- Nuvance Health (Danbury, CT)
- …in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum ... members of the interdisciplinary care team * Current working knowledge of utilization management , performance improvement and managed care reimbursement. Working… more
- Mohawk Valley Health System (Utica, NY)
- …Department: CARE MGMT SVCS Job Summary As a member of the MVHS Care Management clinical team, the Quality Coordinator RN uses patient-centered assessments and ... + Current RN license from the NY State Board of Registered Nursing. + Current CPR certification. Disclaimer Qualified applicants will receive consideration for… more
- Amergis (Fairfield, CA)
- …coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical ... state practicing + At least one year of Case Management experience preferred + Current CPR if applicable +...RN License + Minimum 2 years of Case Management experience + Experience with EPIC EMR + BLS… more
- WMCHealth (Margaretville, NY)
- Case Manager D- RN Company: Margaretville Hospital City/State: Margaretville, NY Category: Nursing/Nursing Management Department: Case Management Union: No ... and service of selected patients across the health care continuum. Promotes effective utilization of resources and the highest quality of care for optimal clinical… more
- BJC HealthCare (St. Louis, MO)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... Coeur, MO 63141 + At least 2 years of RN experience + BSN + At least 1 year...connects to Millennium Park. Care Coordination consist of Case Management , Social Services and Utilization Review. The… more
- Highland Hospital (Rochester, NY)
- …771 - Social Work Service **Job Description:** Highland Hospital is seeking an experienced RN to join the Care Management team. Care coordinators are responsible ... of patient progress toward goals for all patients followed 4. Disease specific management to reduce readmissions. 5. Identifies goals and usual patterns of care for… more
- Tenet Healthcare (Commerce Township, MI)
- …planning experience. Preferred: Acute hospital case management experience. Required: RN . Must be currently licensed, certified, or registered to practice ... RN Case Manager - Clinical Res Mgmt -...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- Amergis (Hyannis, MA)
- …service delivery, and compliance with medical regime. Minimum Requirements: + Current RN licensure in state practicing + At least one year of Case Management ... Position: RN - Case Manager Location: Hyannis, MA Facility Type:...in hand - 3 years of acute care case management experience in the last 5 years - Exp in… more
- Dignity Health (Las Vegas, NV)
- …and experience + Minimum of 3 years of clinical care coordination experience, ( Utilization Management , Denial Management , Care Coordination) or 3 years ... **Where You'll Work** HelloHumankindness (https://www.dignityhealth.org/hello-humankindness) **Is your experience in Case Management as an RN in acute care with… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare… more