Utilization Management RN
Franciscan Missionaries of Our Lady Health System
Utilization Management Programs
Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric, adolescent, young adult, adult and geriatric patients. Incumbent of this position is responsible for planning, developing, implementing and monitoring these facility-wide programs. Responsible to ensure cost effective and quality patient care by appropriate utilization of hospital resources. Performs highly responsible professional nursing and administrative work in accordance with established standards, criteria, procedures, rules, regulations and policies. of the agency. Actively communicates with department heads to ensure compliance with these standards.
Franciscan Missionaries of Our Lady Health System$71.1k - $97.8k
...caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the... ...Qualifications ~ Associate's Degree ~ Licensed Registered Nurse (RN) with compact license in the (appropriate state) with no...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hoursWeekend workWeekday work$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination... ...Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...family members on treatment, medication management, and condition status. Serves as a liaison... ...manager, home health nurses, dietary, utilization review, and other hospital staff as needed... ...or Registration Required: Valid RN license Certifications, Licenses or Registration...SuggestedCasual workSeasonal work
- ...RN Care Coordinator-Cardiology-PRN To support disease management tasks which include clinical responsibilities such as proactive monitoring, assessment, education... ...in clinical nursing with chronic disease, utilization review and/or quality management Knowledge,...SuggestedHourly payPart timeCasual workRelief
- ...multidisciplinary teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications... ...of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of...SuggestedWork at office
- ...Center, LLC, is seeking aRegistered Nurse (RN) Supervisor ManhattanNursing and... ...where indicated for better patient care and utilization of such personnel. # Supervises and evaluates... ...and assists with those completed by Unit Managers and/or Charge Nurses, as needed. #...Full timeAll shiftsMonday to FridayShift work
- ...Case Manager Case Managers will apply systems, science, incentives, and information to... ...Level of Service and Intensity of Care. Utilize InterQual criteria within the first 24 hours... ...for the State of MS): Registered Nurse (RN) by the State Board of Nursing Required....Flexible hoursWeekend work
- ...RN (Registered Nurse), Case Manager City/State: Jackson, Mississippi Shift: 8H Days 8 hr days, 08:00:00-16:00:00 Contract Length: 13 weeks... ...Therapy and Pharmacy as needed for discharge planning. Utilize EPIC for charting and manage patient documentation...Full timeContract workPart timeShift work
$2,241.2 - $2,336.2 per month
...Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Jackson, Mississippi Start Date: August 6, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2241.2 - $2336.2 Duration: 13 weeks Specialty: Case Management/Utilization...Contract workShift work$2,206 - $2,301 per month
...Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Jackson, Mississippi Start Date: August 26, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2206 - $2301 Duration:13 weeks Specialty:Case...Hourly payWeekly payContract workShift work- ...Category: Nursing Organization: Case Managers Location/s: Main Campus Jackson Job Title: RN Case Manager - PRN Job Summary: To... ...one (1) year of which is in case management, utilization review, utilization management, or performance...Hourly payPart timeWork experience placementReliefSeasonal workShift work
- ...RN Case Manager I - Inpatient- PT RN Case Manager-Inpatient coordinates comprehensive, cost-effective care for a designated patient... ...multidisciplinary team to ensure quality patient care and appropriate utilization of services. Evaluates medical necessity, manages resources...Hourly payPart timeSeasonal workLocal areaShift work
- ...for the day-to-day operations of the care management clinical staff under the general... ...productivity, referral patterns, cost savings, utilization in order to trend and provide... ...supervise staff. ~ Current Mississippi RN license ~ BLS Franciscan Missionaries...
- ...Job Description The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of...Full time
- ...Case Manager 1 The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care... ...Current and unrestricted Mississippi State License as RN Franciscan Missionaries of Our Lady Health SystemReliefLocal area
- ...scheduling, maintaining patient records and managing the patient admissions process. To... ...between case managers, home health nurses, utilization review, etc. To coordinate patient services... ...% to 50%, constant-51% or more) Valid RN license Knowledge of clinical nursing...Casual workSeasonal workImmediate start
- ...Description: Job Summary: Support patients to which the RN-Case Manager I is assigned by facilitation of appropriate care coordination... ...monitoring schedule and evaluation related to discharge planning. Utilizes critical-thinking /clinical judgement/ and best or evidence-...Casual workLocal area
- ...and coordinates efforts to meet resource management goals, enhances patient outcomes, and monitors... ...resources, and follow-up care. Utilizes reports, data, and scheduling tools to evaluate... ..., or Registration required: Valid RN license Preferred Qualifications: RN...Casual workImmediate start
- Job Title We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability. Manhattan NRC LLC
$56.2k - $101k
...Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high... ...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State...Full timePart timeLive inWork at officeLocal areaRemote workFlexible hours- ...scheduling, maintaining patient records and managing the patient admissions process. To... ...between case managers, home health nurses, utilization review, etc. To coordinate patient services... ...Requirements: Certifications, Licenses or Registration required: Valid RN License...Casual workSeasonal work
$2,516 per month
...Medical Center - University Hospital Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 18904307 Job Title RN - Case Manager Weekly Pay $2516.0 Shift...Weekly payFlexible hoursShift work- ...RN Case Management/Discharge Planning This position involves case management and discharge planning for a variety of patients. Candidates will be required to manage an average caseload of 15-20 patients per day. RNs will collaborate with a social work team consisting...Full timeTemporary workPart timeLocumLocal areaMonday to Friday
- ...responsible for overseeing patient care, staff management and day to day operations of a specific... ...unit. Coordinates and provides care utilizing the critical thinking framework known as... ...Licensure: Minimum Required: ~ RN; BLS CERTIFICATION WITHIN 14 DAYS OF HIRE...
- Registered Nurse We are seeking a compassionate and skilled Registered Nurse to join our team and provide high-quality care to our patients. The Registered Nurse will assess patients' health needs, develop and implement care plans, and provide ongoing support and monitoring...Part timeWeekend workDay shift
$2,346 per month
...University of Mississippi Medical Center Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 18912183 Job Title RN - Case Manager Weekly Pay $2346.0 Shift...Weekly payExtra incomeContract workShift workDay shift$2,166 per month
...University Of Mississippi Medical Ctr Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 37718513 Job Title RN - Case Manager Weekly Pay $2166.0 Shift...Weekly payShift work$2,116 per month
...Center - Jackson - MedicalSolutions Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 37718501 Job Title RN - Case Manager Weekly Pay $2116.0 Shift Details...Weekly payLocal areaShift work$2,186 per month
...Client Name University Hospital (MS) Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 18912117 Job Title RN - Case Manager Weekly Pay $2186.0 Shift...Weekly payContract workShift work- RN - Case Manager Shift: 8H Days Start Date: 08/17/2026 End Date: 11/16/2026 Duration: 13 Week(s) City: Jackson State: MS Weekly Pay is estimated and does not include taxes, insurance, or other deductions that may occur.Weekly payShift work
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