- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** As a Case Manager in Utilization Management, you will be the key to ensuring ... care plans to align with clinical and regulatory standards. By optimizing resource utilization and maintaining the highest standards of care, you will contribute to… more
- Beth Israel Lahey Health (Burlington, MA)
- …Days 8:00am-4:30pm Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager for Hospital at Home ... in people's lives.** Joint role of Case Manager and Utilization Review Nurse ...a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and… more
- 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 at our ... accepted for current UCLA Health Nursing staff) + CA RN License and BLS certification + Recent experience in... License and BLS certification + Recent experience in case management, utilization management and discharge planning… more
- Mayo Clinic (Jacksonville, FL)
- …and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function within the Mayo Clinical Nursing… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... with five years of acute/critical care experience preferred. 3 years of case management, utilization management, disease management, auditing or retrospective… more
- Prime Healthcare (Kansas City, MO)
- …and maintain current. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/194396/ rn - case - manager - utilization ... both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able...an accredited school of nursing and a current Missouri Registered Nurse license. + Five years acute… more
- Prime Healthcare (Lynwood, CA)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... experience, education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189323/ case - manager utilization -review/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Francis… more
- Covenant Health (Bangor, ME)
- …Case Manager will work collaboratively with other members of the healthcare team. The nurse case manager also acts as an advocate for the patient and ... in providing information regarding their insurance coverage. The UR Nurse Case Manager conducts medical... conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
- Avera (Parkston, SD)
- …between levels of care, to promote the best possible patient outcome. The case manager facilitates efficient utilization of resources and identifies ... hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active license in… more
- Amergis (Orange, CA)
- … Case Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and ... Qualifications: + Current California unrestricted license such as LCSW, LPCC, LMFT or RN and related required education PLUS 3 years of clinical experience required;… more