RN CASE MANAGER UTILIZATION jobs in UNITED STATES, United Kingdom #5

Significant experience in case management, utilization management, and population health with solid knowledge of best practices in... Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics...

Significant experience in case management, utilization management, and population health with solid knowledge of best practices in... Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics...

in an acute care, skilled or Rehabilitation clinical setting Certified Case Manager, CCM Health Plan experience...Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes...

to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre... quality improvement activities. Communicates to UM Manager and supervising RN, barriers to completing assignments or daily...

with case manager to gather additional clinical information for reimbursement. 4 Provides consultation and information... Required. A. Education Associates in Nursing , Bachelor's Degree in Nursing preferred . B. Licensure / Certification Current RN...

or state certificate in a healthcare field (LVN/LPN) Certified Case Manager (CCM), Health Care Quality & Management (HCQM.... JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Nurse for a hybrid schedule (2-3x in the...

Sentara Health is hiring a Full-Time Day shift Utilization Review RN Case Management for the Revenue Cycle Center... Review RN/Integrated Care Manager with Sentara Health. As a Utilization Review Nurse specializing in Utilization review, the...

or state certificate in a healthcare field (LVN/LPN) Certified Case Manager (CCM), Health Care Quality & Management (HCQM.... JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Nurse for a hybrid schedule (2-3x in the...

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...

stay in the acute care setting. The UR case manager collaborates with all components of the healthcare system, managing...Southeast. Always the right career direction. Job Description Summary The Utilization Review Nurse screens medical...

or three (3) years utilization/case management or 3rd party payer work experience. Ability to adjust priorities quickly..., observation, and inpatient). Qualifications Minimum Education and Experience Requirements: Registered nurse (RN) with current...

resources and procedures for their employees and clients. Identify high cost utilization and refer to Large Case Reinsurance RN... to include Oregon, Montana, Idaho and/or other states as needed. Case Manager Certification as accredited by CCMC preferred...

Clinical experience as Utilization Review RN in hospital acute care setting, strongly preferred. Leadership experience in case...Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings) Address: 1611 NW 12 Ave...

About The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse... performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager...

: Certified Case Manager or Accredited Case Manager Excellent verbal and written communication skills Ability to follow chain.... Preferred: Certified Case Manager or Accredited Case Manager...

Job Description: JOB SUMMARY: Under the direct supervision of the Manager of Case Management and Social Services, the... planning, clinical documentation and utilization management functions. The CMC strives to create improvements in clinical...

we support you and your community, you’ll change lives every day. As a Registered Nurse Case Manager (RNCM), you will: Conduct... Manager (RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the...