A company is looking for a Utilization Management Special Projects Manager.Key Responsibilities : Lead and oversee complex initiatives within the Utilization Management departmentCollaborate with internal and external stakeholders to resolve issues and ensure regulatory complianceDevelop and implement departmental targets, measures, and metricsRequired Qualifications : Bachelor's Degree in nursing, healthcare, or related field2 years of experience in a Utilization Management role5 years of experience in Medicaid / Medicare Managed Care or other health plan settingsActive license as a Registered NurseMaster's Degree in Healthcare or related field preferred
Bi-Lingual RN Field-Telephonic Nurse Case Manager M-F Holidays Off
We are hiring full time RN’s interested in discovering or continuing their career in case management. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Skills essential for the position include strong organizational, communication...
Case Management Utilization Rn, 24 Hrs, Days
Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Primary Location: California,Los Ang...
RN Case Manager - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)
The RN case manager role integrates the functions of utilization management, quality management, discharge planning assessment, and coordination of post-hospital care services, including transfers to an alternative level of care. When extending an offer of employment, the University of Southern Cali...
Case Manager Utilization Rn- 40 Hrs, Days
Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. License, Certification, Registration...
*RN Case Manager - Utilization Review
Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Maternal-Child Health, Behavioral Health and Emergency and Trauma Care. Francis Medical Center is a Certified Primary Stroke Center, Approved STEMI Receiving ...
Case Manager Rn (bilingual) - Population Care Management
Primary Location: California,Panorama City,Panorama City Medical Offices 6 Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affili...
Care Manager RN - Case Management
Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written, and facilitates care along a continuum through ef...
Case Manager Utilization Rn 32/hr Day
Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. License, Certification, Registration...
Supervisor, Utilization Management RN
The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and suppo...
Case Manager Utilization RN, 40/hr Day
Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Demonstrated ability to utilize/appl...