• University of Maryland Medical System (Upper Marlboro, MD)
    …Region Medical Center) will provide improved access to primary and ambulatory care services , and serve as a tertiary care center for critically ill patients. In ... directing, supervising and coordinating patient care activities and nursing services of a nursing unit on a 24 hour...unit professional and support staff in order to maximize utilization of their time and abilities. P r incipal… more
    Upward (07/20/25)
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  • UHS (Washington, DC)
    …shift to shift oversight for clinical practice, staffing, patient flow, safety, service , and utilization of resources for daily operations. Maintains the ... hospital in Washington, DC, to be recognized for this service line. "At GW Hospital, we are proud to...we are proud to offer a range of advanced services and treatments. Our multidisciplinary care teams are dedicated… more
    Upward (07/16/25)
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  • Baylor Scott & White Healthcare (College Station, TX)
    …- cardiac sonography experience required. TEE, intra-op PFO and intra-op LAAO a plus . NICU and pediatric experience also a plus - but not required. About Us Here at ... The Cardiac Sonographer 2 performs basic to advanced cardiac ultrasound services . These include transthoracic, transesophageal, and stress tests for adults. These… more
    Upward (06/27/25)
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  • Methodist Health System (Omaha, NE)
    …or handling excreta from patients who have received hazardous medications. 9. Review , delegate and evaluate plans for appropriate utilization of staff ... Demonstrate ability to identify opportunities for and give individualized customer service /patient care according to customer/patient needs. 2. Perform an initial… more
    Upward (07/18/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Madison, WI)
    …**Preferred Qualifications** + NICU experience highly preferred + Managed care/ utilization review experience + Ability to multitask, prioritize and ... appropriate treatment, evidence-based care and medical necessity criteria for appropriate utilization of services . + Utilizes clinical skills to coordinate,… more
    CVS Health (07/23/25)
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  • Nurse Manager II - NICU

    Texas Health Resources (Plano, TX)
    **Nurse Manager II - NICU ** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like ... of Plano, Frisco, Carrollton, Addison, Richardson, and McKinney. As a 386-bed, full- service hospital, we're proud to deliver exceptional care to North Texans through… more
    Texas Health Resources (07/16/25)
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  • Care Manager - Registered Nurse ( NICU )

    Crouse Hospital (Syracuse, NY)
    …programs. Crouse's Care Coordination Services team is hiring a Care Manager (in the NICU ) to review the services delivered to patients and compare it to ... range of general and specialty care, inpatient and outpatient services , as well as community health education and outreach...(3) - Five (5) years acute hospital experience. + NICU experience + Case Management or Utilization more
    Crouse Hospital (07/03/25)
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  • Nurse Educator NICU

    Baystate Health (Springfield, MA)
    …advancement of clinical nursing practice and professional development through review , critique, and dissemination of relevant current literature, research findings, ... Care Unit at Baystate Children's Hospital is the region's only Level III NICU . + We have a team of neonatologists, neonatal nurse practitioners, residents, pediatric… more
    Baystate Health (07/08/25)
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  • NICU Case Manager Austin Market Float Pool…

    HCA Healthcare (Austin, TX)
    …and retrospective review of patient medical records for purposes of utilization review , care coordination compliance with requirements of external review ... **Introduction** Do you have the career opportunities as a NICU Case Manager Austin Market Float Pool PRN you...a part of the nation's leading provider of healthcare services , HCA Healthcare. Do you want to work where… more
    HCA Healthcare (06/21/25)
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  • Clinical Pharmacist NICU

    AdventHealth (Shawnee, KS)
    **Clinical Pharmacist NICU ** **- AdventHealth Shawnee Mission** **All the benefits and perks you need for you and your family:** - $5000 Sign-On Bonus - Vision, ... teams and staff, and a wide variety of medical services , all at our hospital in Shawnee Mission, Kansas....and/or satellite pharmacy areas . Oversees and ensures appropriate utilization of medication automation, technology, and computer systems .… more
    AdventHealth (07/04/25)
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  • Advanced Clinical Pharmacist NICU

    HCA Healthcare (Tallahassee, FL)
    …Hospital which is part of the nation's leading provider of healthcare services , HCA Healthcare. **Benefits** HCA Florida Capital Hospital, offers a total rewards ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
    HCA Healthcare (06/21/25)
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  • Utilization Review Nurse…

    Houston Methodist (Houston, TX)
    …determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, Medicaid, and ... At Houston Methodist, the Utilization Review Nurse (URN) position is...or concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation,… more
    Houston Methodist (05/20/25)
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  • Utilization Review RN

    Dignity Health (Bakersfield, CA)
    …+ AHA BLS + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Proficient in application of clinical guidelines ... **Responsibilities** Responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the… more
    Dignity Health (07/18/25)
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  • Pediatrics Neonatology

    University of Maryland, Baltimore (Baltimore, MD)
    …2. Directs activities related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and ... of utilization and risk management activities including monitoring of service utilization , adherence to corporate compliance plan, attainment of productivity… more
    University of Maryland, Baltimore (07/16/25)
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  • Manager - Case Management & Social Services

    Houston Methodist (Sugar Land, TX)
    …percentage, and other areas according to department specifications. + Manages utilization management (UM) programs including Medical Claims Review , ... and spine care; orthopedics and sports medicine; heart and vascular care; women's services ; childbirth center with level III NICU ; bariatric and digestive care;… more
    Houston Methodist (04/24/25)
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  • Director Acute Rehabilitation and Respiratory…

    Banner Health (Mesa, AZ)
    …in partnership with physician and facility leaders, in managing the quality of services provided across the service line. Demonstrates and directs employees in ... a day. The Director for Acute Rehabilitation and Respiratory Services will run the daily operations of the rehabilitation...100 dedicated to children and 76 dedicated to our NICU . Areas of excellence include high-risk pregnancy and neonatal… more
    Banner Health (05/01/25)
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  • Maternal-Child Health Nurse II - (Regular & Per…

    Ventura County (Ventura, CA)
    …maintains records and prepares reports; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Santa Paula Hospital offers a comprehensive list of inpatient and outpatient services and full- service departments for diagnostic procedure, treatment, aftercare… more
    Ventura County (06/07/25)
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  • Clinical Pharmacist

    The County of Los Angeles (Los Angeles, CA)
    …, Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information, ... , Burn ICU), Oncology, Parenteral Nutrition, Ambulatory Care, Drug Utilization Review , Anti-Coagulation, Purchasing Consultant, Drug Information,… more
    The County of Los Angeles (07/01/25)
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  • Director of Nursing - NP Services - FT Days

    Houston Methodist (Sugar Land, TX)
    …actions upon non-compliance (ie, licensure/certification compliance, focal point review requirements, disaster plan, in- services , influenza immunization, ... staff to meet overall objectives in terms of quality, service and cost effectiveness. Provides timely guidance and feedback...orthopedics and sports medicine; heart and vascular care; women's services ; childbirth center with level III NICU ;… more
    Houston Methodist (05/28/25)
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  • RN/Case Manager-MSH-Case Management-FT-Days

    Mount Sinai Health System (New York, NY)
    …**Experience Requirements** + Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or Case Manager preferred. ... are not limited to: a Reviews all new admissions to identify patients where utilization review , discharge planning, and/or case management will be needed using… more
    Mount Sinai Health System (07/15/25)
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