- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and… more
- HCA Healthcare (Houston, TX)
- …to physicians, patients, families and caregivers **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree ... the opportunity to make a real impact. As a(an) Registered Nurse Case Manager PRN you can...case management scope of services including + Utilization Management supporting medical necessity and denial… more
- HCA Healthcare (Cypress, TX)
- …to physicians, patients, families and caregivers **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelors Degree, or Associate Degree ... Do you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want...case management scope of services including + Utilization Management supporting medical necessity and denial… more
- US Tech Solutions (LA)
- …a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong direct relationships with ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...nursing experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience**… more
- Banner Health (Tucson, AZ)
- …of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager...every day. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained… more
- Bon Secours Mercy Health (Youngstown, OH)
- …mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership. ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care for… more
- CVS Health (IN)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
- Covenant Health (Lubbock, TX)
- …Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation ... and patient advocacy. The goal of the Inpatient Care Management RN is to ensure the use...Associate's Degree in Nursing degree/diploma. + Upon hire: Texas Registered Nurse License - if practicing within… more
- University of Southern California (Los Angeles, CA)
- …populations. The RN case manager role integrates the functions of utilization management , quality management , discharge planning assessment, and ... Pref Bachelor's Degree Nursing + Pref 1 year Case management or utilization review experience within the...the last three years preferred. Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- Crouse Hospital (Syracuse, NY)
- …management of the RN Care Managers in the department, including Utilization Management , Discharge Planning and Denials and Appeals functions. + Assessing ... Manager who is responsible for providing day to day management of the RN Care Managers in...agreements. Care Coordination Manager Requirements: + Licensed as a Registered Nurse in New York State +… more