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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. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio.
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AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Driver's License - CA Department of Motor Vehicles; Master's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification.
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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 Divisionat Naval Hospital 29 Palms.
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The LVN/LPN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
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RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas. Strong analytical, data management and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement Understanding of pre-acute and post-acute venues of care and post-acute community resources, physician office routines, and transitional procedures for pre and post-acute care.
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Department orientation includes review and instruction regarding Utilization Management/Case Management, Compliance policies, InterQual, Transition Management, and other topics specific to case management.
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Case management, acute care, registered nurse, utilization management, Care management, Health care, Medical, Insurance verification, Customer service, Rn license.
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Experience in utilization management, case management, discharge planning or other cost/quality management program preferred. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license as a Master Social Worker (LMSW) in the state of Texas required, LCSW preferred.
$44 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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RN, assessment, care management, case management, UAS, ambulatory care, community health, Home health, LTSS, MLTC, medicaid, utilization management. The RN will be utilizing required NYS UAS Assessment Tools to determine functional status, medical, behavioral, psychological, and community resource needs for coordinating, integrating, and monitoring the use of medical and health care services for members; The SN UAS Nurse may also perform other technical and administrative tasks essential to the efficient operation of the department.
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The MDS Coordinator supervises the Care Management Nurse, MDS Nurse. Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensure. Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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The Case Manager (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management teams for short term staffing as well as provide consultative support to the front-line care management team, as appropriate.
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Qualifications Must possess knowledge of case management or utilization review as normally obtained through the completion of a bachelor's degree in case management or health care.
$36.42 - $60.33Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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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registered nurse utilization management jobs Title: registered nurse case manager Company: Umc Health System
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