- Houston Methodist (Houston, TX)
- …with HM performance that demonstrates leadership responsibility **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for… more
- UNC Health Care (Hendersonville, NC)
- …for behavioral health services. Working closely with behavioral health clinicians, utilization review , case management, and finance teams, the Intake ... appropriate care transition and patient placement. + Liaise with utilization review , psychiatry leadership, risk management, and/or...Nursing + Must be licensed to practice as a Registered Nurse in the state of North… more
- HCA Healthcare (Tallahassee, FL)
- …active FL RN license required within90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...**Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
- Community Health Systems (Siloam Springs, AR)
- …discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records ... care planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient...plans. **Licenses and Certifications** + LPN - Licensed Practical Nurse - State Licensure required + BCLS - Basic… more
- Community Health Systems (Bentonville, AR)
- …discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records ... care planning. + Ensures accurate and timely documentation of utilization review , discharge planning activities, and patient...plans. **Licenses and Certifications** + LPN - Licensed Practical Nurse - State Licensure required + BCLS - Basic… more
- Baylor Scott & White Health (Temple, TX)
- …minimum qualification - EXPERIENCE - 5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a health care system committed ... **JOB SUMMARY** Manager Comphrensive Care Management RN manages the activities and staff responsible for...across the continuum to include case management, social work, utilization review and care coordination to achieve… more
- Community Health Systems (Naples, FL)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... for the planning, coordination, and oversight of care management services, including utilization review , discharge planning, and transitions of care. The role… more
- HCA Healthcare (Tallahassee, FL)
- …active FL RN licenserequiredwithin90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...+ **Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
- HCA Healthcare (Tallahassee, FL)
- …FL RN license required within 90 days of hire** + **Advanced Practice Registered Nurse license is acceptable for position if current and compliant** + ... supporting a balance of optimal care and appropriate resource utilization . The RN CM Care Coordinator will...**Certification in Case Management, Nursing, or Utilization Review , preferred** + **Three years of… more
- Cognizant (Salem, OR)
- …to be considered** + Educational background - Registered Nurse ( RN ) + 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. + Review clinical denials including but not limited to referral,… more