- Mohawk Valley Health System (Utica, NY)
- … Management Supervisor is responsible for the oversight of the case management staff's authorization/coordination/ utilization and provision of member ... day to day operation of the Case Management department. + Assists with identifying over- utilization ...in conjunction with HR. + If working as a Registered Nurse , practices in accordance with New… more
- Erickson Living (Dallas, TX)
- Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care Coordinator, Erickson Advantage at Erickson Senior ... + Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative,...community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. +… more
- Baylor Scott & White Health (College Station, TX)
- …responsible for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care ... **KEY SUCCESS FACTORS** Knowledge of Care Coordination, discharge planning, case management and utilization review....- 3 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a… more
- CommonSpirit Health (Lakewood, CO)
- …with resources to help you flourish and leaders who care about your success. RN Case Manager you'll advocate for patients while collaborating closely with ... and build on positive outcomes. In the role of RN Case Manager, you will also: +...discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure… more
- Highland Hospital (Rochester, NY)
- … RN Care Manager's central role integrates and coordinates access and utilization management , proactive patient management , care facilitation and ... **17006BR** **Title:** RN OB Case Manager **Department/Cost Center:**...nursing experience preferred. Progressive clinical experience; community health, care management , and/or disease management is preferred. Experience… more
- Saint Francis Health System (Tulsa, OK)
- …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... not all inclusive nor does it prohibit the assignment of additional duties. Utilization Management - Laureate Campus Location: Tulsa, Oklahoma 74136 **EOE… more
- UTMB Health (League City, TX)
- …+ Assesses, plans, implements, and evaluates patient needs, discharge planning and Case Management outcomes for patients and families. + Utilizes leadership ... RN Care Coordinator- LCC Case Mgt...Management UTMB Health Requisition # 2506489 **Minimum Qualifications:** RN with Associate degree in nursing. Two years of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare? Bring your true colors to blue. The Role The RN Case Manager is responsible for facilitating care for members and families of ... health, and any barriers to care. The Team The RN Case Manager is part of a...settings (Inpatient, outpatient, or differing levels of care). + Utilization Management experience, preferred. + Active licensure… more
- UNC Health Care (Kinston, NC)
- …clinical experience as a Registered Nurse required. + 2 years utilization review, care management , or compliance experience preferred. + Minimum 1 year ... 3. Reviews all denials and works collaboratively with the Physician Advisor and Case management Assistants. 4. Reviews and documents findings on all medical… more
- Trinity Health (Grand Rapids, MI)
- …Unit) **Job Summary:** Oversees and coordinates the discharge planning and utilization management activities for assigned caseload. Facilitates appropriate ... be obtained within 4 years of hire + Current RN license in the State of Michigan. + Active...Michigan. + Active BLS Certification + Preferred: Certification in Case Management or other related professional certification.… more