- Cottage Health (Goleta, CA)
- Job Description Cottage Health seeks a Utilization Review Manager , Registered Nurse for their Clinical Denials and Appeals department responsible for the ... The manager 's primary responsibility is to oversee utilization review functions and to ensure accurate...denials trends, prevention, issues related to utilization review or patient status. The manager will… more
- American Traveler (Madison, WI)
- …Traveler is seeking an experienced RN Case Manager for a daytime rehab utilization review position requiring an active RN license and two years of ... based in a rehabilitation hospital setting, *Role is within the Utilization Review department, *Day shift schedule from 08:00 to 16:30, Job Requirements… more
- Cambridge Health Alliance (Cambridge, MA)
- …on quality improvement and compliance initiatives with the Quality and Compliance Manager *Participate in utilization review , operational planning, and ... We are seeking a dynamic and experienced PACE Operations Manager to serve as a key leader in the...the PACE model. Key Responsibilities *Serve as the "Center Manager " and model of care expert in PACE operations… more
- Franciscan Missionaries of Our Lady Health System (Baton Rouge, LA)
- Job Description The Case Manager 1directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care ... criteria for patients in a specific department. The Case Manager 1 specializes in the review of...latitude is expected. Works under minimal supervision. Directs the utilization review of patient charts and treatment… more
- MedPro Healthcare Staffing (Bel Air, MD)
- …RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager , Case Management, Utilization Review , Case Manager ... Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with...months of recent experience in an Acute Care Case Manager setting Active RN License BLS Certifications Degree from… more
- Mercury Group Staffing (New York, NY)
- …looking for candidates with a positive attitude. Candidates should have strong Case Manager experience and utilization review experience is highly preferred ... About the job RN Case Manager $113/hr - Bronx, NY Job Title: RN Case Management Location: Bronx, NY Local Pay Rate: $113/hr Travel Package: Hourly Rate: $54.83… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …rounds. Manage department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… more
- American Traveler (Salem, MA)
- American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job Details *Work ... through AHA required, *ACLS certification through AHA required, *Case Management, Utilization Management, and Discharge Planning skill set required, *Certified Case … more
- American Traveler (Roseville, CA)
- …prior to consideration, Additional Information *Responsible for comprehensive case management, utilization review , and coordination of care within an integrated ... American Traveler is seeking an experienced RN Case Manager with at least 2 years of recent...*Must have a broad knowledge base of healthcare delivery, utilization review , observation status, and post-acute levels… more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and… more
