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NURSE MANAGER UTILIZATION MANAGEMENT - NEWARK, UNITED STATES - KAISER

Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal,...

CompanyKaiser
AddressUnited States
CategoryInformation Technology
Date Posted 4 weeks ago See detail

Nurse Manager Utilization Management - Newark, United States - Kaiser

Kaiser

United States

Manages the operations of 24-hour departments that may be at multiple locations. Ensures Assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal,...

4 weeks ago seen See more...

Care Manager RN – Utilization Review

Providence

Missoula, MT

$36.40 - $57.63 an hour

Graduate of an accredited school of nursing Or. Graduate of an accredited health information technology program. Upon hire: Montana Registered Nurse License. 3 years of experience in Clinical Nursing. Hospital case management expe...

4 weeks ago seen See more...

UTILIZATION REVIEW NURSE - CASE MANAGEMENT

North Oaks Health System

Hammond, LA

Physical Effort RequiredStrength: SedentaryPush: occasionallyPull: occasionallyCarry: occasionallyLift: occasionallySit: frequentlyStand: frequentlyWalk: frequentlyResponsibilities:Monitors and facilitates initial and continued st...

4 weeks ago seen See more...

Interim Nurse Manager, Utilization Review

Firstchoice

Fresno, CA

$4,300 a week

State of California Registered Nurse (RN) License. Current American Heart Association (AHA) BLS Certification. Minimum of 2 years of hospital URM supervisory/management experience. MCG or InterQual Certification, preferred. 401(k)...

a month ago seen See more...

Case Manager/Utilization Review

Saint Anthony Hospital

Chicago, IL

$70.9K - $89.7K a year

Bachelor's degree in healthcare or related field; BSN preferred. Licensed as a Registered Nurse in the State of Illinois. Five years recent clinical experience in a hospital setting, or four years recent clinical experience. Utili...

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Utilization Review Case Manager - FT Days

Torrance Memorial Medical Center

Torrance, CA

$53.40 - $82.22 an hour

Tracks avoidable days....

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Manager, Utilization Management (UM Oversight & Clinical Administration)

Caloptima

Orange, CA

Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Directs and assists the team in carrying out department responsibiliti...

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Utilization Review RN Care Manager II

Professional Management Enterprises

Indianapolis, IN

Cold call outreach to members,. Completion of member multiple enrollment and follow-up assessments,. Creation of member care plans. Input documentation into multiple computer systems. Daily collaboration with CM/UM/Pharmacy peers...

a month ago seen See more...

REMOTE UTILIZATION REVIEW CASE MANAGER

Carson Tahoe Health

Carson City, NV

Transition management Assigns appropriate length of stay, participates in readmission prevention, transition level of care and patient satisfaction. Utilization management Screens for accurate medical necessity using approved...

a month ago seen See more...

Case Management Nurse Utilization Review Inpatient: Remote

Florida Health Care Plans, Inc.

Florida, United States

$68.8K - $87.2K a year

Current licensure in Florida as a Registered Nurse. Minimum of 3 years clinical experience; acceptable areas include Ambulatory Care, Medical/Surgical, or ICU required. Previous experience with referrals, Case Management, pre-cert...

2 months ago seen See more...

Manager Utilization Management Remote

Adventhealth Corporate

Altamonte Springs, FL

$72.6K - $91.9K a year

Benefits from Day One. Career Development. Whole Person Wellbeing Resources. Mental Health Resources and Support. Evaluates the efficiency, clinical appropriateness, necessity of the use of medical services and procedures in the m...

2 months ago seen See more...

Manager of Utilization Review

Charlie Health

Remote

$79.9K - $101K a year

Interviewing, hiring, training and onboarding new teammates. Acting as a liaison between UR and other CH Departments (RCM, Clinical, Operations, Outreach/Admissions). Supporting the development, implementation, and evaluation of d...

2 months ago seen See more...

Case Management Assistant Utilization Review

Inova Health System

United States

Conducts timely arrangements of services to meet customer requirements. Addresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned. Communicates financial a...

2 months ago seen See more...

Behavioral Health - Utilization/Case Manager

Mercy

Chesterfield, MO

$50.6K - $64K a year

Education: Registered Nurse or Masters in Social Work, Counseling or Psychology. Licensure: Current Registered Nurse in Missouri or other Compact State OR LCSW, LPC, or Psychologist licensed by state of Missouri. Experience: At le...

2 months ago seen See more...

CA Utilization Review Case Manager I

Corvel Healthcare Corporation

Rancho Cucamonga, CA

Identifies the necessity of the review process and communicates any specific issues of concern to the appropriate claims staff/customer. Collects data and analyzes information to make decisions regarding certification or denial of...

2 months ago seen See more...

Travel RN Care Manager (Case Management, Utilization)

Impresiv Health

Newport, OR

What You Will Bring: Valid License or Certification for the State of Practice 3+ Years Nursing Experience Required (in a hospital setting preferred) Current BLS from the American Heart Association Additional certifications as...

2 months ago seen See more...

Registered Nurse Case Manager - Utilization Management

Knapp Medical Center

Weslaco, TX

Knapp serves as the only acute care hospital in the Mid-Valley area, as well as Weslaco's only Level III Trauma Center, Advanced Primary Stroke Center, and Level II Newborn Nursery. For more information, please call956-968-8567o...

2 months ago seen See more...

RN-Case Manager - Utilization Management - Part Time - 8 Hour - PM's

John Muir Health

Concord, CA

$76.52 - $104.26 an hour

Bachelor's Degree Accredited School of Nursing Required 3 years Nursing - Medical/Surgical Preferred or 3 years Nursing - Critical Care Preferred 2 years Care Coordination - Case Management Preferred or Equivalent Work Experience...

2 months ago seen See more...

RN Case Manager - Utilization Review 48

St. Rose Hospital

Hayward, CA

$64.74 - $79.63 an hour

Full-Time - 40 hours AM Shift APPOXIMATE PAY RANGE: $64.74 - $79.63 POSITION SUMMARY Under general supervision is responsible for assisting in carrying out the hospital's Case Management Plan. Is cognizant of regulations and polic...

2 months ago seen See more...

Manager, Clinical, Utilization Management

Versant Health

Albany, NY

Ensures adherence to departmental policy, medical policy, and member benefits in providing services that are medically appropriate, high quality, and cost effective. Ensures that Utilization Management cases are completed within t...

2 months ago seen See more...

Utilization Review Nurse/Case Manager

Health Partners Management Group

Charleston, SC

$37.52 an hour

LOCATION: W Hill Blvd, Joint Base Charleston, SC 29404. HOURS: 40 hours/week. PAY: $37.52/hour. 2 weeks vacation in the 1st 12 months plus. Major holidays off. Medical, Vision, Dental, AD&D, & Life Insurances. Baccalaureate of S...

2 months ago seen See more...

Registered Nurse Case Manager (RN) - Utilization Review - PRN

Inova Health System

United States

Collects delay and other data for specific performance and/or outcome indicators. Assists in the collection and reporting of resource and financial indicators including acute and post-acute case mix, LOS, cost per case, excess day...

2 months ago seen See more...

RN Case Manager/Utilization Review

Vitana Inc

Omaha, NE

From $2,376 a week

401(k). Dental insurance. Health insurance. Referral program. Vision insurance. 8 hour shift. Day shift. RN Case Manager/Utilization Review: 2 years (Preferred). RN license for NE state (Preferred). BLS certified by AHA (Preferred...

2 months ago seen See more...

Registered Nurse (RN), Case Manager / Utilization Review 21561

Lighthouse Medical

Stockton, CA

$3,185 a week

$3185/WEEK. 13 Week Assignment. Stockton, CA. 5x8 Days, 7:30AM-4:30PM. ASAP Start Date. CA RN License Required. BLS Required. 3 Years of Experience Required. Cerner EMR Experience Preferred. 401(k). 401(k) matching. Dental insuran...

2 months ago seen See more...

Utilization Review Case Manager

Outworx Corporation

Meeker, CO

$70 - $75 an hour

Covid Card. BLS Card. RN License in CO. CCM. Day shift. Monday to Friday. Utilization review: 3 years (Required). BLS Certification (Required). RN (Required). Certified Case Manager (Required). Meeker, CO 81641: Relocate before st...

2 months ago seen See more...

Utilization Review Case Manager

Main Line Health

Malvern, PA

$74,921.60 - $116,105.60 a year

This position requires an RN who is responsible for reviewing medical records for the appropriate level of care, medical necessity, length of stay, and authorization denials for hospitalized patients. An understanding of the sever...

2 months ago seen See more...

Utilization Review RN - Case Management, FT

Knox Community Hospital

Mount Vernon, OH

$58.4K - $74K a year

Performs and documents Utilization Reviews for all patients that will be admitted or placed in observation. Performs continued stay clinical reviews for all patients as required by patient payers. Documents clinical review in case...

2 months ago seen See more...

Case Manager, Utilization Review, PRN (Weekends & Holidays)

University Of Maryland Medical System

La Plata, MD

$75K - $95K a year

Performs timely and accurate Utilization Review for all patient populations, using nationally recognized care guidelines/criteria relevant to the payer. Communicates with case management team, medical team, and payors as needed re...

2 months ago seen See more...

Utilization/Case Manager RN

Mountains Community Hospital

Lake Arrowhead, CA

$135,000 - $156,000 a year

Full Time - Exempt positionSUMMARYThe Case Manager is responsible for utilization management and case management of patient admissions at MCH by collecting and recording all information and data needed for utilization review as re...

2 months ago seen See more...

Solutions Management Director - Utilization Management

Elevance Health

Indianapolis, IN

$111,920 - $201,456 a year

Job Family: Business Support Type: Full time. Date Posted: Mar 07, 2024 Anticipated End Date: Mar 21, 2024 Reference: JR106254. Provides consultation and advice to business partners regarding benefits of products and analytics. Ex...

2 months ago seen See more...

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What are the top cities open Utilization Manager jobs?

There are open Utilization Manager jobs in several cities including Los Angeles, Yakima, Honolulu, Jackson, Waterloo, Saint Clairsville, Chicago, Somerset, Latrobe, Kapolei, Albuquerque, Washington,

What companies are hiring for Utilization Manager jobs?

The top companies hiring now for Utilization Manager jobs are Acacia, Acacia Network, Clinica Romero, Emory Healthcare, PROMESA R.H.C.F., Southeast Healthcare, Spectrum Healthcare Resources, Spectrum Healthcare Resources - 3.3,

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