Utilization Management Nurse

An award-winning acute care hospital located in central New York is currently searching for an experienced Nurse Manager Utilization Review to join their established healthcare system. This regional leading medical center is home to over 500 inpatient beds and provides a wide variety of awarded acute care services. This location offers exceptional emergency...

A leading acute care hospital located in southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team. This acute care facility was founded over one hundred years ago and today houses nearly 400 licensed beds and offers a wide variety of medical and surgical services. This...

A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team This not-for-profit acute care hospital is a respected healthcare facility with a long-standing history of providing a range of quality medical services to the local community....

Job Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our healthcare operations team, you will play a critical role in ensuring efficient and effective healthcare delivery.About the Role:The Clinical Utilization Manager will be responsible for evaluating...

Join a dedicated healthcare team focused on enhancing patient careThe Utilization Management Registered Nurse plays a crucial role in leveraging clinical expertise to facilitate the organization, documentation, and communication of medical services and benefit administration decisions. This position involves diverse responsibilities that often require...

Join a dedicated healthcare community focused on prioritizing healthThe Utilization Management Registered Nurse plays a vital role in the assessment, documentation, and communication of medical services and benefit administration decisions. This position involves diverse responsibilities that often require independent judgment and interpretation of...

Join a dedicated healthcare community focused on prioritizing healthThe Utilization Management Registered Nurse plays a crucial role in leveraging clinical expertise to facilitate the organization, documentation, and communication of medical services and benefit determinations. This position involves diverse responsibilities that often require analytical...

Weekend Incentive Program Case ManagerShaker for ChristianaCare Direct is seeking a skilled Case Manager to join our team for our Weekend Incentive Program. As a Case Manager, you will play a critical role in ensuring efficient and effective healthcare delivery, evaluating medical necessity, and collaborating with ED providers for discharge planning.Key...

A prestigious 100+ patient bed hospital in Northern California is searching for a highly motivated and experienced Clinical Coordinator to join their dynamic healthcare team. This is an exceptional opportunity to make a significant impact on patient care and contribute to the growth and development of clinical services within the hospital. In this role, the...

Job SummaryAs a Regional Utilization Management Director at Kaiser Permanente, you will provide strategic leadership for joint Health Plan/TSPMG management efforts related to appropriate utilization of hospitals and specialty care. You will monitor transition of care, continuing care/sub-acute care resources, non-core hospital oversight to UM/case...

Job DescriptionJob DescriptionPOSITION SUMMARYThe Director of Utilization Review is responsible for overseeing the Utilization Review Program for In Patient and Outpatient services for this for-profit Behavioral Hospital. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective...

Job SummaryKaiser Permanente is seeking a highly experienced and skilled Regional Utilization Management Director to provide leadership and direction for our regional utilization management program. This individual will be responsible for ensuring that our members receive high-quality healthcare in the most appropriate and cost-effective manner.Key...

Description The Utilities Project Manager is responsible for the adjustment of all utilities that are impacted by the Project. This position focuses on the field utility relocation activities for dry utilities such as telecom, fiber, and electrical. Responsibilities Responsible for the management of dry utility relocation coordination, ensuring...

One of Georgia's top health systems is looking for a dedicated Hospice Case Manager RN for an 8-hour morning to afternoon shift!This role involves delivering patient care across various settings, including homes, hospitals, and long-term care facilities within the hospice service area. The Hospice Case Manager RN will collaborate with a multidisciplinary...

Work schedule: M-F 11:30am-8pm Eastern TimeWork location: This is a virtual position, but candidates must reside within 50 miles of an Elevance Health Pulse Point.The Nurse Medical Management II - Utilization Management is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to...

Job SummaryWe are seeking a highly skilled Director of Utilization Management to join our team at Acadia Healthcare. As a key member of our leadership team, you will be responsible for overseeing the utilization management program, ensuring compliance with regulations, and optimizing reimbursement for our facilities.Key ResponsibilitiesUtilization Review:...

Join a dedicated team focused on enhancing healthcare outcomesThe Utilization Management Registered Nurse plays a pivotal role in the assessment, documentation, and communication of medical services and benefit determinations. This position involves diverse responsibilities that often require independent judgment and interpretation of clinical guidelines.The...

About the RoleWe are seeking a highly skilled Utilization Management Nurse Senior to join our team at Blue Shield of California. As a key member of our Utilization Management team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Key ResponsibilitiesPerform prospective, concurrent, and retrospective utilization...

Job Summary: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others...

Become an integral part of our compassionate community focused on health and wellnessThe Utilization Management Registered Nurse 2 employs clinical nursing expertise to facilitate the coordination, documentation, and communication of medical services and benefit administration decisions. The responsibilities of the Utilization Management Nurse 2 are diverse...