RN Utilization Review Case Manager

Employment Type:Part timeShift:Day ShiftDescription:Utilization Review RN, Casual / PRNPosition Purpose: RN Utilization Review Case Mgr ensures that services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance.Minimum Qualifications:* Graduate of an accredited Registered/Professional Nursing program.*...

Job Summary:Mount Carmel Health System is seeking a skilled RN Utilization Review Case Manager to ensure that services are delivered in a manner that balances quality of care with efficiency, cost-containment, and compliance.Responsibilities:Conduct thorough reviews of patient records to ensure that services are medically necessary and meet regulatory...

Job DescriptionEmployment Type:Part timeShift:Day ShiftDescription:Utilization Review RN, Casual / PRNPosition Purpose: RN Utilization Review Case Mgr ensures that services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance.Minimum Qualifications:* Graduate of an accredited Registered/Professional Nursing...

Employment 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...

Job Summary:As a Utilization Review RN at Trinity Health, you will play a critical role in ensuring that services are delivered in a manner that balances quality of care with efficiency, cost-containment, and compliance. This position requires a skilled and detail-oriented RN to conduct utilization management reviews for inpatient and outpatient cases,...

Job Summary:The RN Utilization Review Specialist ensures that services are delivered in a manner that balances quality of care with efficiency, cost-containment and compliance. This role conducts Utilization Management review for Inpatient and Outpatient cases, analyzes and summarizes medical utilization and medical chart audit results, and compares clinical...

Job Summary:We are seeking a skilled RN Utilization Review Specialist to join our team at Trinity Health. As a Utilization Review Nurse Case Manager, you will play a critical role in ensuring that services are delivered in a manner that balances quality of care with efficiency, cost-containment, and compliance.Key Responsibilities:Conduct thorough...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at MedStar Health. As a key member of our case management team, you will play a critical role in ensuring high-quality patient care while promoting efficient use of hospital resources.Key ResponsibilitiesConduct thorough admission, concurrent, and retrospective case reviews to...

Description The Case Manager/RN Navigator is responsible for the comprehensive assessment, planning, implementation, and evaluation of individual patient needs for discharge planning, admission to swing bed and case management including utilization review in accordance with Providence philosophy, objectives, policies, procedures and standards. The...

Job SummaryUHealth Tower is seeking a skilled RN Case Manager to join our team in the Case Management department. As a RN Case Manager, you will be responsible for coordinating patient care and ensuring that patients receive the necessary resources and services to achieve optimal health outcomes.Key ResponsibilitiesUtilization Management: Conduct thorough...

DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to...

Job Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for reviewing patient admissions and continued stays to ensure that they meet medical necessity and are in compliance with regulatory requirements.Key Responsibilities:Conduct thorough...

Job Title:Travel Nurse RN Case ManagerJob Description:TotalMed Case Management Staffing is seeking a skilled Registered Nurse to work as a Case Manager in Cuyahoga Falls, Ohio.Job Requirements:40 hours per week8 hours per shift, daysTravel contractWhat We Offer:Top paying contracts24x7 concierge one-on-one serviceLong or short term contracts available...

Job Title: Utilization Review NurseAlbany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for reviewing patient admissions and continued stays to ensure that they meet medical necessity and are in compliance with regulatory requirements.Key Responsibilities:Conduct thorough...

Job SummaryWe are seeking a highly experienced and skilled Senior Director of Utilization Review to lead our case management operations and drive business growth. As a key member of our leadership team, you will be responsible for overseeing the development, implementation, and performance management of utilization review services across our enterprise.Key...

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that...

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for ensuring that...

Case 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...

Case Manager (RN) - Utilization Management FT Day Shift (Hrs.: 8a-4:30p) Newark, DE Christiana 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...

Case 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...