- Hartford HealthCare (Manchester, CT)
- …Manchester Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with ... Management* **Organization:** **Manchester Memorial Hospital* **Title:** *Clinical Resource Management Nurse ( RN ) - Case Coordination* **Location:**… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- Sanford Health (Rapid City, SD)
- …preferred. Experience in medical necessity review preferred. Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management...Nursing and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains… more
- Ellis Medicine (Schenectady, NY)
- …for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician for additional ... SECTION I BASIC FUNCTION: The RN Case Manager has responsibility for...Case Manager include, but are not limited to, utilization review , case management, care… more
- PruittHealth (Albany, 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
- University of Miami (Miami, FL)
- …Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …needs across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill ... and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location:...of care between settings. Required Skills and Experience * Registered nurse with current MN license and… more
- Mohawk Valley Health System (Utica, NY)
- RN - Case Manager - Full...Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or ... - Days - 4 - 9.5 Hour Shifts Department: CASE MGMT Job Summary Reports to and is under...filed. + Bachelor's degree is preferred. + Licensed professional nurse may be considered. + Bachelors or Masters Degree… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health ... coordination of care activities under the direction of a registered nurse and/or social worker. The incumbent...discharge plans prepared and delegated by social work or nurse case management by coordinating with home… more
- Carle Health (Champaign, IL)
- …for nurses with 1 or more years experience - External Applicants Only** Hybrid Option The Registered Nurse ( RN ) who serves in the role of System Case ... outcomes. The incumbent will have a deep understanding of utilization review and case management...to the success of the incumbent. Qualifications **License/Certifications:** Licensed Registered Professional Nurse ( RN ) -… more