- St. Luke's University Health Network (Quakertown, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... National Organization of Perinatal Social Workers is required. OR: Graduate of professional nursing program. Registered Nurse with current license to practice in… more
- St. Luke's University Health Network (Lehighton, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... National Organization of Perinatal Social Workers is required. OR: Graduate of professional nursing program. Registered Nurse with current license to practice in… more
- PeaceHealth (Florence, OR)
- … management , home health or hospice may be considered.) + Utilization Management -Quality Managment experience preferred. + Third party reimbursement knowledge ... **Description** **PeaceHealth is seeking a RN for our Care Management Team in beautiful Florence Oregon! This position covers all inpatient units at our 21 bed… more
- Hackensack Meridian Health (Edison, NJ)
- …expert computer skills. + Familiar with hospital resources, community resources, and utilization management . + Excellent written and verbal communication skills. ... a leader of positive change. The **Care Coordinator, Care Management ** is a member of the healthcare team and...Knowledge, Skills and Abilities Required: + Bachelor's Degree in Nursing or related field, or Master's Degree in Social… more
- LifePoint Health (Wilson, NC)
- …external delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The Case ... North Carolina or compact RN license - BLS optional **Job:** ** Nursing * **Organization:** ** **Title:** *RN-Case Management * **Location:** *NC-Wilson*… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- … nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning experience. Thorough knowledge of ... **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients...managed care, utilization management , discharges planning, and continuous quality… more
- Henry Ford Health System (Detroit, MI)
- …five years. Experience: + Minimum of three years of recent acute care nursing experience. + Prior case management experience is highly preferred. Certifications: ... Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case management documentation systems. + Knowledge of CMS,… more
- US Tech Solutions (LA)
- …outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong ... indicated by staffing and business needs. **Duties:** + **Registered Nurse with current license in LA state of employment.... experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience**… more
- CaroMont Health (Gastonia, NC)
- …preferred. Minimum 2 years nursing experience. + Experience in case management , home health, utilization management , or hospital/community setting ... in MS Office and electronic documentation. + BLS required within 3 months of hire. + Case Management certification preferred for RNs. EOE AA M/F/Vet/Disability more
- ERP International (Yuma, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management ... databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more