RN Case Management Leader - Utilization Review
Methodist Hospital for Surgery
A healthcare institution in Addison, TX seeks an experienced Registered Nurse (RN) to oversee the Case Management team focusing on Utilization Review. Responsibilities include managing departmental operations, ensuring compliance with regulations, and improving care coordination. Candidates must have an RN license with a BSN and ideally hold a Case Management certification. This full-time position emphasizes effective communication, leadership, and critical thinking skills. #J-18808-Ljbffr Methodist Hospital for Surgery
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- Baylor Scott & White Health is seeking an experienced Utilization Review RN to review cases for medical necessity across insured patients. You will apply clinical criteria, coordinate with care teams, and support efficient resource use. You will communicate with health...
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- ...dedicated Registered Nurse for a remote contract position focused on reviewing medical claims within the insurance sector. This role involves... ...is perfect for those looking to make a meaningful difference in the managed care industry. #J-18808-Ljbffr HireOps Staffing, LLCRemote jobContract work
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- Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted... ..., when appropriate, or prepare a case for peer review referral. Coordinates information... ...of an accredited school Valid current RN license in good standing Able to perform...
$80k - $90k
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$30 - $33 per hour
...as a Registered Nurse (RN), where you'll bring comfort... ...and participate in case conferences Be a... ...physician Provides case management to an assigned group of... ...and procedures utilizing community resources as... ...clinical record/utilization review of medical records and...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work- ...Vascular Access RN Team Leader Department: Vascular Access Team Location: Dallas Shift... ...in collaboration with the Clinical Manager or Practice Administrator. Serves as a... ...performance issues and administers performance reviews. Monitors key metrics and analyzes...Work experience placementShift work
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...At Target, we believe in our leaders having meaningful experiences... ...department sales trends, inventory management, guest shopping patterns,... ...experience moments ~ Reviews area guest, financial, and team... ...future leader positions and utilize growth development to build a...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hoursShift workNight shiftDay shift- ...Summary and Qualifications Our RN Case Managers raise the bar by providing clinical... ...optimal care and appropriate resource utilization. What You Will Do In This Role:... ...industry! Our Talent Acquisition team is reviewing applications for our RN Case Manager...Temporary workFlexible hours
- RN Home Health Clinical Case Manager - ProHealth Home Health (Addison, TX) Job Category... ...promote the maximum level of utilization of health personnel. Is... ...Advanced Behaviors Leader Inspires teammates to follow... ...information, please review the Know Your Rights notice...Full timeTemporary workWork at officeLocal areaImmediate start
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- ...manner. As a Water/Wastewater Leader in Texas, you will be... ...team operations including staff management, financial performance, project... ...and monitors staffing, utilization, and financial performance for... ...and use of our website, please review our general California Privacy...Full timeLocal areaFlexible hours
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