- University of Virginia (Charlottesville, VA)
- The Utilization Management Manager is primarily responsible for the day-to-day operations related to utilization management (UM) team, providing ... management of payer initiatives or assist with Utilization Review Committee related items. The Manager ...experience required **Licensure:** Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia or compact licensure… more
- Trinity Health (Chelsea, MI)
- …Part time **Shift:** Day Shift **Description:** **Registered Nurse Case Manager ** **Department:** Utilization Management **Location:** Chelsea, MI ... **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to support our vision...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** On-site, Monday-Friday, 8:00AM-4:30PM. + **Hospital:** Ascension St. Agnes Hospital + ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- UPMC (Hanover, PA)
- …(CM) coordinates the clinical and financial plan for patients. Performs overall utilization management , resource management , discharge planning and ... **UPMC is hiring a part time Professional Care Manager for our Utilization Review department...required with 4-6 weeks of hire. UPMC approved Care Management certification preferred. + Registered Nurse (RN)… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service,… more
- Milford Regional Medical Center (Milford, MA)
- …with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC. The UR ... years acute or critical care experience Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience… more
- Dignity Health (Gilbert, AZ)
- …**Responsibilities** Under the general direction of the Director of Care Management , performs criteria-based concurrent and retrospective utilization review to ... use of resources; promote quality patient care; assist with patient care management ; comply with applicable standards and regulations and provide information and… more
- Catholic Health Initiatives (Little Rock, AR)
- …401(k) and 457(b) Retirement Programs Wellness Programs. **Responsibilities** The care manager utilization review coordinates the communication of care and ... Minimum of three years in acute care hospital Preferred - experience in case management , discharge planning or utilization management role **Pay Range**… more
- Beth Israel Lahey Health (Burlington, MA)
- …taking 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 ... and holiday rotations required **Job Description:** The Inpatient Registered Nurse (RN) Case Manager for Hospital at...of medical/surgical nursing care experience. -Two years of Case Management or Utilization Management experience… more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... + Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager … more