- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... from CAPP as appropriate. As necessary meet with the Utilization Manager (UM) and SW after the...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
- CHRISTUS Health (San Antonio, TX)
- …and operations for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (San Antonio, TX)
- …nursing practice and operations for assigned areas; Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (San Antonio, TX)
- …nursing and business operations for CSR Emergency Room (Bitters/Banders). The nurse manager affects departmental outcomes through interpretation, implementation, ... promote excellence in patient care and enhance patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- UT Health Tyler (Tyler, TX)
- …and federal regulations related to case management services. Qualifications Job Requirements: Registered Nurse - Diploma, Associates Degree or BSN Licensure ... Overview Join our team as a full-time Manager of Case Management in Tyler, TX. Fulfilling... of Case Management has overall responsibility for hospital utilization management, transition management and operational management of the… more
- Trinity Health (Chelsea, MI)
- …Type:** Part time **Shift:** Rotating Shift **Description:** ** Registered Nurse Case Manager ** **Department:** Utilization Managment **Location:** ... Chelsea, MI **Position Purpose:** Exceptional opportunity for a Registered Nurse Case Manager to...use of care plans, critical pathways, managed care, and utilization review processes and collaboration with all members of… more
- Glens Falls Hospital (Glens Falls, NY)
- …least 30 hours per week, can be foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care ... utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse (RN) in New York State *Skills and… more
- Trinity Health (Fresno, CA)
- …to patients, families, and hospital staff **Requirements** + State of California Registered Nurse (RN) License. + Current American Heart Association (AHA) ... Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager , Utilization Review of Acute Care seeking your next adventure?** **Duration:**… more
- University of Utah Health (Salt Lake City, UT)
- …Review or Case Management experience. **Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 ... advancement, and overall patient outcomes. **Responsibilities** + Applies approved utilization criteria to monitor appropriateness of admissions with associated… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...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)
- …Masters in Healthcare preferred Certification/License: Massachusetts Registered Nurse licensure required Certified Case Manager , preferred Experience: ... with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for ...and appeal process under the guidance of the UR Manager . Qualifications: Education: Bachelor of Science in Nursing required… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Outpatient, DME, and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse (RN) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal...quality oversite. This position reports to the Clinical Program Manager . This job description is not designed to cover… more
- Travelers Insurance Company (Buffalo, NY)
- …parameters within their assigned state preferred. **What is a Must Have?** + Registered Nurse ; Licensed Practical Nurse or Licensed Vocational ... Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California, to provide care ... Psychological Health Transition to Care Initiative in the Case Management/ Utilization Management Division at Naval Hospital 29 Palms ....80 hours per two week period. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):… more
- Baystate Health (Greenfield, MA)
- …Recruiter** **###@baystatehealth.org** **Summary:** The Utilization Management Specialist (UMS)/Hospital Case Manager (HCM) is a Registered Nurse (RN) ... Franklin Medical Center** is looking for a **Per Diem** ** Registered Nurse (RN), Case Manager **...appropriate recommendations to the care team for practice guideline utilization , LOS, and quality of care. Recognizes the case… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):...(RN-NCM) + National Academy of Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management/ Utilization… more
- The Arora Group (Goose Creek, SC)
- Registered Nurse Case Manager ...Defense (DoD) programs which affect coordination of care and utilization of health care services for active duty and ... - Lead Nurse Currently recruiting a Registered Nurse Case Manager -...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with… more
- The Arora Group (Coronado, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager in Coronado, California, to work at Coronado ... - Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN):...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Trinity Health (Ann Arbor, MI)
- …from a variety of backgrounds because diversity makes us stronger. The RN Registered Nurse Case Manager assumes overall accountability for patients' ... leadership role in achieving desired clinical, financial and resource utilization outcomes. This is achieved by coordinating care and...manager . **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** + The RN Registered Nurse Case manager is… more
- The Arora Group (Annapolis, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Annapolis, Maryland to provide care to active ... and military retirees at Naval Branch Health Clinic Annapolis. Registered Nurse Case Manager is...databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with… more
