RN Utilization Management Lead - Acute Care
Summa Health
Summa Health is seeking a leader for Utilization Management in acute care, focused on developing and supervising clinical workflows that align with CMS guidelines and payer contracts. You will oversee utilization decisions across the care continuum and collaborate with case management and physicians to optimize patient transitions. The role requires nursing leadership experience in utilization management, with a strong emphasis on cost-effective care and high-quality outcomes for diverse patient #J-18808-Ljbffr Summa Health
- ChenMed is hiring an Acute Care Nurse to lead complex care for seniors. The role focuses on hospital-to-home... ...partners. Requirements include a BSN or RN with related degree, active RN license, and 2+ years of clinical/ case management experience. Travel up to 10% may be...Suggested
- ...is seeking a Registered Nurse to provide high-quality patient care in an acute setting. You will assess patients, plan and implement care, and... ...function and safety. The role requires a BSN, an active RN license, and strong clinical skills in infection prevention, wound...Suggested
$36.9 - $52.7 per hour
...We’re different than most primary care providers. We’re rapidly expanding and... ...great people to join our team. The Acute Care Manager, Complex Care (RN) is responsible for achieving positive... ...and plan accordingly Understanding utilization review and how to leverage with...SuggestedHourly payFull timeWork experience placementWork at office- Job Description - RN Transitional Care Coordinator-Seidman Cancer Center (2... ...modifies a patient's post-acute care plan, identifies any barriers... ...to care (PCI, ACO, Managed Care teams). Additional Responsibilities... ...and knowledge of utilization management, case management...SuggestedWork experience placement
- ...recruiting for a Registered Nurse (RN) specializing in dialysis. The Dialysis RN provides expert care for patients with end-stage renal disease, acute kidney injury, and chronic kidney disease... ...to VA standards, and self-directed management of complex patient situations in a...SuggestedFlexible hours
- ...with a multidisciplinary team to provide acute and residential behavioral health services... ...adolescents. The role requires an active Ohio RN license, an Associate Degree in Nursing,... .... Competitive benefits include health care, retirement, PTO, and fertility/childcare...Part timeAfternoon shift
- The Cleveland Clinic invites applications for Urgent Care physicians who are Board Certified or Board Eligible in Family Medicine or... ...Ohio. This role emphasizes leadership of APPs and high-quality acute outpatient care. We offer competitive compensation, robust benefits...Relocation package
$47 per hour
...Job Description Job Description Job Title: RN – Utilization Manager Location: Middleburg Heights, OH Schedule: ~ Full... ...Utilization Manager to support clinical reviews and care coordination in an acute care setting. The ideal candidate will have a strong...Full timeLocal areaImmediate startShift work$37.4 - $56.11 per hour
...competitive pay and benefits. Summary Manages appropriate cost-effective utilization of services across the care continuum to align with... ...encounters to capture authorization for acute care provided. Collaborates... ...with formal denial appeal RN team. Minimum Qualifications Formal...Daily paidFull timeTemporary workFlexible hoursNight shift- Intermountain Health is seeking a Registered Nurse (RN) to assess, plan, implement, and evaluate patient care, coordinating with the interdisciplinary team and family. The role emphasizes evidence-based practice, timely documentation, and professional accountability. The...
- University Hospitals is seeking an Assistant Nurse Manager for the Cardiothoracic Acute Care Step Down Unit. The ANM will lead and support the team, dedicating roughly 50% of time to staffing and 50% to leadership activities on Lerner Tower 3. The role emphasizes patient...
- Cleveland Clinic’s Integrated Hospital Care Institute seeks an Experienced Physician Assistant or Acute Care Nurse Practitioner for an Inpatient SICU role at Fairview Hospital. You will cover general surgery, neuro surgery, trauma and open heart cases with rotating days...Night shift
$41.15 - $61.72 per hour
...organization and competitive pay and benefits. Acute Care Management Administration Full-Time Days Summa... ...Provides development and oversight of utilization management. Serves in a leadership... ...in utilization management. Ability to lead and facilitate interdisciplinary care...Daily paidFull timeTemporary workFlexible hours- ...System is recruiting a full-time Registered Nurse - Nurse Manager. This role operates within Acute Care Nursing Service and emphasizes leadership in clinical... ...care, and 2+ years in nursing leadership, with active RN licensure in the United States. Responsibilities include...Full time
- ...Reserve University’s University Health and Counseling Services seeks a Staff Registered Nurse 2 to provide age-appropriate nursing care for students, faculty, and staff. Responsibilities include direct patient care in diverse clinical settings, triage, referrals, and...
- ...will collaborate with psychiatrists, therapists, and case managers to coordinate care for children and adolescents with mental health needs. You... ...education, and participate in leadership tasks during shifts. Ohio RN licensure and PMH nursing training are required or...Full timeShift workAfternoon shift
$30 - $34 per hour
...delivering high-quality, proactive care directly to residents in... ...with MedElite Healthcare Management Group empowers us to focus on... ...detail-oriented Licensed Nurse (RN) to serve as a Nursing Care Coordinator... ...verticals. Systems Utilization : Maintain proficiency across...Hourly payFull timeFor contractorsWork at officeRelocation packageMonday to Friday- Alternate Solutions Health Network, LLC seeks a Registered Nurse Case Manager to lead assessment and care planning, coordinating disciplines and providing clinical care under physician direction. The RN educates patients and families and ensures safe, billable care with...
- Summa Health is seeking an RN Administrative Supervisor on the Akron Campus to direct and monitor patient care activities, assign and develop staff, and optimize resource use... ...flow. You will collaborate with nurse managers and interdisciplinary teams to ensure high-quality...Night shift
- Pinnacle Care Providers, LLC is seeking a physician to join our post-acute medical practice serving skilled nursing, long-term care, assisted living, and senior living communities. The role involves scheduled onsite rounds and close collaboration with APPs, care coordinators...
- King David is currently seeking a full-time RN Unit Manager to lead the nursing unit, ensuring the highest quality of care with dignity, respect and compassion. You will supervise... ..., patient-focused environment. #J-18808-Ljbffr King David Post Acute Nursing & RehabilitationFull timeFlexible hoursWeekend work
- ...Summa Health System is seeking a Full-Time Utilization Management Nurse to optimize cost-effective care across the hospital care continuum. The role involves performing initial and concurrent reviews, aligning with Medicare/ payer guidelines, and applying clinical criteria...Full time
- ...Job Description Job Description Job Summary RN Utilization Manager Talented Medical Solutions Full-time, Contract In-Office | Middleburg Heights, OH, United States Schedule: Full-Time 40 hours per week, 5 (8) hour shifts 8a-4:30p. Start Date:...Full timeContract workWork at officeImmediate startShift work
- ...One. Job Title RN Case Manager Location... ...Department Care Management Nursing Institute... ...advanced, technology is leading-edge, patient care is... ...synchronization throughout the acute episode. ~... ...recent experience in utilization review, quality or...Full timeShift workWeekend work
- ...seen here include, but are not limited to, management of anti-dysrhythmic medications, pre &... ...post cardiac invasive procedural & surgical care, chronic heart failure and pulmonary... ...\n \n Why choose UH as a New Grad RN? \n \n \n Academic/Teaching Hospital...Hourly payFull timeInternshipRelocation package
- A leading healthcare provider in Cleveland is seeking a dedicated Nurse Practitioner to provide high-quality care for seniors. The role involves working collaboratively with a care team,... ...with patients to set health goals, and utilizing evidence-based practices to improve...
- University Hospitals is hiring a Registered Nurse (RN) for the Neurology Acute Care/Step Down Unit in Cleveland, Ohio. This Weekender... ...regular pay. With a thorough orientation, nurses will manage neurology patients, utilizing advanced nursing practices and technical equipment...Relocation packageShift workWeekend workDay shiftAfternoon shift
$75k - $85k
Clinical Lead - CCM Manager (Chronic Care Management / Principal Care Management) Title : CCM Manager (Chronic Care Management / Principal Care Management... ...with a mission to serve a vulnerable, underserved post-acute care facility population across the country. This role...Full timeTemporary workFlexible hours$40 per hour
...Hospital (LTACH) Case Manager (PRN)Select... ...compassionate, excellent care every step of the... ...is responsible for utilization reviews and resource... ...either as a Nurse (RN /LPN/ LVN) or a Respiratory... ...with critical care/acute care patients. (... ...which could lead to potential full-time...Daily paidFull timePart timeReliefShift workWeekday work- ...Job Description Job Description Resident Care Coordinator - Nursing At Forest Hills Place Assisted Living... ...Minimum 2 years of experience in long-term care or acute care nursing Current Registered Nurse (RN) licensure in the State of Ohio Strong communication...
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