• Medical Solutions (Glendale, CA)
    Medical Solutions is seeking a travel nurse RN Case Manager , Utilization Review for a travel nursing job in Glendale, California.Job Description & ... tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're people… more
    JobGet (04/29/24)
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  • OU Health (Oklahoma City, OK)
    Position Title: Manager Case Management Utilization Review - OU Medical CenterDepartment: Case ManagementJob Description:General Description: Under ... departmental goals, and departmental policies and procedures.Evaluates work performance of case manager in collaboration with the Director.Ensures appropriate … more
    JobGet (05/03/24)
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  • Aequor (New York, NY)
    …experience as an occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience ... services to employees within regulated scope of practice and disability case management.Experience/Education: MS/NP in nursing degree and current NP license in… more
    HireLifeScience (05/16/24)
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  • Comhar Inc. (Philadelphia, PA)
    …required to provide our office with proof of COVID vaccination. Bilingual Blended Case Manager Supervisor Salary:$56000.10Bilingual Blended Case Manager ... Case Manager Supervisor Position SummaryCOMHAR's Targeted Case Management (TCM) program provides blended case ... review should be completed using the updated Utilization Review sheet with particular attention paid… more
    JobGet (05/16/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... case management experience supervised by a certified case manager , or 24 months full-time ...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
    JobGet (05/16/24)
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  • Integrated Resources, Inc (Temecula, CA)
    …Shift: Mon - Fri Pay rate: $50/hr.- w2 - $60/hr.- w2. Job Description: . Case management RN / Utilization Review experience required in Inpatient Hospital. ... Job Title: RN Case Manager Location: Temecula, CA Duration: 3 Months + possible.... Unit: 87510 - Utilization Review . Desired Shift: DAYS - 8… more
    JobGet (05/15/24)
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  • CHRISTUS Health (Alamogordo, NM)
    …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other...documents the review . Refers cases for second level reviews when medical… more
    JobGet (05/14/24)
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  • ICONMA (CA)
    . Provide inpatient case management to patients in a busy medical center. Responsible for utilization review and discharge planning.
    JobGet (05/08/24)
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  • RestoraCare Staffing (Houston, TX)
    …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality… more
    JobGet (04/25/24)
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  • ICONMA (Apple Valley, CA)
    …of Acute care CM experience - can consider travelers with 1.5 years. . Experience with Utilization Review and Discharge Planning. . Experience with InterQual.
    JobGet (05/08/24)
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  • Adventist Health (Glendale, CA)
    Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family,… more
    JobGet (05/04/24)
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  • Merck & Co. (Rahway, NJ)
    …with those of allied domains, and coordinate rollout and adoption strategies. Review requirements and architecture to ensure the selection of appropriate technology ... with Relational Databases management, clustering, SQL language and resource utilization . (Oracle, SAP HANA preferred)Solid collaboration and communication skills to… more
    HireLifeScience (05/15/24)
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  • 4S (Bethesda, MD)
    …at our Bethesda, Maryland program location. Service dog training experience or utilization is preferred. If you are a passionate, experience, licensed practitioner ... to clinical treatment programs. This position requires service dog training experience or utilization in a program setting, as well as state licensure and at least… more
    JobGet (05/04/24)
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  • Abbtech Professional Resources (Raleigh, NC)
    …status of critical services, restarting failed services, low disk space, high CPU utilization , review event logs for issues, etc. * Collaborate/interact with ... systems for endpoints. These include Tanium, MECM (Microsoft Endpoint Configuration Manager ), Ivanti MDM/Neurons, Active Directory and others as required. * Perform… more
    JobGet (05/07/24)
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  • Csmc 8750000 Utilization Management…

    Cedars-Sinai (Los Angeles, CA)
    **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... **Req ID** : 1072 **Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 **Department** :… more
    Cedars-Sinai (03/10/24)
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  • Utilization Review Case

    University of Miami (Miami, FL)
    …. The University of Miami is currently seeking Utilization Review Case Manager ... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team… more
    University of Miami (05/09/24)
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  • Case Manager with Utilization

    Beth Israel Lahey Health (Burlington, MA)
    …Hours:** 40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days ... 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 (04/19/24)
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  • Case Manager - Utilization

    Prime Healthcare (Bloomington, IN)
    …and maintain current. #LI-AS2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/161307/ 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. + Five years acute… more
    Prime Healthcare (05/08/24)
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  • RN Case Manager - Utilization

    Prime Healthcare (Lynwood, CA)
    …education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156578/rn- 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 (04/05/24)
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  • Registered Nurse Case Manager

    CommonSpirit Health Mountain Region (West Jordan, UT)
    …and leaders who care about your success. As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary ... that help them maintain and build on positive outcomes. In the role of RN Case Manager , you will also: + Utilize clinical expertise, discretion, and independent… more
    CommonSpirit Health Mountain Region (04/26/24)
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