Top 17524 Manager Nursing Jobs

Registered Nurse - Utilization Manager
Decypher —Wright-Patterson AFB, OH
- $44.92 an hour
- 8 hour shift
- Bachelor of Science
- Mid-level
- Ability to sit for extended periods
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Supervisor - Nursing
Qlarant —Remote
- $78,216 - $90,000 a year
- Full-time
- Remote
- RN License
- Bachelor's degree
- Senior level
Manager, Utilization Review
Health Business Solutions LLC —Remote
- Nursing
- RN License
- Mid-level
14d
ECM Clinical Manager (RN)
Vynca —Remote
- $90,000 - $125,000 a year
- Weekends as needed
- Background check
- RN License
- Pass drug screening
- Health insurance
- Dental insurance
Post-Acute UM Supervisor
Devoted Health —Remote
- $95,000 - $120,000 a year
- Full-time
- RN License
- Mid-level
- 1 year
- Dental insurance
- 401(k)
Hospice Staff RN/Case Manager (1.0)
HIA Hospice —Devils Lake, ND
- From $34.67 an hour
- Full-time
- Background check
- Nursing
- RN License
- Disability insurance
- Health insurance
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Nurse Manager, Stroke Unit
Burke Rehabilitation Hospital —White Plains, NY
- $130,000 - $140,000 a year
- Weekends as needed
- Nursing
- Hospital
- Mid-level
RN - Hospice Case Manager
Bethany Hospice and Palliative Care —Pittsburgh, PA
- $72,000 - $80,000 a year
- Full-time
- Background check
- Current TB test
- RN License
- Paid holidays
- Health insurance
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RN Clinical Manager
Northeast Arc —Danvers, MA
- $118,000 - $119,500 a year
- Full-time
- Mid-level
- 3 years
- Travel
- Disability insurance
- Health insurance
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Nurse Manager Maternity/Post Partum and Special Care Nursery 40hrs
Merrimack Health —Lawrence, MA
- Full-time
- Nursing
- RN License
- Mid-level
Assistant Nurse Manager - Neuro Expansion Operating Room
Cleveland Clinic —Cleveland, OH
- $39.50 - $59.60 an hour
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
Hospice Clinical Manager - FT, Excellent Pay & Benefits, Middletown, RI
Visiting Nurse Home & Hospice —Middletown, RI
- From $47.50 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Free parking
- Paid training
Quick Apply
RN Supervisor
Northgate Health Care Facility —North Tonawanda, NY
- $36 - $38 an hour
- Part-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Paid time off
Quick Apply
13d
RN Supervisor
Harris Hill Nursing Facility —Williamsville, NY
- $38 - $39 an hour
- Part-time
- Nursing
- Skilled nursing facility
- RN License
- Dental insurance
- Paid time off
Quick Apply
Assistant Nurse Manager Hospital - Neuro Expansion
Cleveland Clinic —Cleveland, OH
- $39.50 - $59.60 an hour
- 12 hour shift
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
RN Supervisor (11p-7a)
Casa Mora Rehabilitation & Extended Care —Bradenton, FL
- Full-time
- Background check
- CPR Certification
- Microsoft Outlook
Quick Apply
Registered Nurse Case Manager, Home Health
Faith Home Health & Hospice —Topeka, KS
- From $80,000 a year
- Full-time
- Background check
- CPR Certification
- RN License
- Travel reimbursement
- Paid holidays
Quick Apply
RN - Operations Educator Supervisor
El Rio Community Health Center —Tucson, AZ
- $34.16 - $49.47 an hour
- Full-time
- Spanish
- Nursing
- Management
Quick Apply
Clinical Nurse Manager - Maternal Newborn - Children's Hospital
University of Missouri Health Care —Columbia, MO
- $108,971 - $177,590 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Health insurance
Registered Nurse (RN) Case Manager
Interim HealthCare - New Hampshire —Keene, NH
- $39 - $44 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- 401(k)
Quick Apply

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Registered Nurse - Utilization Manager

Decypher -
Wright-Patterson AFB, OH

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Job Details

Full-time
$44.92 an hour

Qualifications

Bachelor of Science
Mid-level
2 years
Communication skills

Full Job Description

Join Decypher and make a direct impact on the health and readiness of America’s service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States.

Job Summary: The Registered Nurse - Utilization Manager must have the ability to sit or stand for extended periods while reviewing medical records and working on a computer, with frequent use of standard office equipment and clear verbal and written communication. Must have sufficient visual acuity and attention to detail to analyze complex clinical documentation, with occasional ability to move about the workplace and lift up to 10–15 pounds.

Required Qualifications:

Education:
- Associate degree (ADN) or
- Bachelor of Science in Nursing (BSN) from a program accredited by a national nursing accrediting agency recognized by the U.S. Department of Education.
Certifications:
- Basic Life Support (BLS)
License: Valid, Active, Unrestricted Registered Nurse License
Experience:
- 4 years of experience if ADN holder; 2 years of experience if BSN holder - in discharge planning or case management.
- Full-time employment in a nursing field within the last 36 months is required.

U.S. Citizenship is required

Key Responsibilities:

Assist with inpatient discharge planning as needed, including home safety patient/family
interviews, attending morning planning meetings, and coordinating transfers, home durable medical equipment, home care services, inpatient rehabilitation, and skilled care.
Develop and implement a comprehensive Utilization Management (UM) program aligned with Military Treatment Facility (MTF), Air Force (AF), and Defense Health Agency (DHA) goals and objectives.
Collect, analyze, and trend data/metrics on program areas to identify over- and underutilization of healthcare resources, inefficiencies, and areas for cost containment. Provide reports, feedback, and recommendations in a timely manner.
Monitor specialty care referrals, ensuring appropriateness, covered benefits, and authorization for medical procedures, laboratory, radiology, and pharmacy services.
Evaluate clinical practice patterns and trends, providing feedback to the Chief of Hospital
Services (SGH) and clinical teams.
Identify and refer potential cases to Disease Management, Case Management, Discharge
Planning, and the Deployment Availability Working Group.
Participate in Medical Management, Population Health Working Group, and care coordination meetings as assigned.
Conduct nursing peer reviews as assigned.
Educate Patient-Centered Medical Home (PCMH) staff on the role of Utilization Management.
Assist the PCMH team in notifying patients admitted to civilian hospitals or civilian emergency departments.
Perform medical necessity reviews, including concurrent reviews for length of stay (LOS) using approved clinical decision tools. Assess medical necessity of services and communicate negative trends to the Chief of the Medical Staff.
Navigate electronic health records and TRICARE managed care contractor sites.
Act as referral approval authority for designated referrals based on MTF/AF/DHA national
guidance and standards, including processing and validating durable medical equipment referrals for PRIME beneficiaries and authorizing Supplemental Health Care Program (SHCP) funds for active-duty beneficiaries.
Refer all first-level review failures to SGH or designated points of contact for further review and disposition.
Verify beneficiary eligibility using the Defense Eligibility Enrollment Reporting System
(DEERS). Obtain pertinent patient information and update electronic medical records, local referral databases, and other office automation systems as needed.
Perform other duties as assigned.

Work Environment & Schedule: Monday - Friday; 8 hour shifts 7:00am - 16:30 with a 30-minute uncompensated lunch.

Compensation & Benefits: $44.92 per hour + $4.93 H&W IF APPLICABLE

Physical requirements:

Decypher is an equal opportunity and affirmative action employer committed to a diverse and inclusive workforce (M/F/D/V)

Quick Apply

Refine Your Search

Manager Nursing jobs

Registered Nurse - Utilization Manager

Supervisor - Nursing

Manager, Utilization Review

ECM Clinical Manager (RN)

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Nurse Manager, Stroke Unit

RN - Hospice Case Manager

RN Clinical Manager

Nurse Manager Maternity/Post Partum and Special Care Nursery 40hrs

Assistant Nurse Manager - Neuro Expansion Operating Room

Hospice Clinical Manager - FT, Excellent Pay & Benefits, Middletown, RI

RN Supervisor

RN Supervisor

Assistant Nurse Manager Hospital - Neuro Expansion

RN Supervisor (11p-7a)

Registered Nurse Case Manager, Home Health

RN - Operations Educator Supervisor

Clinical Nurse Manager - Maternal Newborn - Children's Hospital

Registered Nurse (RN) Case Manager

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