- HealthTrust Workforce Solutions (San Antonio, TX)
- …access to more than 200,000 jobs nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an ... budget and resource management , cost control, contract compliance, quality improvement, utilization management , denials management and management of… more
- Ivyhill Technologies LLC (Bethesda, MD)
- … management process and the RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an unencumbered active RN license ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its...have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management … more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial in ensuring accurate and compliant medical necessity decisions. Your ... review. You'll work closely with both Pre-Service and In-Patient Utilization Management teams to ensure appropriate and... RN Program. - Clear and current CA Registered Nurse ( RN ) license. -… more
- Adecco US, Inc. (Tallahassee, FL)
- …Overview** A large acute care hospital is seeking an experienced ** Registered Nurse Case Manager** to join its Case Management team. This role focuses ... **Position Title:** Case Manager RN **Location:** Tallahassee, FL 32310 **Position Type:** Nursing...on care coordination, utilization management , patient throughput, and discharge planning across the continuum… more
- Mohawk Valley Health System (Utica, NY)
- …+ 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience ... Transitional Care RN - Case Management - Full...Licensure/Certification Requirements REQUIRED: + Current NYS Licensed Registered Professional Nurse . Disclaimer Qualified applicants will… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- Select Medical (Phoenix, AZ)
- …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... Hospital** **Partnership with Select Medical** **Position:** Director of Case Management **Location:** Phoenix, AZ **Schedule:** Fulltime **_Previous case manager… more
- Hawaii Pacific Health (Lihue, HI)
- …long term care, or related field. **Preferred Qualifications:** Current Case Management or Utilization Management Certification. EOE/AA/Disabled/Vets Hawai'i ... and programs, including cardiology, emergency, family practice, gastroenterology, health management , internal medicine, neurology, OB-GYN, oncology, orthopedics, pediatrics and… more
- ERP International (Anchorage, AK)
- **Overview** ERP International is seeking a ** Registered Nurse Case Manager** for a full-time position supporting the673d Medical Group, Joint Base ... algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with… more
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