Top 5441 Rn Utilization Review Jobs

Director of Case Management
Great Plains Health —North Platte, NE
- Full-time
- Nursing
- RN License
- Hospital
- Health savings account
- Relocation assistance
Admission RN (Sunday/Thursday/Friday), Full-time (Sign-on Bonus Available)
TRANSITIONS LIFECARE —Raleigh, NC
- 12 hour shift
- CPR Certification
- Nursing
- Microsoft Outlook
- Travel reimbursement
- Continuing education credits
Quick Apply
Utilization Management- RN
South Country Health Alliance —Medford, MN
- $34.39 - $47.94 an hour
- Weekends as needed
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Disability insurance
- Health insurance
6d
MDS Coordinator (RN/LPN Part-Time)
Lehigh Acres Health and Rehabilitation Center —Lehigh Acres, FL
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
13d
UM Case Manager/Appeals Coordinator
Havenwyck Hospital (UHS) —Auburn Hills, MI
- $60,000 - $69,000 a year
- Full-time
- Background check
- LMFT
- Nursing
- Loan repayment program
- Health insurance
Quick Apply
Utilization Specialist
RiverWoods Behavioral Health —Riverdale, GA
- Part-time
- CPR Certification
- Nursing
- RN License
Utilization Review RN
Providence Health and Services —Portland, OR
- $50.14 - $77.83 an hour
- Part-time
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
ED Utilization Management Nurse
University Hospitals —Shaker Heights, OH
- $33.17 - $51.87 an hour
- Holidays
- Nursing
- RN License
- Mid-level
20h
Field RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Management
- RN License
7d
RN Case Manager - Surgery Services
UCLA Health —Los Angeles, CA
- $65.53 - $88.99 an hour
- Nursing
- Surgery
- RN License
Staff Nurse - Case Manager
Skagit Regional Health —Mount Vernon, WA
- $40.54 - $73.92 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Quick Apply
Utilization Review Director
Aspen Grove Behavioral Hospital —Orem, UT
- Full-time
- Background check
- Master of Social Work
- Nursing
- Free parking
- Health savings account
Quick Apply
Clinical Operations and Workflow Project Manager (RN, LVN, LPN): Chicago, IL
Caregenix —Chicago, IL
- $60,000 - $90,000 a year
- Full-time
- Nursing
- Anatomy knowledge
- LVN
- Health insurance
- Dental insurance
Quick Apply
5d
RN CASE MANAGER
Legent Health —Bellaire, TX
- Full-time
- Nursing
- Mid-level
- US work authorization
- Paid time off
Quick Apply
8d
RN-Case Manager
Medcadre Inc —Santa Monica, CA
- $2,700 - $2,880 a week
- Email
- CPR Certification
- RN License
- Hospital
- Health insurance
Quick Apply
1d
Utilization Review RN
Memorial Health —Springfield, IL
- $32.95 - $52.73 an hour
- Full-time
- Acute care
- Nursing
- RN License
RN Case Manager - Utilization Review
Klimbnow Technologies Pvt Ltd. —Middleburg Heights, OH
- $2,400 - $2,600 a week
- Full-time
- RN License
- 5 years
- BLS Certification
Quick Apply
23h
MDS Coordinator - RN
R & K Care Services LLC —Atlanta, GA
- $80,000 - $110,000 a year
- Weekends as needed
- Nursing
- Skilled nursing facility
- Microsoft Outlook
- Health insurance
- Paid time off
Quick Apply
Utilization Review Nurse (Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41 - $47 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
RN Case Manager, Per Diem (SMH)
UCLA Health —Santa Monica, CA
- $93.83 - $98.52 an hour
- Per diem
- Nursing
- RN License
- BLS Certification

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Director of Case Management

Great Plains Health -
North Platte, NE

Apply Now

Job Details

Full-time

Benefits

Health savings account
Relocation assistance
Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Professional development assistance
Life insurance

Qualifications

Performance reviews
Patient treatment planning
Collaborate with healthcare professionals
Clinical staff performance evaluation
Managed case managers
Clinical program budget management
Nursing
Performance improvement leadership
Team member evaluation
Program management
RN License
Managing healthcare operations budgets
Team leadership
Health education for healthcare providers
Program development
Operational management
Healthcare Administration
Corporate training
Master's degree in nursing
Quality management
Master's degree
Change management
Team development
Transitional care planning in clinical case management
Professional development support
Financial operations management
Evidence-based practice
Coordination of services case management method
Quality improvement
Bachelor of Science in Nursing

Full Job Description

Great people. Great careers.
Join the team at Great Plains Health, where you can be a part of something, well, great.

Job Title:

Director of Case Management

Job Description:

The Director Case Management has overall accountability for the Case Management function at Great Plains Health. The role established objectives, directs department operation and develops overall departmental strategies in alignment with the overall direction of case management. The Director of Case Management is responsible and accountable for clinical and financial operations of the Case Management system at Great Plains Health.

The components/roles of the case management program consist of the following: Care Facilitation, Transition of Care facilitation, Utilization Management, Discharge Planning, ER Case Management/Medication Assistance, and oncology case management. The Director provides hospital-wide leadership through effective managerial and educational direction in these areas to ensure an integrated process which will coordinate health care delivery across service lines. Frequently interface with senior leadership, medical staff, quality, HIM, business office, ancillary services and nursing in a communications and change management capacity.

The Director is responsible for the results of the unit as well as the development and deployment of staff within their area of responsibility.

Minimum Qualifications

Graduate of Nursing Program, BSN/BA required. Masters Degree in Nursing, Health Administration or Business Administration or plans to complete.

Credentials

1. Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice.

2. BSN/BA required or actively enrolled in accredited program.

3. Prefer at least one national certification

Essential Functions

1. Plans, directs and supervises all aspects of the case management program at Great Plains Health.

2. Facilitates growth and development of the case management program consistent with Great Plains Health’s Mission, Vision and Values and in response to the health care environment through benchmarking for best practices, networking, quality management , and other activities as needed

3. Responsible for approving and managing the day to day operational budget ensuring that revenue, expenses, contribution margin and FTE;s meet or exceed budget.

4. Oversee the interdisciplinary plan of care, discharge-planning process and transition of care to ensure effectiveness and appropriateness of services.

5. Writes and conducts annual and interim performance appraisal reviews for the professional and non-professional staff in case management.

6. Acts as liaison to facilitate communication and collaboration between all of the medical team, (physicians, hospitalists, community care managers, nurses, community resources, nursing homes and assisted living facilities.

7. Responsible for leading a highly employee engaged performance team who incorporate leadership principles and vision in performing the functions of case management.

8. Use data and evidence based case management strategies to drive decisions, plan, and implement performance improvements for case management.

9. Coordinates and oversees the education of physicians, managers, staff, patients and families related to the case management process at Great Plains Health and the community.

Join us. Join great. Join the dynamic team at Great Plains Health and be a part of something truly exceptional. At Great Plains Health, we embody a culture defined by authenticity, integrity, and a genuine commitment to listening to both our patients and each other.

As a member of our team, you'll experience a supportive environment where collaboration is key, and every voice is valued. We work together seamlessly, leveraging our collective strengths to provide the highest quality care to our community.

Passion drives us forward, propelling us to constantly strive for excellence in everything we do. If you're seeking a rewarding career in healthcare surrounded by like-minded individuals who share your dedication and enthusiasm, Great Plains Health is the place for you. Come join us and be part of a team that's making a real difference every day.

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Relocation assistance
Tuition reimbursement
Vision insurance

Work Location: In person

Apply Now

Refine Your Search

Rn Utilization Review jobs

Director of Case Management

Admission RN (Sunday/Thursday/Friday), Full-time (Sign-on Bonus Available)

Utilization Management- RN

MDS Coordinator (RN/LPN Part-Time)

UM Case Manager/Appeals Coordinator

Utilization Specialist

Utilization Review RN

ED Utilization Management Nurse

Field RN Case Manager

RN Case Manager - Surgery Services

Staff Nurse - Case Manager

Utilization Review Director

Clinical Operations and Workflow Project Manager (RN, LVN, LPN): Chicago, IL

RN CASE MANAGER

RN-Case Manager

Utilization Review RN

RN Case Manager - Utilization Review

MDS Coordinator - RN

Utilization Review Nurse (Medicare)

RN Case Manager, Per Diem (SMH)

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