RN - Utilization & Case Management (Evening Shift)
Jefferson Health Northeast
Jefferson Health Northeast is seeking a healthcare professional to perform utilization management and denial/appeal activities for inpatient care from a hospital setting. You will collaborate with the Case Management team and Physician Advisor to ensure appropriate patient status and timely appeals. The role requires applying acuity criteria, documenting findings, and coordinating with payors to meet protocols and timelines while maintaining open communication with the care team. #J-18808-Ljbffr Jefferson Health Northeast
- ...Philadelphia, PA, is hiring a Registered Nurse for Utilization Management. You will apply medical necessity criteria to... ...inpatient hospital care. Work is varied hours with an evening shift; you will collaborate with the Case Management team and Physician Advisor to ensure...Afternoon shift
- ...Responsibilities Job Details Performs utilization management functions, applying medical... ...hospital care. Refers cases to the Physician Advisor per departmental... ..., protocols, and timelines. Shift & Employment Details Work Shift Workday Evening (United States of America)...Afternoon shiftDaily paidFull timeTemporary workPart timeFlexible hoursShift work
$41 - $46 per hour
...Per Diem Registered Nurse Case Manager (RNCM) Our Holisticare Hospice... ...May Counties! Schedule: Evenings about three times a week.... ...detail-oriented Registered Nurse (RN) to be a Hospice Case Manager... ...organize, and direct hospice care utilizing the nursing process of...Afternoon shiftHourly payDaily paidRelief- ...physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical... ...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. California RN license. AHA BLS Ability to pass annual Inter...SuggestedRemote work
- ...re proud of these awards, but even more, you’re proud of the... ...and Responsibilities As our Utilization Management Nurse, you will be a critical... ...authorize services, and prepare cases for physician review in partnership... ...Collaborates with facility RN Care Coordinators to ensure...Suggested
- Job Description Title: RN Hospice - Evening FT Status: Regular, Full-Time Location... ...40 hours per week) Evening Shift: 3:00 PM - 11:00 PM Every 4... ...regarding disease management, symptom control, and hospice... ...Coordinate care among physicians, case managers, therapists, home...Afternoon shiftFull timeImmediate startVisa sponsorshipWeekend work
$100k - $135k
...Summary: The Nurse Care Manager is responsible for providing... ...the most appropriate levels, utilizing network providers and ensuring... ...all company policies regarding case management practices... ...Flexible hours, including possible evenings and/or weekends as needed to...Afternoon shiftHourly payWork at officeLocal areaHome officeFlexible hoursWeekend work- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You...Remote jobFull time
$108k
Join to apply for the RN Clinical Manager role at TieTalent 2 days ago Be among... ...by the location. Receives case referrals. Reviews available... ...and recommendations by Utilization Review staff. Upon completion... ...Home - P/T with Benefits - Evenings Clinical Nurse-GI-SDU-10E-Mount...Afternoon shiftFull timeTemporary workApprenticeshipWork at officeImmediate startRelocation packageFlexible hoursNight shift- Join to apply for the RN Field Case Manager role at HOPE At Home Health Care 1 month ago Be among... ...schedules (work days, nights, evenings, weekends - we'll work around your needs... ...improvement as assigned. Participates in utilization review of medical records as assigned...Afternoon shiftFull timePart timeReliefWork at officeLocal areaRelocation packageFlexible hoursNight shift
- SUNY Downstate Health Sciences University is seeking a full-time TH Utilization Review Quality Assurance Senior Coordinator / RN Case Manager in New York. The role focuses on hospital case management, utilization review, and discharge planning to ensure smooth transitions...Full time
$60.52k - $129.62k
...family and one community at a time. Remote RN Case Manager 100% Remote | Nationwide Opportunity |... ...to support appropriate interventions Utilize motivational interviewing and clinical... ...Ability to participate in rotating late shifts (up to 8:00 PM EST) and holiday on-call...Afternoon shiftHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayRotating shift$62.7k - $100.4k
## Community Based Care Manager RNApplylocations: Georgia Mobiletime... ...care coordination and case management* Facilitate coordination... ...and promotes effective utilization of healthcare resources through... ...Flexible hours, including possible evenings and/or weekends as needed to...Afternoon shiftHourly payWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend work$18k
...direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and... ...outcomes. Collaborates with facility RN Care Coordinators to ensure... ...experience or a Master's degree in Case Management or Nursing field in...Full timePart timeLive out- ...Diagnostic Imaging Registered Nurse (RN) provides specialized nursing... ...environment. The RN will utilize their medical/surgical and... ...mandatory. Occasional weekend shifts may be required. Work... ...~ Schedule includes day and evening shifts. ~ No holiday or night...Afternoon shiftShift workNight shiftDay shift
- ...New York State Medicaid Managed Care, Medicare, Child... ...simple and complex medical cases to achieve high-quality... ...to the members. Work Shifts 9:00 AM - 5:00 PM... ...established MetroPlusHealth Utilization Management policies, procedures... ...Professional Nurse (RN), License Practical...Shift work
- ...weekends, or holidays. The position emphasizes clinical reviews to determine if treatments meet criteria, with collaboration among case managers and disease management nurses. Qualified candidates will be Registered Nurses with a current US license and 3-5 years of acute...Remote jobMonday to FridayWeekend workDay shift
$26.01 - $68.55 per hour
...CVS Health Utilization Management PositionWe're building a world of health around every individual —... ...schedules will include weekends, holidays, and evening hours.Utilizes clinical experience and... ...have active current and unrestricted RN licensure in state of residence-...Afternoon shiftHourly payFull timeTemporary workWork at office$1,999 per week
...Registered Nurse (RN) | Home Health Location: New... ...Pay: $1,999 per week Shift Information: 3 days x 11... ...home care service agency, or managed long-term care. Conducting... ...with only one patient, case management limited to utilization reviews for a health plan,...Full timeContract workShift work$2,757 per week
...Registered Nurse (RN) | Labor & Delivery Location: New York City, NY Agency:... ...Cynet Health Pay: $2,757 per week Shift Information: 3 days Contract Duration... ...paced environment. The position is for an evening shift, providing care during labor and delivery...Afternoon shiftFull timeContract workShift work$41.41 per hour
...Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for... ...experienced individuals and up to $7 shift differentials for evening, night, and weekend shifts. Benefits... ...‑based decision‑making regarding the utilization of evidence‑based practice. Actively...Afternoon shiftTemporary workFlexible hoursShift workNight shiftWeekend work$35 - $45 per hour
...IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical... ...Medicare guidelines. Refer cases outside established guidelines... ...with payer plan case managers, patients, and provider teams.... ...professional nursing program (RN, LPN, or LVN). Minimum of two...Contract workRemote workWeekend work$65 per hour
Job Title: Registered Nurse (RN) - Case Management Location: New York, NY 10037 Start Date: April... ...Based on Performance) Schedule Shift: 9:00 AM - 5:30 PM Days Per Week: 5... ...manage resources, and ensure appropriate utilization of healthcare services while maintaining...Hourly payWeekly payLocal areaShift work- Currently seeking a Utilization Management RN . Please see details and qualifications below: Position... ...tri-state area (PA, DE, NJ) M-F, day shift Start: ASAP Must provide own equipment... ...information when needed. Refer cases that do not meet criteria to the Medical...Immediate startRemote workDay shift
$2,102 per week
Job Type: Full-time, Contract Shift: Evening Shift (3pm-11pm) Contract... ...health record (EHR) systems. Manage admissions, discharges, and rapid... ...ensure continuity of care. Utilize your seasoned critical... ...Certifications: Active, unencumbered RN License (Compact/Multi-State...Afternoon shiftFull timeContract workShift workNight shiftDay shift- Responsibilities Responsible for utilization review work for emergency... ...Required Current and unrestricted RN license At least 3 years... ...At least 2 years utilization management experience in acute admission... ...of Science in Nursing (BSN) Case Management Certifications such...For contractorsWork at officeRemote work
- A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...review or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J-1880...Remote jobContract work
$32.01 - $68.55 per hour
...Registered Nurse (RN) – Utilization ManagementJoin a dynamic healthcare team... ...our 24/7 Utilization Management operations. In this role, you... ...clinical expertise to review cases, assess medical necessity, coordinate... ...weekends, holidays, and evening hours based on business...Afternoon shiftHourly payFull timeTemporary workWork at officeWork from home- ...Registered Nurse - 12Hr Afternoon-Evening shift. Capable clinician with... ...nursing‑sensitive indicators, RN Satisfaction, Employee Engagement... ..., recognizes problems, and utilizes evidence‑based practice.... ...of medication administration. Manage care for basic patient assignments...Afternoon shiftReliefShift work
$40 per hour
...Call Registered Nurse (RN) Remote 1099 Contractor... ...building a world-class Care Management platform to enable... ...while accelerating the shift to preventative care instead... ...to assist with complex cases that are escalated by... ...Monday through Friday Evening and weekend hours are...Afternoon shiftRemote jobPrice workFull timePart timeFor contractorsWork from homeMonday to FridayFlexible hoursShift workWeekend work
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