RN Utilization Management Lead

Job Title: RN Manager of Utilization ManagementJob Summary:Healthcare Recruitment Partners is seeking a skilled RN Manager of Utilization Management to oversee the coordination of services through an interdisciplinary process. The ideal candidate will have experience in case management leadership and be able to balance patient needs with cost-effective...

Job DescriptionUtilization Management RN ManagerHealthcare Recruitment PartnersThe RN Manager of Utilization Management is responsible for overseeing the coordination of services through an interdisciplinary process. This role expands the Care Management focus, balancing individually identified patient and family needs with cost-effective utilization of...

Job Summary:As a Complex Case Manager Utilization RN at Kaiser Permanente, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be utilized to make recommendations for alternate levels of care when patients do not meet the medical necessity for inpatient...

Job SummaryWe are seeking a highly skilled Utilization Management Director to join our team at APLA Health. As a key member of our healthcare operations team, you will be responsible for managing the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW).Key ResponsibilitiesDevelop and implement a standardized Utilization...

Job Summary:Kaiser Permanente seeks a skilled RN Case Manager Utilization Specialist to coordinate and screen for the appropriateness of admissions and continued stays. This role requires collaboration with physicians to make recommendations for alternate levels of care when patients do not meet medical necessity for inpatient hospitalization. The ideal...

Job DescriptionReporting to the Sr. Director, Utilization Management, the Director, Commercial Utilization Management plays a critical role in the success of Blue Shield of California and the Utilization Management department in achieving its goals and objectives.This individual will be part of the Utilization Management team, delivering and collaborating on...

Job Summary: We are seeking a skilled RN Utilization Case Manager to join our team at Kaiser Permanente. In this role, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. You will make recommendations to the physicians for alternate levels of care when the patient does not meet the...

Job SummaryWe are seeking a highly skilled Utilization Management Nurse to join our team at Presidential Staffing Solutions, LLC. As a Utilization Management Nurse, you will be responsible for reviewing patient files and treatment methods to ensure optimal efficiency and effectiveness.ResponsibilitiesReview patient files and treatment information for...

Job Summary:As a Utilization Management Case Manager at UCLA Health, you will play a vital role in ensuring smooth and efficient case management processes to support quality care. You will work under the direction of the Utilization Management, Assistant Manager, and be responsible for processing and managing authorization requests. Your expertise will be...

Nurse Manager - Utilization ManagementAt Necnic Group, LLC, we are seeking a highly skilled and experienced Nurse Manager to lead our Utilization Management Program. This is a critical role that requires a strong understanding of healthcare operations and management principles.Key Responsibilities:Develop and maintain policies and procedures for Utilization...

About the RoleThe Utilization Management team at Blue Shield of California plays a crucial part in ensuring our members receive the necessary level of care. As a Senior Utilization Management Nurse, you will be responsible for reviewing inpatient stays and applying nationally recognized guidelines for levels of care. This role reports to the Utilization...

About the RoleE2 Consulting Engineers, Inc. is seeking an experienced IT Utilities Project Manager to lead the development and execution of IT strategic plans, ensuring alignment with the overall organizational strategy.Key ResponsibilitiesWork with the team to lead functional and technical landscape solution planning for one or more complex business process...

AIDS Healthcare Foundation is seeking a skilled Nurse Care Manager to lead our medical care management team. As a Lead RN Medical Care Manager, you will utilize your clinical expertise to oversee the delivery of care management services to our Ryan White eligible population. Your responsibilities will include providing training and clinical guidance to the...

Clinical Utilization Management Liaison RN II**Job Summary**The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for receiving and reviewing admission requests and higher levels of care (HLOC) transfer requests from inpatient facilities within regular timelines. Reviews clinical data in real-time and post-admission to issue a...

Director of Case Management LeadWe are seeking a seasoned Director of Case Management Lead to spearhead our case management team in delivering exceptional patient care and optimizing resource utilization. In this pivotal role, you will drive quality outcomes, shape the future of care coordination, and make a lasting impact on our patients and hospital...

Job SummaryAs a key member of the Kaiser Permanente team, the Director of Utilization Management will be responsible for developing and managing programs that emphasize appropriate admissions, concurrent and retrospective review of care, and other integrated functions to promote a centralized, coordinated, interdisciplinary process in the continuum of...

Job Summary:Develops, manages, and directs the Utilization Management programs in a Service Area or a Medical Center. The ideal candidate will develop and manage programs that emphasize appropriate admissions, as well as concurrent and retrospective review of care. This role may also be responsible for other integrated functions such as Discharge Planning,...

Job Summary:As a Utilization Case Manager RN at Kaiser Permanente, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your recommendations will help physicians determine alternate levels of care for patients who do not meet the medical necessity for inpatient...

WHO WE AREAt AIDS Healthcare Foundation, we are dedicated to providing cutting-edge medicine and advocacy to those in need. Our mission is to ensure that everyone has access to the latest HIV treatments, regardless of their ability to pay.We are a team of passionate individuals who are committed to making a difference in the lives of our patients. If you...

Job Summary: As a Case Manager Utilization RN with Kaiser Permanente, you will collaborate with physicians to coordinate and screen for the appropriateness of admissions and continued stays. You will make recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for inpatient hospitalization. You will...