Top 7079 Utilization management nurse Jobs

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Registered Nurse - Case Manager
SSM Health —Madison, WI
- Part-time
- Nursing
- RN License
- Hospital
- Paid parental leave
- Health insurance
Nurse Manager, Behavioral Health Services
Signet Health Corporation —Greensboro, NC
- $110,000 - $120,000 a year
- Full-time
- Nursing
- Psychiatry
- RN License
- Disability insurance
- Health insurance
Care Manager - Registered Nurse
Crouse Hospital —Syracuse, NY
- $80,000 - $86,000 a year
- Weekends as needed
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Patient Flow Coordinator, RN - Capacity & Transfer Management
WakeMed Health & Hospitals —Raleigh, NC
- Full-time
- Nursing
- RN License
- Hospital
Utilization Review Nurse
University Medical Center of Southern Nevada —Las Vegas, NV
- $40.72 - $63.12 an hour
- Weekends as needed
- Nursing
- RN License
- Office
- Health insurance
- Dental insurance
Quick Apply
Telehealth Triage Registered Nurse (RN)
Lumina Care —Remote
- $38 - $45 an hour
- Weekends as needed
- Remote
- Nursing
- Psychiatry
- RN License
- Paid holidays
- Health insurance
Quick Apply
Utilization Management Nurse
Blue Eagle Consulting —Remote
- RN License
- Mid-level
- Nursing
Quick Apply
Utilization Review Nurse
Cobalt Benefits Group LLC —Orlando, FL
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Utilization Management Nurse Consultant
CVS Health —South Carolina
- $26.01 - $56.14 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
13d
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
13d
Utilization Review Supervisor - FT - Day - Utilization Resource Management Pennington NJ
Capital Health —Pennington, NJ
- $86,964.80 - $113,672.00 a year
- 8 hour shift
- Nursing
- RN License
- Computer literacy
- AD&D insurance
- Disability insurance
Director of Utilization Review/Management
River Oaks Hospital —New Orleans, LA
- Full-time
- Background check
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Remote Care Management Nurse
Cambia Health Solutions —Utah
- $38.00 - $41.50 an hour
- Overtime
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Nurse Manager Care Management
Clinical Management Consultants —Novato, CA
- $183,570 - $236,020 a year
- Full-time
- Nursing
- Senior level
Utilization Management Outpatient Authorization Nurse
Champion Health Plan is a Medicare Advantage Prescription Drug HMO C-SNP serving Medicare beneficiaries with End-Stage Renal Disease. —Long Beach, CA
- From $67,000 a year
- Full-time
- Nursing
- LVN
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Patient Care Management Coordinator
Fairview Health Services —Minneapolis, MN
- $48.11 - $69.49 an hour
- Day shift
- Nursing
- RN License
- BLS Certification
Director of Case Management
Texas Nursing Services —Bradenton, FL
- $109,762 - $164,570 a year
- Full-time
- Acute care
- Nursing
- RN License
- Relocation assistance
- Health insurance
Quick Apply
Admin RN
STAFF TODAY —Los Angeles, CA
- $52 an hour
- 8 hour shift
- RN License
- BLS Certification
- Mid-level
Quick Apply
12d
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Inpatient
Quick Apply
12d
Pool Utilization Review Registered Nurse, Case Management, Per Diem,Shift Varies (Rotating Weekends)
Baptist Health South Florida —Boca Raton, FL
- $47 an hour
- Rotating weekends
- Nursing
- RN License
- Mid-level
- Wellness program
- Health insurance

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Registered Nurse - Case Manager

SSM Health -
Madison, WI

Apply Now

Job Details

Part-time

Benefits

Paid parental leave
Health insurance
Parental leave

Qualifications

RN License
Acute care facility experience

Full Job Description

It's more than a career, it's a calling

WI-SSM Health St. Mary's Hospital - Madison

Worker Type:

Regular

Job Highlights:

Schedule: Monday - Friday 8:00 am - 4:30 pm with every 12th weekend rotation and 1 required holiday per year

Prior Case Management and/or Med/Surg or Post-Acute hospital experience preferred.

Job Summary:

Assesses, develops, plans, implements, and evaluates patients discharge planning needs to next level of care in collaboration with interdisciplinary team.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

Ensures compliance with Condition of Participation (CoP) discharge planning.
Identifies and escalates gaps/barriers related to inpatient and observation length of stay.
Assesses patients at high risk for readmission. Identifies root cause for readmission. Develops plan and collaborates with multidisciplinary team regarding discharge planning to next level of care.
Participates with other members of team regarding opportunities for improvement in standard work.
May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc.).
Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service.
As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations.
Works in a constant state of alertness and safe manner.
Performs other duties as assigned.

EDUCATION

Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

Three years' acute care experience

PHYSICAL REQUIREMENTS

Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois

Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)

State of Work Location: Missouri

Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Missouri Division of Professional Registration

State of Work Location: Oklahoma

Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)

State of Work Location: Wisconsin

Registered Nurse (RN) Issued by Compact State
Or
Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8570000007 Case Management

Scheduled Weekly Hours:

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Apply Now

Refine Your Search

utilization management nurse jobs

Registered Nurse - Case Manager

Nurse Manager, Behavioral Health Services

Care Manager - Registered Nurse

Patient Flow Coordinator, RN - Capacity & Transfer Management

Utilization Review Nurse

Telehealth Triage Registered Nurse (RN)

Utilization Management Nurse

Utilization Review Nurse

Utilization Management Nurse Consultant

Utilization Management- RN

Utilization Review Supervisor - FT - Day - Utilization Resource Management Pennington NJ

Director of Utilization Review/Management

Remote Care Management Nurse

Nurse Manager Care Management

Utilization Management Outpatient Authorization Nurse

Patient Care Management Coordinator

Director of Case Management

Admin RN

RN Team Lead Utilization Review

Pool Utilization Review Registered Nurse, Case Management, Per Diem,Shift Varies (Rotating Weekends)

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