Top 16 Utilization management nurse Jobs in Pooler, Ga

Care Coordinator - SJ
St. Joseph's/Candler —Savannah, GA
- Part-time
- Nursing
- Hospital
- Inpatient
- Paid time off
Nurse Manager - Pre OP PACU
Optim Healthcare —Savannah, GA
- Full-time
- Nursing
- Mid-level
- Perioperative Care
- Paid holidays
- 401(k)
Triage Nurse {OBGYN)
Sullivan Group HR —Savannah, GA
- Full-time
- CPR Certification
- Nursing
- RN License
- Profit sharing
- Disability insurance
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Manager of Case Management (RN or LCSW)
All Med Search —Savannah, GA
- $45 - $50 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Relocation assistance
- Health insurance
Quick Apply
RN CASE MANAGER (PRN)
Effingham Hospital, Inc. —Springfield, GA
- Part-time
- Nursing
- OSHA
- RN License
- Wellness program
- Health insurance
Quick Apply
Nurse Manager - Pre OP PACU - Savannah, GA
Optim —Savannah, GA
- Full-time
- Nursing
- Mid-level
- Perioperative Care
- Paid holidays
- 401(k)
Clinical Care RN
Centerwell —Savannah, GA
- $71,100 - $97,800 a year
- Full-time
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
RN Unit Manager - Full-Time
Effingham Hospital, Inc. —Springfield, GA
- Weekends as needed
- CPR Certification
- Nursing
- RN License
Quick Apply
Mental Health Psychiatric Nurse Practioner
First Class Healthcare LLC —Savannah, GA
- Background check
- Nursing
- Psychiatry
Quick Apply
11d
Registered Nurse (RN), Remote
Carenet Health —United States
- $34 an hour
- Weekends as needed
- Remote
- Bilingual
- Nursing
- RN License
- Continuing education credits
- Paid holidays
4d

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Wellness Director or Director of Nursing - RN or LPN
The Addison of Bluffton —Bluffton, SC
Manages, coordinates and directs all activities in accordance with state and applicable federal regulations, as well as Community policies and procedures.
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9d
Home Health Nurse Manager - $10k Bonus
Adoration Health —Statesboro, GA
Licensed Registered Nurse (RN) in good standing and currently licensed in the state of practice and in the state of residence. Schedule: Full-Time 8am-5pm.

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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply
Advanced Practice Nurse - Community Care
US Veterans Health Administration —Columbus, OH
The NP is a licensed independent practitioner with advanced education and national certification who provides evidence-based care for a population of patients.
$103,563 - $173,532 a year
19h

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utilization management nurse jobs near pooler, ga

Care Coordinator - SJ

St. Joseph's/Candler -
Savannah, GA

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Job Details

Part-time | PRN

Benefits

Paid time off

Qualifications

Risk assessment

Full Job Description

Position Summary
- The care coordinator assumes responsibility and accountability for the collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an individual’s health needs, using communication and available resources to insure quality, cost-effective outcomes. Closely monitors length of stay for all assigned patients
Education
- Bachelor's Degree in Nursing - Preferred or Master's Degree in Social Work - Preferred
Experience
- 1-2 Years of nursing or social work experience - Required
- 3 - 5 Years of case management experience in acute care setting - Preferred
License & Certification
- Professional License with State of Practice - Required for Nurse; Preferred for Social Worker
- National Certification in Case Management - Preferred
Core Job Functions
- Performs brief assessment, readmission risk assessment, and 6 clicks mobility assessment within one business day of admission. Discuss discharge-planning needs with patient, family, and care team to determine most effective coordination of resources. Ensures patient/family/caregiver is aware of and agreeable to expected day of discharge. Reassess and document updates to discharge plan every 2 days including patient understanding or refusal of plan.
- Collaborates with Social Workers for complex-patient problem resolution. Resolves outstanding or unanticipated discharge issues through communication with patient, family, and care team. Schedule regular family conferences to maintain communication. Presents and discuss high-risk complex patients at high risk LOS / Complex Care rounds with CCC leadership. Discuss barriers with the attending physician and if unsuccessful, escalate to leadership and Physician Advisor.
- Attend MDRs per department standard operating procedure. Provide GMLOS, actual LOS, and expected date of discharge for every patient each day. Focus MDR team’s attention on identifying barriers to discharge and creating plan of action to address the barriers. Provide insights on appropriate patients status and level of care. Review action items created during MDRs at the daily 2pm touchpoint meetings to determine resolution versus need for additional action
- Identifies patients who are readmissions or at high risk of extending their stay beyond the GMLOS and take actions to minimize avoidable days. Documents avoidable days per department standard operating procedure.
- Proactively interacts with Utilization Management team and attending physicians to review admission status and prevent inpatient denials. Prioritizes review of SDC and Observation patients to determine if ready for discharge. Follows payer requirements and government regulations to ensure compliant, safe, and cost-effective care.
- Maintains communication with care team by checking voice mail and email at minimum every 2 hours, completes required documentation by the end of the workday, adheres to on-call schedule and works holidays/covers weekend WOW absences as scheduled, and provides handoffs by email to team members as patients transition through the continuum of care. Provides weekend / on-call / PTO handoff.

Location: St. Joseph's/Candler · System - Clinical Care Coordination
Schedule: Part-time Casual (PRN), Days, 8:00am-4:30pm

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utilization management nurse jobs in pooler, ga

Care Coordinator - SJ

Nurse Manager - Pre OP PACU

Triage Nurse {OBGYN)

Manager of Case Management (RN or LCSW)

RN CASE MANAGER (PRN)

Nurse Manager - Pre OP PACU - Savannah, GA

Clinical Care RN

RN Unit Manager - Full-Time

Mental Health Psychiatric Nurse Practioner

Registered Nurse (RN), Remote

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