• The University of Vermont Health Network (Plattsburgh, NY)
    Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
    JobGet (06/01/24)
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  • Dana-Farber Cancer Institute (Boston, MA)
    …required, one of which must be in Nursing.Licensed as a Registered Nurse in the Commonwealth of Massachusetts.Hematology-Oncology experience required.Management ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
    JobGet (06/14/24)
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  • The University of Vermont Health Network (Elizabethtown, NY)
    …Skills Required:* Minimum 2-year college degree in nursing field. BSN preferred.* Must be a Registered Nurse ( RN ), licensed in good standing in NYS. Must ... keeping for all of employee health documents and reports. The manager is a registered professional nurse manager who is responsible for conducting inpatient Care… more
    JobGet (06/05/24)
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  • RN / Registered Nurse

    Texas Health Resources (Arlington, TX)
    ** RN / Registered Nurse - Utilization Management, Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort ... an acute hospital setting required and + 1 Year Utilization Management required and + Experience in case management,...the last three years preferred **Licenses and Certifications** + RN - Registered Nurse Current… more
    Texas Health Resources (06/13/24)
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  • Registered Nurse

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management** in support of the30th Medical Group at Vandenberg ... experience Licensure:** Current, full, active, and unrestricted license to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC… more
    ERP International (05/17/24)
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  • Registered Nurse 2…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 Utilization (NY HELPS) Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a bachelor's degree… more
    New York State Civil Service (05/24/24)
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  • RN Registered Nurse

    Ascension Health (Manhattan, KS)
    …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours...care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within… more
    Ascension Health (06/14/24)
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  • Registered Nurse

    McLaren Health Care (Detroit, MI)
    …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
    McLaren Health Care (04/16/24)
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  • Registered Nurse

    University of Washington (Seattle, WA)
    …artistic pursuits, and natural beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three years ... Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open Until Filled Salary: $7375 - $13,396 per month Shift:… more
    University of Washington (05/23/24)
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  • Registered Nurse

    University of Virginia (Charlottesville, VA)
    …2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED REQUIREMENTS ... Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians… more
    University of Virginia (06/06/24)
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  • Registered Nurse

    Ascension Health (Saginaw, MI)
    …regulations. **Requirements** Licensure / Certification / Registration: + Required Credential(s):* Registered Nurse credentialed from the Michigan Board of ... health care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within assigned unit… more
    Ascension Health (06/04/24)
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  • Registered Nurse , RN

    UC Health (Cincinnati, OH)
    …committed to providing an inclusive, equitable and diverse place of employment. The RN - Utilization Review nurse will use established criteria and ... Location: UCMC Department: Utilization Review Hours: 800-1630 Shift: First At UC...inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social… more
    UC Health (06/12/24)
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  • Utilization Review Registered

    Beth Israel Lahey Health (Needham, MA)
    …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission… more
    Beth Israel Lahey Health (06/12/24)
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  • RN Utilization Management - FT…

    Trinity Health (Albany, NY)
    …in Albany, NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr ... selected candidate will** : + Be responsible for the utilization management, both concurrent and retroactive for inpatient and...is realized. **Minimum requirements:** + Current and valid NYS RN license + Bachelor of Science in nursing, or… more
    Trinity Health (04/25/24)
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  • Utilization Management Nurse

    Actalent (Des Moines, IA)
    …new systems quickly - eg Microsoft Office, clinical documentation platforms, etc. Skills: registered nurse , utilization management, utilization review, ... management, interqual, medical surgery, OR, ER, CPC, Diagnostic Images Top Skills Details: registered nurse , utilization management, utilization review,… more
    Actalent (06/13/24)
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  • RN , Registered Nurse - Case…

    Crossroads Hospice & Palliative Care (Plymouth Meeting, PA)
    …+ Utilize case management principles to ensure continuity of care and appropriate resource utilization Registered Nurse Benefits & Schedule: + Monday to ... Registered Nurse Case Managers deliver direct... Registered Nurse Case Managers deliver direct care to patients...One of the most important aspects of being a Registered Nurse Case Manager is building trusting… more
    Crossroads Hospice & Palliative Care (04/27/24)
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  • Registered Nurse ( RN )…

    Trinity Health (Dubuque, IA)
    …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... social and public policy to promote social justice. The registered nurse at MercyOne is a collaborative...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession… more
    Trinity Health (06/15/24)
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  • Utilization Management RN Reviewer

    Cleveland Clinic (Stuart, FL)
    …as assigned. **Education:** + Graduate of an accredited school of nursing with licensure as a Registered Nurse ( RN ) in the State. + Bachelor of Science in ... Nursing preferred. **Certifications:** + Current valid license as a Registered Nurse ( RN ). + Basic...Requires three years equivalent full-time clinical experience as a Registered Nurse . + Prior Utilization more
    Cleveland Clinic (06/07/24)
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  • Registered Nurse - FT- Nights…

    Access Dubuque (Dubuque, IA)
    …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... Registered Nurse - FT- Nights -... Registered Nurse - FT- Nights - Float Pool **MercyOne**...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession,… more
    Access Dubuque (05/31/24)
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  • Utilization Management RN - Per Diem

    Trinity Health (Hartford, CT)
    …to control costs. **What you will do:** + As a ** Utilization Management Registered Nurse RN ** you will conduct prospective, concurrent and retrospective ... BSN degree + **Licensure** : Current Licensure as a registered nurse RN in Connecticut...of Care including an understanding of nationally recognized medical utilization criteria, HCFA/OBRA and state of Connecticut regulatory compliance… more
    Trinity Health (04/17/24)
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