A company is looking for a Case Manager - Utilization Management.Key ResponsibilitiesReview patient admissions to evaluate appropriateness and ensure compliance with third-party payer requirementsCollaborate with care managers and other departments to facilitate patient class assignments and maximize reimbursementParticipate in performance improvement processes to enhance departmental efficiency and effectivenessRequired QualificationsSpecialized Diploma in nursing2 years of previous utilization review experience2 years of knowledge of utilization management related to third-party payersRN - Licensed Registered Nurse in the state of Pennsylvania upon hireKnowledge of evidence-based clinical decision support criteria
Utilization Management Case Manager - PA RN
A company is looking for a Case Manager - Utilization Management. ...
Registered Nurse (RN) Case Manager | New Rates!
A few must-haves for Home Health Registered Nurse (RN) Case Manager: Graduate of an accredited nursing program and active RN license in Colorado Minimum of one (1) year of nursing experience, ideally in home healthcare CPR Certification (demonstration course required) Pass a background check and dru...
Behavioral Health RN Case Manager
A company is looking for a Behavioral Health RN Case Manager to deliver case management services to individuals with behavioral health needs. ...
Registered Nurse (RN) Case Manager | New Rates!
Participate in development and evaluation of the plan of care in partnership with the patient, representative (if any), and caregiver(s). Perform care plan oversight of patient case load by participating in ongoing interdisciplinary care coordination. Home Health Registered Nurse (RN) Case Manager. ...
Clinical Financial Case Manager - RN
A company is looking for a Clinical Financial Case Manager-RN. ...
RN / Registered Nurse Case Manager - Hospice
Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. RN / Registered N...
RN Unit Manager
The RN Unit Manager assists the Director of Nursing (DON) in planning, organizing, developing, and directing the overall operation of the Nursing Services department to ensure the highest degree of quality patient care in accordance with all applicable laws, regulations, and Villa Pueblo standards. ...
Pediatric Home Health - RN Case Manager - Publeo
We are seeking an RN with exceptional organizational skills, strong communication, and a deep commitment to patient excellence. Manage and coordinate a diverse caseload to ensure the highest standards of patient care. Deliver compassionate care while aiming to reduce patient readmissions. If you're ...
RN / Registered Nurse Case Manager - Hospice
Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. Communicate with ...
RN Weekend Unit Manager
The RN Unit Manager assists the Director of Nursing (DON) in planning, organizing, developing, and directing the overall operation of the Nursing Services department to ensure the highest degree of quality patient care in accordance with all applicable laws, regulations, and Villa Pueblo standards. ...