12 utilization review case manager jobs at 2 companies in Rhode Island
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Case Manager (NE)
North Providence, Rhode Island, United States
OnsitePart Time
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
Nursing graduate with a current RN license in Rhode Island or a Nurse Licensure Compact state. Case management, utilization review, discharge planning, and InterQual or MCG experience required or preferred.
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
5+ YOECurrent RI RN license (or compact), 5+ years clinical experience preferred with case management/discharge planning/utilization review, familiarity with InterQual/MCG, strong interpersonal and clinical documentation skills.
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
5+ YOENursing school graduate with current Rhode Island RN license or Nurse Licensure Compact eligibility. Five years of clinical experience in case management, utilization review, patient navigation, or discharge planning strongly preferred.
Care Port, InterQual, MCG, Microsoft SharePoint, Meditech
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
5+ YOEGraduate of a school of nursing (BSN preferred) with current RN license (RI or NLC). ~5 years clinical experience with case management, utilization review, discharge planning preferred. Familiarity with InterQual/MCG criteria; strong interpersonal, documentation, and Microsoft Office skills.
CarePort, Allscripts, Spacelabs, Athena, SharePoint, Meditech, InterQual, MCG, Microsoft Office, Outlook
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
3+ YOERhode Island RN license and 3–5 years of related clinical or case management experience required. Case management certification, care coordination, utilization review, discharge planning, communication, medical data interpretation, and computer systems knowledge required or preferred.
Care New England Health System: Integrated non-profit health system providing multi-specialty medical care.
5+ YOEActive RI RN license, BSN or equivalent, 5+ years acute care or case management experience, knowledge of utilization review/discharge planning, strong interpersonal and leadership skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOECurrent Rhode Island RN license and bachelor\u0002s in nursing (or equivalent); 5+ years acute care or case management experience; knowledge of utilization review, discharge planning, and payor regulations; strong communication and analytical skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEActive RI RN with bachelor\u0002s in nursing or equivalent, 5+ years acute care or case management, knowledge of utilization review/discharge planning, strong communication and analytical skills, Epic and Cerner documentation.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
2+ YOEActive Rhode Island RN license, graduate of accredited nursing program, 2+ years acute care experience, knowledge of utilization review/case management, CCM or ACM certification within 24 months, strong communication and analytical skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
2+ YOEActive Rhode Island RN license, 2+ years recent acute care experience, knowledge of case management and utilization review, CCM or ACM certification within 24 months preferred, bachelor\u0002s or master\u0002s degree preferred, strong communication and leadership skills.
Care New England Health System: Integrated non-profit health system providing multi-specialty medical care.
2+ YOEActive unrestricted Rhode Island RN license, graduate of accredited nursing school; bachelor’s in nursing preferred; minimum 2 years recent acute care experience; knowledge of case management, utilization review, quality assurance; CCM or ACM certification required or to be obtained within 24 months.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEBachelor of Nursing and RN license required, minimum 5 years clinical experience, experience with case management, utilization review, and discharge planning.