- Cleveland Clinic (Cleveland, OH)
- …provide stellar care at one of the top healthcare organizations in the nation. As a Registered Nurse ( RN ) Case Manager, you will work collaboratively ... of professional nursing + Current state licensure as a Registered Nurse ( RN ) + Basic...or AHA) + Two years of recent experience in utilization review , quality or care management +… more
- Baystate Health (Springfield, MA)
- …- $69.33 + **Per Diem Hospital Case Manager** The ** RN Hospital Case Manager** is a registered nurse responsible for the coordination of clinical ... and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party payers… more
- Hartford HealthCare (Torrington, CT)
- …Hungerford Hospital on a daily basis *_EDUCATION_* * Maintains current license as a Registered Nurse in the State of Connecticut. * Bachelor's degree in Nursing ... moment*. **Job:** **Health Professionals* **Organization:** **Charlotte Hungerford Hospital* **Title:** * RN Care Manager - Case Coordination* **Location:**… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... integral to our mission. EO/AA_ This position provides clinical case management services aimed at enhancing patient-centered care and...the following** + Current license to practice as a Registered Nurse in the State of Utah,… more
- ChenMed (Richmond, VA)
- …providers. We're rapidly expanding and we need great people to join our team. The Nurse Case Manager 1 ( RN ) is responsible for achieving positive patient ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN )...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- Penn Medicine (Plainsboro, NJ)
- …potential denials in order to avoid non-appealable denials; Credentials: + Registered Nurse - NJ (Required) + Certified Case Manager + National Case ... future each day. Are you living your life's work? Summary: + The Case Manager suports the interdisciplinary team in facilitating patient care, with the underlying… more
- Penn Medicine (Philadelphia, PA)
- …(Outlook, Canopy, CERME, ECIN, shared drive, Internet) **Credentials:** + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... Canopy concurrently + Accounts for all patient days accurately in Canopy + Enters review indicating "pending" status of case if outcome not determined and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health ... of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of...Experience * 1+ years of managed care experience; eg case management/health coach, utilization management and/or auditing… more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... an acute care setting * Minimum of 5 years of progressive leadership experience in case management or utilization review * Proven leadership experience with… more
- University of Southern California (Arcadia, CA)
- …+ Assist in the compilation of physician profile data regarding LOS, resource utilization , denied days, cost, case mix index, patient satisfaction, and quality ... indicators including case mix, LOS, cost per case , excess days, resource utilization , readmission rates,...continuous improvement in both areas. + Perform 100% UR Review on all Medicare One-Day admissions. + Proactively identifies… more