- Children's Mercy Kansas City (Kansas City, MO)
- …Engagement + Oversees and directs the work of Nurse Case Managers, Social Workers , and Utilization Review specialist team members and support staff + ... and related software applications and implementations. + Engages in utilization review committee. Qualifications + Master's Degree...One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + One… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health Care ... of care activities under the direction of a registered nurse and/or social worker . The incumbent interacts...+ Documents activities and progress in medical charts, computer billing/ utilization systems, or in other ways as directed. +… more
- Masonicare (Wallingford, CT)
- …and interdisciplinary care team. + Organize and participate in the daily Medicare meeting, utilization review and monthly end of close meetings. + Assists with ... in services and departmental staff and inservice meetings. Education: Requires a Registered Nurse or Licensed Practical Nurse with a current Connecticut State… more
- Munson Healthcare (Traverse City, MI)
- …facilitate the progress of completing complex post-acute services + Interface with utilization review specialists to stay current on patient's eligibility for ... have RN license or social work license). If Registered Nurse , must be licensed to practice in Michigan. Also,...BSN within 5 years of start date. If Social Worker , MSW preferred. As a non-Nursing job in the… more
- The County of Los Angeles (Los Angeles, CA)
- …a clinical social worker , marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing agency - AND - ... a clinical social worker , marriage and family therapist, psychologist, or registered nurse issued by the appropriate State of California licensing agency - AND -… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for operational planning… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care Full Time, 80 Hours Per Pay Period , Day Shift M-F. May rotate weekend and minor holidays. Parkwest ... by a Manager, Coordinator, RN Care Managers, and Masters Level Social Workers . They are involved in the assessment, planning, coordination, evaluation, and… more
- AdventHealth (Winter Park, FL)
- …and experiences you'll need to succeed** **:** **Minimum qualifications** : + Registered Nurse : Associates Degree Nursing **_OR_** Social Worker : BSW + Two (2) ... the primary point of contact for Care Managers, Social Workers and patients, to provide mitigation for any barriers/concerns...if a nurse **Preferred qualifications:** + Registered Nurse : BSN + Social Worker : MSW +… more
- Prime Healthcare (Harlingen, TX)
- …to manage care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... Case Manager , also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager ....to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of… more
- Hartford HealthCare (Torrington, CT)
- …Management is a collaborative practice model including patients, nurses, social workers , physicians, healthcare team members,, caregivers and the community. The Case ... achievement of optimal health, access to care and appropriate utilization of resources balanced with the patient's right to...in the clarification of benefit plans. 5. Assists Social Worker Care Managers with highly clinical complex patient needs.… more