- Hartford HealthCare (Manchester, CT)
- …Region serves a region of 300,000 people in 19 towns. POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration with the physician ... progression of care in the acute-care setting. * Minimum of 1 year Utilization Review experience preferred via industry clinical standards, ie, InterQual,… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + CA- RN ( Registered Nurse ) required **These principles apply to ALL ... responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... delays through problem resolution and follow-up. Monitors on-site case managers and utilization review staff to ensure compliance with Signature Healthcare… more
- HCA Healthcare (El Paso, TX)
- …at Las Palmas Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of change. **Benefits** Las ... improve positive outcomes for your patients as a (an) Registered Nurse Case Manager. We want your...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- SUNY Upstate Medical University (Syracuse, NY)
- …including PC, Windows, Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, ... contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients… more
- HCA Healthcare (Overland Park, KS)
- …and excellence through every patient and family interaction **What qualifications you will need:** + ( RN ) Registered Nurse + Associate degree + Minimum of 3 ... outcomes through the continuum of care. Reviews and performs utilization review functions on each assigned patient...you to apply for our PRN Registered Nurse Case Manager opening. We promptly review … more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management… more
- HCA Healthcare (El Paso, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more time ... review of patient medical records for purposes of utilization review , compliance with requirements of external...in your career! We are interviewing candidates for our Registered Nurse Case Manager PRN opening. **Apply… more
- Sharp HealthCare (San Diego, CA)
- …3 Years case management, utilization review , care coordination experience. + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...the department head as indicated. + Utilization review and utilization managementThe RN … more