- 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
- Sentara Health (Hampton, VA)
- …and creates unlimited opportunities for development and growth. Keywords: RN, registered nurse , case management, care plan, clerical, inpatient, Indeed, ... Hampton, VA is currently recruiting for an Inpatient Case Manager - RN . Full-time: 40 hours Shift: Days Requirements:...(BLS) - Certification - American Heart Association (AHA) RQI, Registered Nurse (RN) Single State - Nursing… more
- Sentara Health (Virginia Beach, VA)
- …be the healthcare choice of the communities that we serve! Keywords: RN, Registered Nurse , Case Management, Care Management, Monster, Talroo-Nursing, Indeed Job ... Sentara Medical Group is now hiring an Integrated Care Manager ! **THIS POSTION WILL COVER PRACTICES IN CHESAPEAKE, VA...- RN-Master's Level Degree, N-DN - RN-Doctorate Level Degree Registered Nurse (RN) Single State - Nursing… more
- Pathways Vermont (Burlington, VT)
- …Supervise three Shift Supervisors, a Services Team Lead, and an Advanced Practice Registered Nurse (APRN). Meet weekly for individual supervision, to review role ... Soteria House Program Manager - With $2000 Hiring Bonus Available*It is the policy of Pathways Vermont that all employees and applicants shall receive equal… more
- Advocate Aurora Health (Adell, WI)
- …caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress, ... and provide proof of a valid Driver License and a registered , functional car with adequate insurance coverage.Physical Requirements and Working Conditions:Must… more
- Hillcrest Hospital South (Tulsa, OK)
- …as well as CNA duties related to ICU under the direction of a registered nurse (RN) or LPN and the unit manager . He/she acts as the unit's receptionist, ... scope of practice. In addition, the CTA will order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart backs.… more
- Hillcrest Hospital South (Tulsa, OK)
- …CNA duties as well as clerical duties under the direction of a registered nurse (RN) and the unit manager . Assists with patient care tasks such as obtaining ... patient arrival, pulls and prepares chart; Orders and monitors utilization of selected supplies: office, nutritional supplements, forms and...include at least one year of experience as a Unit Secretary with or without nurse assistant or CNA… more
- Hillcrest Hospital South (Tulsa, OK)
- …PCT duties as well as clerical duties under the direction of a registered nurse (RN) and the unit manager . Assist with patient care tasks such as obtaining ... staff to patient arrival, pull and prepares chart.Order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart… 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
- AmeriHealth Caritas (Newark, DE)
- ** Utilization Management Plan Oversight Manager , Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ... for UM DE, and serves as SME for clinical components DE Medicaid Utilization Management Program. Works in close collaboration with all departments to achieve… 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
- WellSpan Health (York, PA)
- …responsibility for leave of absence administration or management. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered ... Utilization Management Nurse (RN) - Case... of resources to the attention of the appropriate manager (s). Common Expectations: + Prepares and maintains appropriate documentation… 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
