- Trinity Health (Mason City, IA)
- …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …St. Louis Health Care System (VASTLHCS), St. Louis, Missouri. The Registered Nurse Case Manager ( Utilization Management) demonstrates leadership, ... rewards package: VA Nurse Total Rewards The primary purpose of this Registered Nurse Case Manager (RNCM) is to deliver fundamental knowledge-based… more
- Healthfirst (NY)
- …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which...with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …years of progressively responsible and directly related work experience License/Certification: CA Registered Nurse ( RN ) Knowledge, Skills, & Abilities These ... and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care… more
- Cedars-Sinai (Los Angeles, CA)
- …named us one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:**...continued employment. **Req ID** : 4300 **Working Title** : Utilization Management Case Manager -… more
- Prime Healthcare (Montclair, 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 ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/175009/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
- Prime Healthcare (North Las Vegas, NV)
- …of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing experience ... in basic to intermediate computer skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174491/ case - manager -%28rn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityNorth Vista Hospital… more
- Prime Healthcare (Lynwood, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/157925/ case - manager - rn %2c-- utilization ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire CCM certification… more
- University of Utah Health (Salt Lake City, UT)
- …LOS, high dollar and frequent utilizers. + Collaborate with unit case manager , utilization review nurse and other organization staff on establishing ... charges related to specific condition. + Participates in organization Utilization Review Committee, weekly Medicare IPPS Case ...**Licenses Required** + Current license to practice as a Registered Nurse in the State of Utah,… more