- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager * to join ourTransitional Care Team.This is a full-time role and will be required to work ... Manager ) required or completed within three years of hire **Title:** * Manager - Utilization Review * **Location:** *MN-Minneapolis-Downtown Campus*… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...One of the following: Licensed RN - Kansas, Registered Nurse … more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/228577/ rn -case- manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute… more
- Mayo Clinic (Rochester, MN)
- …physicians and multi-disciplinary teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and ... to work well within a creative and challenging work environment. Experience in utilization review , ability to navigate medical records, value based purchasing… more
- Vighter Medical Group (Glendale, CO)
- Registered Nurse ( RN ) Glendale, CO Job...Community Care (OCC)in Glendale, Colorado.As aCase Manager / Utilization Review Nurse , you'll play a ... - Glendale, CO Position Type Full Time Education Level Registered Nurse ( RN ) Salary Range...You'll Do As a Case Manager / Utilization Review RN , you will:… more
- Trinity Health (Langhorne, PA)
- …Mid-Atlantic, is seeking an experienced Registered Nurse to join our team in Utilization Review ! The UM Registered Nurse is responsible for the ... or Accredited Case Manager certification preferred. + Previous experience in Utilization review highly preferred. + Demonstrates ability to use problem… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Hospital-Plymouth** is expanding its **Care Transitions Department** and seeking an experienced ** Manager of Utilization Review & Denials Management** and ... plays a vital role in ensuring seamless, patient-centered care. ** RN - Utilization Review ** This...or other case management certification preferred or in progress ** Manager - Utilization Review &… more
- UPMC (Pittsburgh, PA)
- …for authorization for behavioral health services. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan ... Preference will be given to candidates with a Pennsylvania RN license. This role will review requests...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works… more
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