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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California , to provide care to family members of Active Duty heroes in the Wounded, Ill, and Injured Warriors (WII) under the Psychological Health Transition to Care Initiative in the Case Management/Utilization Management Division at Naval Hospital 29 Palms.
$123,947.2Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure.
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The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintain PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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The Utilization Management Nurse 2's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management (UM) Nurse 2 uses clinical nursing skills to support the coordination, documentation, and communication of medical services and benefit administration determinations.
$69,800 - $96,200 a yearFull-timeRemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Inpatient Registered Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey Clinic inpatient admissions.
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The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. The Utilization Review Nurse provides clinical review for different healthcare services requiring authorization- including acute inpatient, skilled nursing facility, acute rehab, home nursing as well as others.
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The RN Care Manager provides education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care coordination.
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The Telephonic Nurse Case Manager will be a member of the Case Management Team, providing a comprehensive, holistic approach for case management throughout the continuum of care.
$69,800 - $96,200 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Takes appropriate and authorized actions or routes to Utilization Management or Case Management nurse. Position Summary The Care Management Resource Coordinator supports the efforts of Social Work, Case Management and Utilization Management professionals by performing a wide range of administrative duties that promote a positive patient-family experience during hospitalization, facilitate safe and timely discharge of patients, and reduce risk of unfunded services or excessive cost to patients-families.
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Baptist Health System - San Antonio TX is seeking a Registered Nurse (RN) Case Management Director for a nursing job in San Antonio, Texas. Posted job title: Director, Case Management Full Time Days BMC Benefits Health Care FSA Dependent Care FSA Life insurance.
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Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit behind the scenes to maximize the quality and cost efficiency of health care services.
$6,878 a monthExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Management Nurse oversees the care of a participant as they move from one health care facility, such as a hospital or nursing home, to another facility or their home.
$79,040 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Forensic Registered Nurse Case Manager performs medical forensic case management and coordination of interdisciplinary clinical service delivery, utilization of community resources, follow up care, and referrals to services for adolescent and adult patients who receive forensic nurse examiner services at Forensic Nursing Services of Providence.
$39.81 - $65.95 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Join our team as a day shift, PRN, Utilization Review Case Management Acute Care Rgistered Nurse in Albuquerque, NM. The Utilization Review Nurse is an integral Ardent case management partner to Revenue Cycle; responsible to the Director of Case Management or designee while supporting financial and clinical operations to provide strategic direction in support of operational performance and key financial metrics.
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registered nurse life care utilization management jobs Title: registered nurse case manager Company: Sunrise Hospital
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