- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... (CCM, ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21,000 hiring incentive for eligible candidates!...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
- NavitsPartners (Boston, MA)
- Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday ... - $2,890 Position Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in...case management role Demonstrated experience in discharge planning and utilization review within the past 4 years… more
- Boston Medical Center (Boston, MA)
- …Management Certification (CCM) preferred or obtained within 24 months Knowledge of utilization review , discharge planning, managed care, and community resources ... Are you a collaborative RN who thrives in a fast-paced environment and...Care Management team and help patients navigate the healthcare system with efficiency, compassion, and clinical expertise. Why You'll… more
- NavitsPartners (Hyannis, MA)
- Job Title: Travel Registered Nurse ( RN ) - Case... - Case Manager to support care coordination and utilization review in an acute care setting. The ... setting Recent experience (within the past 4 years) in Discharge Planning and Utilization Review Strong understanding of InterQual(R) or equivalent criteria … more
- Odell Medical Search (Los Angeles, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. Assesses ... Management is responsible for the development of staff and systems to effectively operate a comprehensive Case Management Program....40m by car Required qualifications: 1. MUST BE A REGISTERED NURSE 2. Grandfathered prior to April… more
- Community Health Systems (Statesboro, GA)
- …software. Commitment to patient-centered care and continuous quality improvement. Licenses and Certifications RN - Registered Nurse - State Licensure and/or ... clinical nursing experience required 3-5 years of experience in care management or utilization review required 1-3 years of leadership experience in a healthcare… more
- Jamie Grayem (Downey, CA)
- …the standards for corrective action plan for improvement identified through utilization review , clinical records audit, claim denials, patient satisfaction ... 429 beds. R Responsible for leading Situation Management Team to facilitate the review and evaluation of patient safety incidents. Will have one direct report.… more
- UnitedHealth Group (Gastonia, NC)
- … registered clinical license required in state of hire - Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot...help people live healthier lives and make the health system work better for everyone. We believe everyone-of every… more
- HC&N Healthcare Solutions (Miller Place, NY)
- …identify trends on a monthly basis Responsible for timely and accurate completion of Utilization Review and Triple Check Serves on, participates in, and attends ... and as directed by their supervisor and Administrator MDS Coordinator Qualifications : Registered Nurse with current, active license in state of practice.… more
- Ardent Health Services (Albuquerque, NM)
- Overview Join our team as a day shift, full-time, Community Outreach Programs Registered Nurse ( RN ) Population Health Coordinator in Albuquerque, NM. Why ... at least one year physician office experience (adult / family medicine). Quality Improvement, Case Management, Utilization Review , Risk Mgt./Safety experience more
- Rock County, WI (Janesville, WI)
- …shift differential New Hire Bonus of $2,000 distributed over the course of 1st year. A registered nurse ( RN ) is a professional nurse who is responsible ... Performs related work as assigned. Job Requirements, Education, Training & Experience Registered Nurse with current Wisconsin Licensure in good standing. CPR… more
- VITAS Healthcare (Washington, DC)
- …care is being delivered. Participates in the Outcomes Management and annual program review . Performs utilization review of continuous care and inpatient ... Verifies/approves admitting IPOC diagnosis, treatments, staffing and supplies. Monitors utilization of resources by every patient to assure cost effective… more
- Prisma Health (Columbia, SC)
- …in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse . In Lieu Of In lieu of one (1) year of ... registered nurse experience, will accept successful completion...nurse . Required Certifications, Registrations, Licenses Holds a current RN compact/multistate license recognized by the NCSBN Compact State… more
- University of Mississippi Medical Center (Jackson, MS)
- …of patients. To act as liaison on between case managers, home health nurses, utilization review , etc. To coordinate patient services and care. To perform job ... opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job...and Monitor Technicians Location/s: Main Campus Jackson Job Title: RN I - PRN - Cardiology - Adult Acute… more
- AdventHealth (Burleson, TX)
- …Baccalaureate, or Masters Degree program in Nursing. *Currently licensed to practice as a Registered Nurse in the state of Texas, or in a qualifying compact ... departments including "Great Place to Work" by Becker's Hospital Review and Gallup. Work with the latest technology and...low-cost of living. The role you'll contribute: The Staff RN coordinates the care and service of selected patient… more
- WVU Medicine (Martinsburg, WV)
- …Below, you'll find other important information about this position. The professional registered nurse has the authority, responsibility, and shift accountability ... delivery of nursing care through the use of the nursing process. The Registered Nurse accepts accountability, applies competent clinical knowledge skills, and… more
- Indiana University Health (Indianapolis, IN)
- …CCS-P, CPC, CIC, COG or CHDA (based on position/focus). Clinical Position - Requires an active Registered Nurse ( RN ) license in the state of Indiana or an ... in various quality initiatives across the Indiana University Health system . Must haves High School Diploma/GED is required. Associate...active Nurse Licensure Compact (NLC) RN license. BSN… more
