- McLaren Health Care (Flint, MI)
- …organizational goals. Assumes responsibility for the clinical administrative aspects of utilization review and case management. Integrates medical management ... as well as documentation of the case management and utilization management processes. Responsible to collaborate in the delivery...in Nursing, health care or business-related field + Valid RN License in state doing business in + Ten… more
- Highmark Health (Jefferson Hills, PA)
- …including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria, insurance benefits and ... outcomes, engages patients/caregivers in their healthcare, and supports effective resource utilization . Serves as key team members in the management of readmissions,… more
- HCA Healthcare (Kissimmee, FL)
- …Prioritizes meeting commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual strategic plan for ... requirements: 1. Licensed Professional in a clinical health care specialty (ie RN , Physical Therapist, Occupational Therapist, or Speech Therapist). Current FL RN… more
- Amergis (Baltimore, MD)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- WMCHealth (Margaretville, NY)
- …admission medical records. + UR-Reports concerns re: admissions and continued stay to Utilization Review Chair person and Medical Director. + UR- Prepares ... Case Manager D- RN Company: Margaretville Hospital City/State: Margaretville, NY Category:...selected patients across the health care continuum. Promotes effective utilization of resources and the highest quality of care… more
- UCLA Health (Santa Monica, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in...Knowledge of a large university teaching hospitals Preferred: Strong Utilization Review experience and understanding of CMS… more
- HCA Healthcare (Austin, TX)
- …Specialty Certification must be obtained within 9 months + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an active ... **Description** **Introduction** We are seeking a(an) Emergency Services Manager RN with St. David's South Austin Medical Center to promote growth and unlock… more
- Insight Global (Phoenix, AZ)
- …are seeking 3 Patient Logistics RNs to work virtually in Phoenix. As the PL RN you will help with transfer center operations to ensure smooth patient placement and ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Amergis (Hyannis, MA)
- Position: RN - Case Manager Location: Hyannis, MA Facility...last 5 years - Exp in discharge planning & utilization review - Knowledge of InterQual or ... Rot. Holiday Requirements: + 3+ years of relevant experience + MA RN license EPIC experience required - Permanent MA RN lic in hand - 3 years of acute care case… more
- HCA Healthcare (Thousand Oaks, CA)
- …If you find this opportunity compelling, we encourage you to apply for our RN Surgical First Assist opening. We promptly review all applications. Highly ... each individual is recognized. Submit your application for the opportunity below: RN Surgical First AssistLos Robles Regional Medical Center **Benefits** Los Robles… more