- WellSpan Health (Lewisburg, PA)
- …principles. **Essential Functions:** + Reviews assigned patients for medical necessity, utilization management , and appropriateness of setting for continued ... quality and cost of care efforts. + Liaisons between utilization management team, third party payers, and..., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
- Houston Methodist (Katy, TX)
- …leading multi-site or enterprise-level programs preferred **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure ... improvements as needed. + Collaborates with HMCPA on care transition and utilization management initiatives. + Provides strategic vision and execution for case … more
- Mount Sinai Health System (New York, NY)
- …Active RN license in the state of employment required + Certification in Case Management (CCM, ACM) or Utilization Management preferred. + 7+ years of ... experience in clinical acute clinical, utilization management , appeals management or related operations + 3+ years in a leadership or management role +… more
- Mayo Clinic (Jacksonville, FL)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Select Medical (Gainesville, FL)
- …Sign On Bonus** **Full Time: Monday - Friday 8-5pm** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- Select Medical (Madison, WI)
- …of Case Management ** $10,000 Sign On Bonus **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... focus on resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating UR compliance with… more
- Bon Secours Mercy Health (Kilmarnock, VA)
- …care sites and clinicians are recognized for clinical and operational excellence. ** Registered Nurse ( RN ) Case Manager -Rappahannock General Hospital ... mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership.… more
- McLaren Health Care (Macomb, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... Procedure (SOP). **Qualifications:** _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's...of acute hospital care experience** _Preferred:_ + Experience in utilization management /case management , critical care,… more
- Ochsner Health (New Orleans, LA)
- …discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway PRN To perform ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… more
- PeaceHealth (Ketchikan, AK)
- …in an acute care hospital + Preferred: Utilization management /quality management experience **Credentials** + Required: Registered Nurse in state of ... **Description** **PeaceHealth is seeking a RN Care Coordinator Inpatient - Care Management...inpatient populations across the continuum of illness, promote effective utilization and monitoring of health care resources, and assumes… more
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