- Dignity Health (Glendale, CA)
- …+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression of care and discharge planning for identified patients… more
- Elara Caring (Dallas, TX)
- …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all...required by state or federal guidance + Licensed physician, registered nurse or holds an undergraduate degree… more
- HCA Healthcare (San Antonio, TX)
- …Management will be performed + Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist ... nursing program. **Preferred:** Bachelor of Science in Nursing + RN License to practice as a professional registered...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
- ChenMed (Newport News, VA)
- …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 outcomes ... post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization ;… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **ICU RN , Emergency Room RN or Level One Trauma RN experience strongly preferred.** **Position Summary:** The Patient ... Logistics RN supervises the transfer center activities for Dignity Health...with department manager and director the outcomes of the review and any identified issues or barriers. **Core Duties:**… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** **I** **CU** ** RN , Emergency Room RN or Level One Trauma RN experience strongly preferred.** **Job Summary:** The ... to carry out the patient logistics program responsibilities. The Patient Logistics RN Clinical Coordinator collaborates with customers and staff to ensure efficient… more
- Penn Medicine (Plainsboro, NJ)
- …planning needs, to third party payors to secure optimal reimbursement. Credentials: + Registered Nurse - NJ (Required) Education or Equivalent Experience: + BSN ... and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the… more
- Catholic Health Initiatives (Lisbon, ND)
- …+ Graduate of an accredited nursing program. + Bachelor's in Nursing (BSN) + Registered Nurse License in the state of North Dakota (ND) **Preferred** + ... year's current clinical experience in acute care settings + Prior Case Management/ Utilization Review **Where You'll Work** CHI Lisbon Health is a 20 bed Critical… more
- The New Jewish Home (Bronx, NY)
- …job functions.) Job Qualifications: + Current license and registration to practice as a Registered Nurse in New York State. + Bachelor's Degree in Nursing. + ... and procedures. o Monitors quality of care delivered by staff through record review , conferences, supervisory visits and review of aggregated data. o… more
- Logan Health (Kalispell, MT)
- …applicable Logan Health, State, and Federal requirements as they relate to Utilization Review , Discharge Planning, and Care Coordination processes as applicable ... Logan Health Medical Center is looking for a PRN RN to join our Case Management Team! Located in...seamless coordination of services for optimal patient outcomes. Inpatient Utilization Management + Manage and review inpatient… more