RN CASE MANAGER UTILIZATION jobs in UNITED STATES, United Kingdom #4

The Utilization Management (UM) RN performs utilization review activities, including, but not limited... Manager or Accredited Case Manager BSN preferred. Experience with Milliman Care Guidelines (MCG) Excellent verbal...

PIH Health

Job Description: Overview The RN Utilization Manager is responsible to facilitate care along a continuum through... preferred: Acute care utilization management Accredited Case Manager (ACM)...

UF Health Flagler Hospital

must complete several pre-employment requirements prior to starting. to learn more! RN - Utilization Review (Full-time/Billings... direction of department leadership, the Utilization Review/ Management RN. This position is to conduct initial, concurrent...

Billings Clinic

, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage... years - Experience working in a remote UR environment or working as an acute hospital case manager. Preferred...

Providence Health & Services

The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the... Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves...

L.A. Care Health Plan

The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre...

L.A. Care Health Plan

or an Occupational Therapist in New York State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

VNS Health

or an Occupational Therapist in New York State required Certified Case Manager preferred For SelectHealth ETE Only: Nurse Practitioner... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

VNS Health

as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the healthcare...'s treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in...

Hackensack Meridian Health

Anticipated End Date: 2024-10-04 Position Title: Manager of Utilization Review Job Description: The Manager... preferred. Certified Case Manager Certification preferred. Job Level: Manager Workshift: Job Family: MED Licensed...

Elevance Health

White Plains Hospital Job Description Title: Utilization Nurse Care Manager Job Code: 300076 Department.../Location: Care Management FLSA Status: Nonexempt Reports to: Manager of Care management The Utilization Nurse Care...

White Plains Hospital

Anticipated End Date: 2024-08-03 Position Title: Manager, Utilization Management Department... with varying degrees of medical complexity and acuity. Participates in case and/or utilization management execution/decision making...

Elevance Health

) license in state of practice. *MSW accepted in lieu of registered nurse (RN) licensure. Preferred - Certification in Case...This job manages the daily operations of all assigned divisions within the case management department in collaboration...

Ochsner Health System

States. Requires minimum of 5 years acute care clinical experience or case management, utilization management or managed...Anticipated End Date: 2024-10-04 Position Title: Nurse Med Mgmt - Team Lead Utilization Review...

Elevance Health

Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...Job Description: Your Role The Utilization Management team reviews the inpatient stays for our members...

Blue Shield of California

Job Description Spectrum Healthcare Resources has a potential opportunity for a civilian RN Utilization Manager... Rehabilitation Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager (RN-NCM) National Academy of Certified Care...

Spectrum Healthcare Resources

standards. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this role...Job Description: Your Role The Utilization Management team facilitates the review of requests for medical necessity...

Blue Shield of California