- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- WellSpan Health (Lebanon, PA)
- …PM Includes Weekend rotation **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most ... patient discharge needs. Provides leadership in the integration of utilization and case management principles...., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
- McLaren Health Care (Bay City, MI)
- …barriers to D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. ... (SOP). #LI-LM1 **Qualifications:** **_Required_** + State licensure as a Registered Nurse ( RN ) + Bachelor's...of acute hospital care experience** **_Preferred:_** + Experience in utilization management / case management ,… more
- HonorHealth (AZ)
- …Social Services departments. Oversees clinical operations for managed care plan contracts including utilization management , case management , and social ... of care coordination, transitional planning and utilization management . Provides leadership and coordination of Case ...Other Accredited Case Manager - Preferred + Registered RN Or Licensed Social Worker (LCSW,… more
- RWJBarnabas Health (Newark, NJ)
- …settings. Additionally, candidates must have at least 3 years of recent experience in Case Management , Utilization Review, or Discharge Planning, and a ... federal guidelines and is accountable for case management outcomes as outlined in the Utilization ...+ Current and valid license to practice as a Registered Nurse or Social Worker in the… more
- WellSpan Health (Lewisburg, PA)
- …Potential weekend coverage **General Summary** Performs a variety of duties and applies utilization and case management techniques to determine the most ... patient discharge needs. Provides leadership in the integration of utilization and case management principles...., or Clinical Nursing Specialty. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or +… more
- Houston Methodist (Nassau Bay, TX)
- …preferred. At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse ( RN ) who comprehensively plans for case ... management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...and federal programs + Comprehensive knowledge of discharge planning, utilization management , case management… more
- Sharp HealthCare (San Diego, CA)
- …Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... clinical experience in area of specialty. + 2 Years Utilization / Case Management experience, preferably in...experience, preferably in a Managed Care setting. + California Registered Nurse ( RN ) - CA… more
- HCA Healthcare (Richmond, VA)
- …apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** Henrico ... care. Apply today for our Case Manager Registered Nurse RN PRN opportunity.... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case … more
- LifePoint Health (Wilson, NC)
- …delivery of healthcare services. The Case Manager integrates the roles of Utilization Management , Case Management and Discharge Planning. The ... resources for optimal discharge planning Drag Edit Delete *Required Licenses* Registered Nurse - Current/active North Carolina or compact RN license - BLS… more