- Highmark Health (Monroeville, PA)
- …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care ... Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory… more
- HCA Healthcare (Myrtle Beach, SC)
- …we encourage you to apply for our RN or LMSW Manager Case Management opening. We promptly review all applications. Highly qualified candidates will ... is recognized. Submit your application for the opportunity below: ** RN or LMSW Manager Case Management** Grand...+ InterQual experience preferred + Currently licensed as a Registered Nurse in the state(s) of practice… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.* Facilitates...with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State… more
- ChenMed (Cleveland, OH)
- …continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The incumbent ... we need great people to join our team. The Case Manager is responsible for enhancing the quality of...achieving desired clinical outcomes within specific timeframe. + Conducts review for appropriate utilization of services from… more
- Cedars-Sinai (CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient from ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...like family. **Req ID** : 10481 **Working Title** : RN Case Manager - Case … more
- Cedars-Sinai (Marina Del Rey, CA)
- …**Eligible for a $5,000 Employee Referral Bonus **What You Will Do in This Role:** A Registered Nurse Case Manager plans and coordinates care of the patient ... timeframe + Documents appropriate reviews for assigned patients using utilization review tool. + Provides telephonic ...\#LI-On-site \#Jobs-Indeed **Req ID** : 14043 **Working Title** : RN Case Manager - Case … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to ensure optimal and cost-effective health outcomes. Required Skills and Experience * Registered nurse with current MN license and with no restrictions * ... Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote...Experience * 2+ years of managed care experience; eg case management/health coach, utilization management and/or auditing… more
- Providence (Santa Rosa, CA)
- …with management, medical staff and medical center personnel. Provides payor/ utilization review organizations with concurrent retrospective utilization ... **Description** **Care Manager RN - Case Management at Providence...within 30 days of hire. + Upon hire: California Registered Nurse License. + 2 years Acute… more
- UNC Health Care (Kinston, NC)
- …clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience preferred. + Minimum 1 year ... to support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying… more
- HCA Healthcare (Englewood, CO)
- …satisfaction and personal growth, we encourage you to apply for our RN Case Mgr PRN opening. We promptly review all applications. Highly qualified candidates ... **Introduction** Do you have the career opportunities as a(an) RN Case Mgr PRN you want with...Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing… more