- Battelle Memorial Institute (Colorado Springs, CO)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team...+ Current, full, active, and unrestricted license as a Registered Nurse in any US State, the… more
- Intermountain Health (Murray, UT)
- …Requirements:** **Qualifications** Minimum Qualifications + Current license to practice as a Registered Nurse in the state of residence. If primary state ... in care management /navigation or closely related field including Utilization Management , discharge planning, managed care, health promotion, health… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a dynamic Registered Nurse to join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on ... achieve optimal clinical and resource outcomes, work with the Supervisor/Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate… more
- KBR (Fayetteville, NC)
- …ie Commission for Case Management Certification , American Case Manager Association, or American Nurse Credentialing Center, or shall obtain ... Title: Special Operations Nurse Case Manager / Case...; full , active, and unrestricted license as a Registered Nurse or Licensed Clinical Social Worker… more
- UnityPoint Health (Cedar Rapids, IA)
- …of accredited nursing program + Current licensure in good standing to practice as a Registered Nurse in [type in State]. + Must possess and maintain current ... the outpatient setting for behavioral health home care. Responsible for case coordination of patients and insurance precertification/ utilization review. Patients… more
- Molina Healthcare (Las Vegas, NV)
- …Active, unrestricted Certified Case Manager (CCM) Some experience with Utilization Management processes is also desirable (InterQual, MCG guidelines) To ... assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu...Certifications Preferred: Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ) or UM Certification preferred.… more
- CommonSpirit Health (Lakewood, CO)
- …six months of direct RN experience are eligible for a $20,000 sign-on bonus!** ** RN Case Managers may be eligible for a relocation bonus up to** **$8,000.** ... emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post… more
- Eastern Connecticut Health Network (Manchester, CT)
- …timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and ... preoperative, concurrent, and retrospective reviews in accordance with the utilization management plan. The UM CM ensures.... EXPERIENCE: + 2 - 3 years' experience in case management , discharge planning, and/or progression of… more
- Select Medical (Dublin, OH)
- …within the allotted time frame; assuring payments of services meeting patient-related utilization management criteria, and implementation of safe and appropriate ... as part of the discharge planning process. + The primary job functions in Case Management include: + Clinical Interventions/Discharge Planning + Care Planning … more