- UNC Health Care (Smithfield, NC)
- …through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to ... care delivery is coordinated across the continuum. The Utilization Manager completes admission, continued stay, and...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- 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 ... in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification… more
- Elevance Health (Waukesha, WI)
- **Title:** Manager II Utilization Management **Hybrid 2:**...and Experiences:** + BA/BS in a clinical area plus RN , MFT or LCSW license preferred. + 3 years ... an accommodation is granted as required by law. The ** Manager II Utilization Management** is responsible for...of health care UM experience is highly preferred. + Prior experience… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- UNC Health Care (Raleigh, NC)
- …_We are currently seeking an experienced nurse to join our dynamic team as an RN Utilization Manager . Role is full time, 40 hours per week, on site._ ... for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care ...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… more
- UPMC (Pittsburgh, PA)
- …Preference will be given to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization ... UPMC Health Plan is hiring a full-time UM Care Manager to support our UM...Clearances:Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) *Current licensure… more
- AdventHealth (Mansfield, TX)
- …for all ages, and a growing business community. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, ... progression through the continuum of care . The RN Care Manager ensures efficient...Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required… more
- St. Luke's University Health Network (Stroudsburg, PA)
- …of a patient's ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... of care . Also works with the providers, registered nurse care managers, social... care management, including but not limited to: RN care managers, assistants, coordinators, utilization… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex ... of care . Also works with the providers, registered nurse care managers, social... care management, including but not limited to: RN care managers, assistants, coordinators, utilization… more
- Texas Health Resources (Arlington, TX)
- Registered Nurse ( RN ) Care Transition Manager - Full Time Work location: Texas Health Arlington 800 W. Randol Mill Road TX 76012 Work hours: Full ... experience Pref IP acute care case management experience preferred. Licenses and Certifications RN - Registered Nurse Upon Hire Req And CPR -… more