- Trinity Health (Chelsea, MI)
- …Type:** Part time **Shift:** Day Shift **Description:** **Registered Nurse Case Manager ** **Department:** Utilization Management **Location:** Chelsea, ... MI **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Lowe's (Charlotte, NC)
- …of experience in a clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker's compensation + Experience in a ... Clinical experience + 3-5 Years of Experience required with Nurse Case Management Software, along with Microsoft...home State + CCM - Certified Case Manager + CRRN - Certified Rehabilitation Registered Nurse… more
- Trinity Health (Hartford, CT)
- …**Keywords: Case Management; Case Manager ; Registered Nurse ; RN; BSN; Connecticut; utilization management** **Our Commitment to Diversity and ... well-being. **What you will do:** + As a **Registered Nurse RN Case Manager Department,**...of Care including an understanding of nationally recognized medical utilization criteria, HCFA/OBRA and state of Connecticut regulatory compliance… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... and holiday rotations required **Job Description:** The Inpatient Registered Nurse (RN) Case Manager for...effectively with medical and hospital staffs. - Case Manager experience as well as Utilization Review… more
- Houston Methodist (The Woodlands, TX)
- …the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population ... l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from… more
- Catholic Health (Buffalo, NY)
- …prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease Manager , Population Health, Discharge Planning or ... Hours: 8:00 am to 4:00 pm Summary: The Registered Nurse (RN) Care Manager - Utilization Review,...or obtained within 6 months + National Certification in Case Management preferred EXPERIENCE + Two (2) years medical… more
- Ascension Health (Baltimore, MD)
- …troubleshooting problems, and ensuring effective resolution to maintain smooth operations. **Registered Nurse , Certified Case Manager (CCM, ACM, URAC) ... as content specialist for staff in the areas of utilization criteria, appeal and review process, and case...staff **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **JOB SUMMARY:** The Utilization Review Case Manager responsibilities include case ... Works directly with members of care team to effectively ensure appropriate acute utilization management + Interacts with outside review agencies and payors to inform… more
- UPMC (Hanover, PA)
- **UPMC is hiring a part time Professional Care Manager for our Utilization Review department in Hanover! This is a part time, day shift position with a rotating ... weekend and holiday schedule.** **Purpose:** The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization … more
- Veterans Affairs, Veterans Health Administration (Little Rock, AR)
- Summary Under the supervision of the Nurse Manager , the Utilization Management Nurse will ensure that patients meet appropriate admission and continued ... determined and implemented. Responsibilities Under the supervision of the Nurse Manager , the Utilization Management...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
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