- Beth Israel Lahey Health (Burlington, MA)
- … Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home Care ... a timely process. Registered Nurses (RNs) with utilization review experience, case management...the needs of the department. **Minimum Qualifications:** Education: * Registered Nurse , Bachelors Degree or commensurate experience… more
- Actalent (Sunrise, FL)
- …Florida License ( RN , or LMHC). + Minimum of two years of experience in utilization review / case management. + At least one year of experience in discharge ... Job Title: Behavioral Health Utilization Review SpecialistJob Description The Behavioral Health Utilization Review Specialist conducts comprehensive … more
- BriteLife Recovery (Englewood, NJ)
- …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management, or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...EHR and UR logs. + Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
- Actalent (Sunrise, FL)
- …Florida license ( RN , LCSW, LMSW, LPHA, or LMHC). + 2+ years in utilization review / case management; 1+ year in acute care discharge planning preferred. ... Utilization Management Behavioral Health ClinicianUtilization Management Behavioral Health...this role, you'll collaborate with an interdisciplinary team to review and authorize behavioral health and substance use services,… more
- UTMB Health (Friendswood, TX)
- …a safe and efficient work environment. + Monitors the work performance of the Utilization Review Case Management staff and provides guidance as necessary. ... nursing. + Provides assistance with clinical issues for non-nursing Utilization Review Case Management staff....Professional Nursing + Current Texas Nursing Licensure as a Registered Nurse ( RN ). + Minimum… more
- Henry Ford Health System (Detroit, MI)
- …community partners to support patient needs beyond the hospital setting. Qualifications: + Registered Nurse ( RN ) with active licensure + Minimum [number] ... with computers, electronic health records (EHR), database systems, and utilization review / case management documentation systems....work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a… more
- ChenMed (North Miami Beach, FL)
- …centers into acute and post-acute facilities, as well as, their home environments. The Nurse Case Manager 1 ( RN ) role also involves establishing ... a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in...experience required. + A minimum of 1 year of utilization review and/or case management,… more
- HCA Healthcare (Houston, TX)
- …HCA Houston Healthcare Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse Case Management you can be a part of change. ... improve positive outcomes for your patients as a (an) Registered Nurse Case Management. We...experience required + Minimum of two (2) years of utilization review / case management experience and… more
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