- 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
- UPMC (Pittsburgh, PA)
- Are you a registered nurse with a background in utilization management? UPMC Health Plan is looking for you! We are hiring a full-time Utilization ... Care Manager to support the Utilization Management Clinical Operations Department. This position will predominantly...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… 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
- Hartford HealthCare (Willimantic, CT)
- …**Windham Hospital* **Title:** * Registered Nurse Case Manager ( RN ) - Utilization Management* **Location:** *Connecticut-Willimantic-Windham ... of hospital resources. Works under the direction of the Manager of Continuing Care and Utilization...management experience preferred. *LICENSURE/CERTIFICATION* * Current license as a registered nurse in the State of Connecticut.… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... REQUIRED QUALIFICATIONS: + 3 years of acute hospital care , Case Management and/or Utilization Management experience...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (UM) or (UR)… more
- St. Luke's University Health Network (Sellersville, 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)
- …. This can be an nurse or a social worker The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge ... 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
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... employment status Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- HCA Healthcare (Brownsville, TX)
- …Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. **Benefits** ... for your patients as a (an) Registered Nurse RN Case Manager . We...and patient throughput while supporting a balance of optimal care and appropriate resource utilization **What qualifications… more
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