Utilization Management RN
2 days ago
RESPONSIBLE FOR:
The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the patient's payer has the clinical information with which to authorize an acute hospital stay and the continued stay services to include covered days and associated services.
Qualifications:
MINIMUM EDUCATION REQUIRED:
Degree from an accredited nursing school required, Bachelor of Science in Nursing preferred
MINIMUM EXPERIENCE REQUIRED:
Two (2) years of experience in an acute, post-acute or payer setting
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
Current unrestricted registered nurse (RN) license, in the state of Georgia
ADDITIONAL QUALIFICATIONS:
Master's degree preferred and three years utilization review or Care Management experience
-
Hospital Utilization Management RN
2 weeks ago
Tulare, CA, United States Clinical Management Consultants Full timeA well-established hospital in the California Central Valley is actively searching for a Utilization Management RN to join their team. This 150+ bed short-term acute care hospital has proudly provided care to San Joaquin Valley residents for over half a century. Medical services include 24-hour Emergency Services, OB Services, Pediatrics, Physical...
-
RN Utilization Management
1 week ago
Boise, ID, United States LanceSoft Inc Full timeJob Description: Tittle: RN Utilization Management Location: Boise, ID Duration: 13 weeks Guranteed hours: 40 hrs Pay Package: Total weekly gross $4171 W2: $60/hr Per Diem/Stipend: $1771/weekly non taxable Shifts: Mon-Fri 8am-5pm Minimum Years of Experience: 5+yrs Sub Specialty: Utilization Management, Case Management (Utilization Review) General...
-
Utilization Management RN
13 hours ago
Atlanta, United States Piedmont Healthcare Corporate Full timeDescription: RESPONSIBLE FOR: The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role...
-
Utilization Management RN
1 day ago
Atlanta, United States Piedmont Healthcare Corporate Full timeDescription:RESPONSIBLE FOR:The purpose of this position is to ensure thatacute hospital admission have the appropriate level of care,patient status, plan of care and meet medical necessity for anacute hospitalization. This role monitors that the patient isprogressing in their plan of care and meet medical necessity forcontinued stay. This role ensures that...
-
RN | Utilization Management | Evenings
7 days ago
Saint Augustine, FL, United States University of Florida Health Full timeRN | Utilization Management | EveningsOverview Monday-Friday 3p to 11:30p Emergency Department The RN Utilization Manager is responsible to facilitate care along a continuum through effective resource coordination tohelp patients achieve optimal health, access to care and appropriate utilization of resources. The Utilization Manager isresponsible for...
-
RN | Utilization Management | Evenings
1 week ago
Saint Augustine, FL, United States University of Florida Health Full timeRN | Utilization Management | EveningsOverview Monday-Friday 3p to 11:30p Emergency Department The RN Utilization Manager is responsible to facilitate care along a continuum through effective resource coordination tohelp patients achieve optimal health, access to care and appropriate utilization of resources. The Utilization Manager isresponsible for...
-
Case Manager
2 months ago
Augusta, GA, United States Shaker for ChristianaCare Direct Full timeCase Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)Weekend Shift: Saturday & Sunday (Hours: 7pm-7am) Newark, DEChristiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting. The Utilization Management...
-
Utilization Review RN
3 weeks ago
Wellston, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Job Summary Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...
-
Utilization Review RN
3 weeks ago
Purcell, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Job SummaryUtilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...
-
Utility Project Manager
6 months ago
Atlanta, United States Ferrovial Full timeDescription 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...
-
Case Manager
1 month ago
Newark, DE, United States ChristianaCare Full timeCase Manager (RN) - Utilization ManagementFT Day Shift (Hrs.: 8a-4:30p)Newark, DEChristiana Care Hospital in Newark, DE is looking for a (RN) Case Manager with experience in Utilization Management in an Acute Care Hospital Setting.PRIMARY FUNCTION:Responsible for ensuring the delivery of efficient and effective health care while evaluating the medical...
-
Care Manager RN
2 weeks ago
Hillsboro, OR, United States Providence RN Full timeDescription The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core...
-
Utilization Review Nurse
2 weeks ago
Brookhaven, GA, United States Children's Healthcare of Atlanta Full timeJob DescriptionNote: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s)Monday-Friday, VariableShift Start Time8:00 AMShift End Time4:00 PMWorker Sub-TypePRNChildren’s is one of the nation’s leading children’s...
-
Utilization Review Nurse
2 weeks ago
Brookhaven, GA, United States Children's Healthcare of Atlanta Full timeJob DescriptionNote: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s)Monday-Friday, VariableShift Start Time8:00 AMShift End Time4:00 PMWorker Sub-TypePRNChildren’s is one of the nation’s leading children’s...
-
Care Manager RN
2 weeks ago
Beaverton, OR, United States Providence RN Full timeDescription The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core...
-
Care Manager RN
2 weeks ago
Clackamas, OR, United States Providence RN Full timeDescription The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core...
-
Utility Manager
2 weeks ago
Plano, TX, United States Aligned Data Centers Full timeJOB TITLE: Manager, Utility InfrastructureDEPARTMENT: Platform DeliveryREPORTS TO: Senior Director, Data Center EngineeringSUMMARY: This individual will collaborate with multiple Aligned key stakeholders in the delivery of utility service, management, and strategy for data center facilities across the US and Internationally with a heavy emphasis on utility...
-
Manager Utilization Management
2 months ago
Riverside, CA, United States Kaiser Permanente Full timeJob 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...
-
RN Utilization Review
3 weeks ago
Columbus, OH, United States Mount Carmel Health System Full timeEmployment Type:Part timeShift:Description:Utilization Review RN, Case ManagementWhy Mount Carmel? With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in...
-
Care Manager RN
2 months ago
Wilsonville, OR, United States Providence RN Full timeDescription Care Manager RN (Part-Time/Day Shift) - Rotating schedule (Monday -Sunday) from 8:30am to 5pm. Expected to work every other weekend. RN Care Managers, in the acute care setting, provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute...