Utilization Management RN jobs

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RN CASE MANAGER
Five years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning,...
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RN Care Manager – Utilization Review
Martin Luther King, Jr. Community Hospital - Los Angeles, CA
Certification in Case Management preferred. Reporting to the Manager of Care Management, the Care Manager of Utilization Review (UR) is responsible for managing...
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Home Health RN Case Manager
Interim HealthCare of Columbus - Columbus, OH
Active Ohio RN License. Experience with an electronic medical record (EMR) system, and utilization of point of care device;...
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CLINICAL DOCUMENTATION SPEC

Elliot Hospital - 57 reviews - Manchester, NH
Knowledge of outcomes research, physician profiling, managed care quality mandates, case management, DRGs and coding principles and practices, statistics and...

UTILIZATION MANAGER - CHART AUDITOR

Duke University and Duke University Health System - 22 reviews - Raleigh, NC
Complies with current rules and regulatory requirements pertaining to utilization management. Maintains effective communication with health care team members...

Onsite UM Nurse - Pensacola area

Humana - 1,956 reviews - Pensacola, FL 32504
Previous experience in utilization management, discharge planning and/or home health or rehab. Examine clinical programs information to identify members for...

Clinical Documentation Spec

Eastside Medical Center - Snellville - Snellville, GA
Utilization Review or Case Management Experience preferred. RN or RHIA preferred. Analyzes inpatient records for status of the patient, current treatment plan...

CLINICAL DOCUMENTATION SPEC

Premier Health Partners - 31 reviews - Dayton, OH
Certification in Clinical documentation, CPHQ, or Case Management preferred. Through utilization of their clinical expertise they ensure the patient’s severity...

Clinical Documentation Spec

Grady Health System - 140 reviews - Atlanta, GA 30303 (Five Points area)
Utilization Review, Care Management or coding experience preferred. Collaborates with interdisciplinary teams including, but not limited to, physicians, nurse...

Case Manager (RN)

Aetna - 1,664 reviews - Phoenix, AZ
-Identify complex, high-risk patients and proactively manage care including but not limited to care management planning, referral management, post-discharge...

CM Utiliz RN

Kaiser Permanente - 3,710 reviews - Riverside, CA
Completion of an accredited RN training program that allows graduates to take RN license exam. Current California RN license required....

Utilization Management RN: Remote

eQHealth Solutions - Baton Rouge, LA 70809
Works with Corporate IT management on projects as needed. Provides user-level support with applications necessary to carry out day-to-day tasks required to...

Supv Utilization Management

MedStar Health – Baltimore - 4 reviews - Washington, DC
2 years recent utilization review experience; Valid RN license in the District of Columbia. Responsible for clinical review of all acute services for...
Case Manager/Utilization Review (Relocation)
Provides input in such meetings regarding utilization management and discharge planning. The Case Manager is responsible for compliance with CMS Conditions of...
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RN Case Manager Hospice/Homecare
Visiting Nurse Association & Hospice of VT and NH - Randolph, VT
Payer source documentation, including management of authorizations; Appropriate treatment intervention, evaluation of outcomes, and utilization of services to...
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