- Ascension (Wichita, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . Review admissions and service requests within ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to… more
- Lifepoint Health (Louisburg, NC)
- Description Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by ... as an employee but as a person. As a registered nurse ( RN ) joining our...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
- Life Care Center of McMinnville (Mcminnville, OR)
- …nursing) Currently licensed/ registered in applicable State. Must maintain an active Registered Nurse ( RN ) license in good standing throughout employment ... additional $1/hour added to your base pay for each full -time nursing staff member you refer, as long as...in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred… more
- Team Select Home Care (West Palm Beach, FL)
- …more heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse ( RN ), where you'll bring comfort and confidence to families ... and start your next chapter with Team Select! A Registered Nurse ( RN ) administers skilled...EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality… more
- HCA Healthcare (Kansas City, MO)
- …our nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse RN Case Manager to join our healthcare family. Benefits ... their passion for patient care. Apply today for our Registered Nurse RN Case Manager...What you will do in this role: Responsible for utilization review , discharge planning and care coordination… more
- Optum (Portland, ME)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... etc.; serves as an educational resource to all Health System staff regarding utilization review Assumes roles in assessment physical, psychosocial, & economic… more
- American Traveler (Madison, WI)
- American Traveler is seeking an experienced RN Case Manager for a daytime rehab utilization review position requiring an active RN license and two years ... in a rehabilitation hospital setting, *Role is within the Utilization Review department, *Day shift schedule from...shift schedule from 08:00 to 16:30, Job Requirements *Active RN license required at time of consideration, *A minimum… more
- BRISTOL HOSPITAL GROUP (Bristol, CT)
- … Full Time Education Level 4 Year Degree Job Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day ... inpatient care. Essential Job Functions and Responsibilities: The UM, Registered Nurse role is to provide direct...guidelines and implement processes as outlined in CFR 482.30 ( Utilization Review ) Finally, the UM nurse… more
- Wellstar Health System (Roswell, GA)
- …Summary: Wellstar North Fulotn Hospital has an opportunity for an Acute Care - Registered Nurse ( RN )- Neuro . Full -time Night The RN Clinical ... and Certification(s): All certifications are required upon hire unless otherwise stated. Reg Nurse (Single State) or RN - Multi-state Compact Basic Life Support… more
- Riverside Health System (Hampton, VA)
- …confidentiality Proficiency with computer systems required to perform job Licenses and Certifications Registered Nurse ( RN ) - Virginia Department of Health ... and Care Management team members based upon a thorough medical record review and knowledge of federal and evidence-based guidelines, including CMS Conditions of… more
- Tenet Health (Delray Beach, FL)
- …standards, and Tenet policy; Education provided to physicians, patients, families and caregivers. The Registered Nurse / RN Case Manager is a nurse ... with strong clinical knowledge and leadership skills. The Registered Nurse / RN Case...knowledge and experience with case management care coordination, and/or utilization review Track record and comfort in… more
- Veterans Health Administration (Phoenix, AZ)
- …include but not limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... level degree in Nursing may have opportunity to become registered as a nurse with a state...qualification requirement. Additional information Annual leave shall accrue for full -time Nurses, and Nurse Anesthetists at the… more
- Pennsylvania Medicine (Lancaster, PA)
- …Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and ... you living your life's work? Job Description LOCATION : Lancaster, PA HOURS : Full -Time, Day Shift, 0.9 FTE (36 hours/week, 3, 12-hour shifts). 7a-7p. Every third… more
- Vensure Employer Services (Humble, TX)
- …interventions required, while promoting and ensuring optimal client care. The position of Registered Nurse shall be a criteria-based position with well- defined ... breaks. Performs work to the best of abilities, devoting full effort and attention to the task(s) at hand....interface with physicians, third party payers. Maintains cost effective utilization of client supplies and soft goods and durable… more
- Progeny HR Solutions LLC (El Paso, TX)
- … MGR - NCM) JOB RESPONSIBILITIES- Registered Nurse Manager - Case Management RN MGR - NCM Full -Time Registered Nurse Manager candidates for the ... families as needed You will complete accurate and timely utilization review of patient charts to insure...Registered Nurse Manager - Case Management RN MGR - NCM Full -Time Registered… more
- Optum (Minnetonka, MN)
- …Must have strong analytical, critical thinking and organizational skills Knowledge of Utilization Review , Medicare Requirements processes as well as State and ... for more than a century. Explore opportunities across the full spectrum of care as you help us improve...Federal regulations pertaining to Utilization Review and Discharge Planning The salary… more
- HCA Healthcare (Miami, FL)
- …nurses at HCA Florida Mercy Hospital have the opportunity to make a real impact. As a(an) Registered Nurse RN IRF you can be a part of change. Benefits HCA ... improve positive outcomes for your patients as a (an) Registered Nurse RN IRF. We...of critical care experience Certification in case management or utilization review preferred InterQual experience preferred HCA… more
- HCA Healthcare (Austin, TX)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage ... gain certifications and job skills. Apply today for our Registered Nurse Case Manager opening and continue...Nurse Case Manager opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
