• Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical ... Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...Case Manager experience as well as Utilization Review experience ( review medical… more
    Beth Israel Lahey Health (01/15/25)
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  • RN Case Manager - Utilization

    UCLA Health (Los Angeles, CA)
    …for assessing and coordinating care for a diverse group of patients. This in-patient utilization review case manager position will work on-site ... coordination of care. In this role you will perform utilization review while assuring the delivery of...RN License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
    UCLA Health (01/31/25)
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  • RN Case Manager - Utilization

    Mayo Clinic (Jacksonville, FL)
    …care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing Professional ... Case Manager provides leadership through education on case management/ utilization management concepts, committee work, research, and community… more
    Mayo Clinic (02/01/25)
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  • RN Case Manager / Utilization

    Prime Healthcare (Kansas City, MO)
    …and maintain current. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/194396/rn- case - manager - utilization - review ... met. Work with both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use… more
    Prime Healthcare (01/30/25)
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  • Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189323/ case - manager utilization - review ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care… more
    Prime Healthcare (01/13/25)
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  • Utilization Review Case

    Covenant Health (Bangor, ME)
    …the supervision of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with ... other members of the healthcare team. The nurse case manager also acts as an advocate... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
    Covenant Health (11/27/24)
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  • Case Manager I - Utilization

    Dignity Health (Stockton, CA)
    …atmosphere that fosters communication trust and personal growth. **Responsibilities** **Position Summary:** Case Manager 1 assists Case Managers in ... to patients and their families acting as liaison between the case manager treatment team and physicians referral sources outside therapists community agencies… more
    Dignity Health (01/08/25)
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  • Utilization Review Case

    Morris Hospital (Morris, IL)
    …using evidenced-based clinical guidelines. Performs duties in accordance with the Utilization Review Plan. Demonstrates thorough knowledge of performance measure ... in acute hospital setting. + Strong clinical expertise. + Prior experience in utilization management or case management preferred. + Ability to maintain… more
    Morris Hospital (01/11/25)
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  • Remote RN Admissions Case Manager

    Ochsner Health (New Orleans, LA)
    …license in state of practice. Preferred - Commission for Case Manager (CCM), Certified Professional Utilization Review (CPUR), Certified Professional ... in the delivery of patient care. Preferred - Experience in case management or utilization review . **Certifications** Required - Current Registered Nurse… more
    Ochsner Health (01/29/25)
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  • RN Case Manager

    LifePoint Health (Danville, VA)
    *Registered Nurse, RN - Utilization Review Case Manager * Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must ... have Utilization Review experience.** ** * ** *Your...offering safe discharge planning is the use of a Utilization RN and Case Manager ...the use of a Utilization RN and Case Manager RN, in conjunction with a… more
    LifePoint Health (12/09/24)
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