36 rn utilization manager jobs found

Job Description Description Areas of focus include Medicine, Oncology, Cardiac, and Psychiatry Services Preferences given to candidates with Medical Surgical and/or Psychiatry bedside experience. The Team: Completes clinical reviews for all areas: Inpatient, Observation, Extended Recovery Ensures compliance in accordance to government's federal rules and regulations related to patient care and reimbursement Interacts with the Interdisciplinary Team for patient care progression Protects hospital revenue by working with payors for insurance authorizations, denials, and appeals Delivers mandated federal notices to patients/ patient representatives related to their payer source 40 hrs/week (Monday-Friday) Weekend rotation Holiday rotation No Nights No on-call Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. Responsibilities: 1. Patient Assessments: a. Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional...

Job Description Description Have you ever considered a role in Care Management? UNC Medical Center is the place for you! What is the schedule? 40 hrs/week with flexible schedule options available Weekend rotation Holiday rotation No Nights No on-call Who are we looking for? Experienced RNs who: Have at least 2 years of RN experience (preferably in Adult Acute Care) Have an interest in driving the discharge process Enjoy advocating for patient needs and care progression Thrive in a team environment Would like to learn how to be a Care Manager or would like to continue their Care Manager career at UNC Medical Center If this sounds like you…apply now! Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing...

locationsCobb Hospital time typeFull time posted onPosted 3 Days Ago job requisition idJR-41921 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) This RN Oncology Infusion role is an Outpatient -FT Days on our Cobb Hospital campus. Oncology experience required Apply today and virtually interview this week! Job Posting How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue...

locationsPaulding Hospital time typeFull time posted onPosted 6 Days Ago job requisition idJR-52600 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Registered Nurse Oncology Infusion Float-Paulding Shift: FT Day **Sign on Bonus Eligible** The RN Oncology Infusion Therapy Clinician functions under the direction of the Manager Infusion Therapy or other designated leader. The RN Oncology Infusion Therapy Clinician demonstrates knowledge, competency, and clinical...

Job Description Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare providers, patients, and their families to ensure that patients receive the highest quality of care and support throughout their healthcare journey. Responsibilities: 1. Patient Assessments: a. Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional abilities,...

UOVUNIUSR0071689EXTERNALENUS Lead with heart and purpose on UVA Health’s Acute Inpatient Oncology Unit—where clinical excellence meets transformative leadership. As Nurse Manager of this 28-bed, state-of-the-art unit in our South Tower, you’ll champion a team that delivers high-acuity hematology, gynecologic, and neuro-oncology care, supported by breakthrough therapies and a collaborative, Magnet-recognized culture. This Role Offers You the Opportunity To: • Drive operational excellence by managing daily clinical and administrative functions for a high-performing team of RNs, PCAs, technicians, and clerical staff. • Strategically oversee staffing, scheduling, and flex resource utilization based on patient flow and acuity. • Lead with data: forecast and manage budgets, ensuring alignment with benchmarks such as Paid Hours Per Patient Day and WHPPD. • Inspire a culture of quality through continuous improvement programs, patient experience initiatives, and evidence-based practice. •...

BSMBSZUSR266962EXTERNALENUS With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities. Bon Secours About Us As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Registered Nurse (RN) – Nurse Navigator - Oncology Service Line Support – Bon Secours Cancer Center...

BSMBSZUSR267172EXTERNALENUS With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities. Registered Nurse (RN) - Oncology - Bon Secours Hematology and Oncology Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members....

locationsCobb Hospital time typeFull time posted onPosted 30+ Days Ago job requisition idJR-18879 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. This role is FT Nights in our Oncology unit here at Cobb hospital. Sign on bonus and relocation assistance eligible. 36 hour work week. Apply today and virtually interview this week. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and...

locationsSpalding Medical Center time typeFull time posted onPosted 6 Days Ago job requisition idJR-60353 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Night (United States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers...

locationsSpalding Medical Center time typeFull time posted onPosted Today job requisition idJR-63551 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other...

locationsCobb Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-61156 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) This role is FT Days Shift: 7a-7p The Oncology Unit is a twenty-eight-bed unit with a primary emphasis on care of the adult cancer patient requiring inpatient treatments. The unit provides services to adult patients 24 hours a day. The unit is able to accommodate inpatient hospice needs and Oncology Medical-Surgical Telemetry...

locationsKennestone Hospital time typePart time posted onPosted 2 Days Ago job requisition idJR-56809 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Hours: PT Days - 2/12s Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered...

locationsDouglas Hospital time typeFull time posted onPosted 25 Days Ago job requisition idJR-41854 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar...

remote typeOnsite locationsSpalding Medical Center time typePart time posted onPosted 2 Days Ago job requisition idJR-56294 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is...

locationsNorthwest Georgia Oncology Centers Wellstar time typePart time posted onPosted 30+ Days Ago job requisition idJR-19637 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Supervisors/ Office Managers and other...

locationsKennestone Hospital time typePart time posted onPosted 3 Days Ago job requisition idJR-50887 How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Night (United States of America) SHIFT: Part-time Nights (36 hrs per pay period: One 12-hr shift one week, Two 12-hr shifts the next week) Overview The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality,...

BSMMHPUSR266480EXTERNALENUS Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members.                                                                                                                                                                            Essential Job Functions In collaboration with the...

BSMMHPUSR266479EXTERNALENUS Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members.                                                                                                                                                                            Essential Job Functions In collaboration with the...

ROPRSFUSR266779EXTERNALENUS Thank you for considering a career at Roper St. Francis Healthcare! Address: 3500 N Hwy 17, Mt Pleasant, SC 29466 Schedule: Monday-Friday; 8:00 AM - 5:00 PM At least one year of RN experience strongly preferred Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members.                                                                                                                                                                            Essential Job Functions In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements...

BSMBSZUSR259992EXTERNALENUS With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities. Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members.                                                                                                                                                                            Essential Job Functions In collaboration with the interdisciplinary...

BSMMHPUSR253717EXTERNALENUS Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Summary of Primary Function Delivers patient care utilizing the nursing process through data collection and assessment, identifies and determines the priority of patient’s problems/needs, and evaluates the process and outcome of nursing care; coordinates, provides and directs patient teaching activities and coordinates the care provided by health team members.                                                                                                                                                                            Essential Job Functions In collaboration with the...

BSMMHPUSR251469EXTERNALENUS Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. * Must have a minimum of 1 year RN experience - New Grads or less than 1 year are not eligible. * Weekend Only Night Shift * Premium pay for working weekends * 1 weekend off per quarter * Weekend only nights begins 7:00pm on Friday and goes through 7:00am on Monday - 24 hours must be worked during that time frame * Benefit premiums are based on FT rates Summary of Primary Function/General Purpose of Position The Registered Nurse Medical/Surgical functions as a care provider of a multidisciplinary care team responsible for the delivery of patient care through using the...