- McLaren Health Care (Bay City, MI)
- …and to be obtained within three years of accepting position + State licensure as a Registered Nurse ( RN ) + Minimum experience of three years in acute ... or equivalent through the Military Training network (MTN) **_Preferred:_** + Utilization management (review) and discharge planning experience. + Certification… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position… more
- HCA Healthcare (Tallahassee, FL)
- …active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
- HCA Healthcare (Tallahassee, FL)
- …and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party ... medical necessity, admission status, level of care, and resource management . The RN CM Care Coordinator will...required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan… more
- MTC (Graceville, FL)
- …medical team who are dedicated to improving people's lives. We are seeking an **On-Call Registered Nurse ( RN )** to join our team. **Primary duties:** + ... or other forms as appropriate. + Practice basic cost containment and utilization management for inmate care and facility operations. + Maintain absolute security… more
- FlexStaff (Lake Success, NY)
- **Req Number** 177188 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality ... + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical necessity criteria +… more
- Community Health Systems (Siloam Springs, AR)
- **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the ... supervision of a Registered Nurse or physician. This role involves...escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable… more
- Community Health Systems (Bentonville, AR)
- …place to live! **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities ... under the supervision of a Registered Nurse or physician. This role involves...escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable… more
- CVS Health (Austin, TX)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... and can include either a 30 or 60 min unpaid lunch.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating all… more
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