- Bon Secours Mercy Health (Norfolk, VA)
- …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
- HCA Healthcare (Tallahassee, FL)
- … license is acceptable for position if current and compliant** + **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three ... join an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida...supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will… more
- CVS Health (Austin, TX)
- …frame and can include either a 30 or 60 min unpaid lunch.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and ... is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and administering activities related to clinical review , discharge planning, resource utilization , and utilization review . Your primary goal will be ... Jennie Stuart Health is seeking a dedicated Case Management Nurse to join our...teamwork + Experience with InterQual criteria + Understanding of utilization management + Knowledge of CMS regulations + Ability… more
- UNC Health Care (Raleigh, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- Massachusetts Institute of Technology (Cambridge, MA)
- …with patients, families, providers, and community agencies. PREFERRED: two years of case management, utilization review , and discharge planning experience. ... Registered Nurse , Care Coordinator + Job...planning, with emphasis on community and family support. The case care coordinator is responsible for developing and implementing… more
- Avera (Sioux Falls, SD)
- …cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active ... clinical guidelines. + Facilities and participates in multi-disciplinary care conferences or patient case review meetings and assists in follow up to ensure… more
- Brockton Hospital (Brockton, MA)
- …of five years clinical experience in an acute care facility required. Prior experience in case management, utilization review or discharge planning required. ... of services. Uses accepted criteria and guidelines to conduct review of inpatient admissions. The Case Manager at Brockton Hospital serves as the primary liaison… more
- Wellpath (Franklin, TN)
- …or Care Management Certification + RN preferred EXPERIENCE + Previous utilization review and/or case management and pre-certification experience + ... you make a difference** The Regional Care Manager (RCM) is responsible for utilization review , care coordination, and daily care management across multiple sites… more
- Northwell Health (Sleepy Hollow, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more