- Fresenius Medical Care (Ponca City, OK)
- …Quality, and Technical Services departments. Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials… more
- Fresenius Medical Care (Fayetteville, NC)
- …and acting on adverse events and action thresholds. Oversees facility's Home Therapies Program if applicable. Accountable for compliance with all applicable ... all FMS manuals. Accountable for completion of the Annual Standing Order Review and ICD coding. Checks correspondence whether electronic, paper or voice mail,… more
- Interim HealthCare (Greenwood, IN)
- …experience practicing as a Registered Nurse ( RN ) in home health or similar setting; previous case management/ utilization review experience ... the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers. Communicate...need: Licensure: Current unrestricted license to practice as a Registered Nurse ( RN ) in the… more
- Corewell Health (Royal Oak, MI)
- …Three to five years' experience in care management, utilization review , home care and/or discharge planning. Preferred + Registered Nurse ( RN ... patients. 1. Identifies patients that need care management services (ie utilization review ; care coordination; and/or discharge/transition planning). 2.… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- BJC HealthCare (St. Louis, MO)
- … RN experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity + ... experience) **Additional Information About the Role** Join a stable work-from- home team! This is a great opportunity for a...Must have at least one active MO or IL RN license + If candidate only has one … more
- Northwell Health (Staten Island, NY)
- …in case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. ... utilization management using Interqual criteria. + Conducts chart review for appropriateness of admission and continued length of...Nursing, required. + Current license to practice as a Registered Professional Nurse in New York State.… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case...insurance, long term care, elder C childcare, auto C home insurance. Note: Eligibility for benefits may vary by location ... dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the...and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along… more
- HCA Healthcare (Richmond, VA)
- …year, nurses at Johnston-Willis Hospital have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... and improve positive outcomes for your patients as a ** Registered Nurse RN Case Manager**...a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis Hospital has… more
- HCA Healthcare (Tomball, TX)
- …career path, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Case Manager...utilization ** **What qualifications you will need:** + **Current Registered Nurse License in the State of… more
