- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- UNC Health Care (Kinston, NC)
- …timely movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care ... well-being of the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is provided at the… more
- Catholic Health (Buffalo, NY)
- …Two (2) years acute care RN experience required + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or Disease ... to 5:30pm/8:00am to 6:00pm Summary: The RN Care Manager, Transition of Care, as an active member of the...Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York State + New… more
- Catholic Health (Kenmore, NY)
- …(2) years acute care and/or community health nursing + Preferred prior insurance /managed care/ utilization review experience in the role of a Case Manager or ... with Weekend and Holiday Rotation Hours: 0800-1800 Summary: The Registered Nurse (RN) Care Manager- Transition of Care, as an active member of the Care Management… more
- CVS Health (Trenton, NJ)
- …Care Management Programs to change lives in new markets across the country. The Transition of Care Coach is responsible for care coordination of our members who are ... the TOC Coach ensures the member experiences a seamless transition to their next care setting and facilitates post-discharge...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… more
- UNC Health Care (Hendersonville, NC)
- … reviews in accordance with federal regulations and the health system's Utilization Review Plan. Responsibilities: + Uses approved criteria and conducts ... the health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review … more
- Methodist Health System (Dallas, TX)
- …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... * Bachelor's degree in Social Work, Master's degree in Social Work * Registered Nurse with BSN preferred * 1 year of experience in health related setting *… more
- Methodist Health System (Mansfield, TX)
- …planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient ... Bachelor's degree in Social Work, Master's degree in Social Work, Registered Nurse with BSN preferred. Hospital case management experience preferred * LMSW/LBSW, or… more
- Catholic Health (Kenmore, NY)
- …and coaching to clinical success. At the conclusion of the residency, the graduate nurse will: + Transition from advanced beginner nurse to competent ... with Weekend and Holiday Rotation Hours: 6:45pm to 7:00am Summary: The Nurse Residency position offers training, education and professional development through a six… more
- Catholic Health (Buffalo, NY)
- …and coaching to clinical success. At the conclusion of the residency, the graduate nurse will: + Transition from advanced beginner nurse to competent ... with Weekend and Holiday Rotation Hours: 7:00pm to 7:00am Summary: The Nurse Residency position offers training, education and professional development through a six… more