navigation, case management, utilization review or discharge planning is ... specific patient population. Performs functions related to Patient Advocacy; Utilization Review ; Resource Management; Continuum of Care...(BSN preferred) with current license to practice as a Registered Nurse in the State of Rhode… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more