- Novo Nordisk Inc. (Milwaukee, WI)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- Signet Health (Greensboro, NC)
- … apply for a job. https://careers-diamondhealth.icims.com/jobs/intro?in_iframe=1"> Welcome page Returning Candidate? Log back in! Nurse Manager, Behavioral Health ... Behavioral Health Services Greensboro, NC Signet Health, a national behavioral health management company, is currently recruiting for a full-time seasoned Nurse … more
- Signet Health (Little Rock, AR)
- …Little Rock, AR \u202f Signet Health, a long-time national behavioral health management company, is recruiting an experienced Nurse Director to manage ... AR. We seek a seasoned and dynamic professional with related management experience to oversee our hospital-based, behavioral health inpatient department.\u202f\u202f… more
- Signet Health (Louisville, KY)
- … apply for a job. https://careers-diamondhealth.icims.com/jobs/intro?in_iframe=1"> Welcome page Returning Candidate? Log back in! Nurse Director of Behavioral ... OverviewSignet Health, a national behavioral health management company, is currently recruiting for a full-time... company, is currently recruiting for a full-time seasoned Nurse Program Director to manage the Geriatric psychiatric inpatient… more
- Signet Health (Sullivan, IN)
- …Development and Community Education. The Director of Behavioral Health/Registered Nurse (RN) must have strong demonstrated leadership/ management experience ... OverviewDirector of Behavioral Health (Registered Nurse /RN) \u202f Great Opportunity.\u202f\u202fMonday-Friday, Day Shift Schedule! \u202f We are actively recruiting… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the electronic health record and other technological systems and is required to frequently apply a set of management principles to ensure smooth operations of ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health… more
- Saint Francis Health System (Tulsa, OK)
- …Type: Staff Current Saint Francis Employees - Please click HERE to login and apply .Full Time7p - 7aVirtual Nurse works from an on-site office location (not ... Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job...and support decision-making. Working knowledge of general disease state management processes, bio-psychosocial model, and clinical pathways. Ability to… more
- Adventist Health (Glendale, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- Signet Health (Clinton, MD)
- …Collaboration and Coordination with providers and State agencies regarding Case management members Collaboration with Community Support Programs Utilization ... PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day...assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified… more
- Mayo Clinic (Mankato, MN)
- …two years of nursing practice experience in the acute care setting. Nursing management or charge nurse experience preferred. Master's degree in nursing, business ... staff in interpretation/application of policies and procedures, problem solving, utilization and assignment of nursing resources, response to patient/family… more
- WellSpan Health (York, PA)
- Utilization Management Nurse (RN) - Case...Registered Nurse Upon Hire Required or + Registered Nurse Multi State License Upon Hire Required Apply ... effective and quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible for screening… more
- Veterans Affairs, Veterans Health Administration (Vancouver, WA)
- …a small-town charm, this is the place to call home. The VISN 20 Utilization Management Nurse Specialist collaborates with interdisciplinary team members, ... (UM) Programs in VISN 20. The VISN 20 Utilization Management Nurse Specialist works...confer competitive status. VA encourages persons with disabilities to apply . The health-related positions in VA are covered by… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. ... Job Summary: Our Utilization Management Appeals Nurse -...your interest in Acentra Health and invite you to apply to future openings that may be of interest.… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...working in a health plan preferred + Ability to apply predetermined criteria (eg, Medical Necessity Guidelines, InterQual) to… more
- Robert Half Office Team (Monterey Park, CA)
- Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the ... for review depending on case findings. Functions & Job Responsibilities * The Utilization Management Nurse Specialist LVN will facilitate, coordinate, and… more
- Trinity Health (Columbus, OH)
- …and facilitates problem resolution. + Knowledge of the functional operations of utilization management , care coordination and transitions of care. + Proven ... own in Columbus. Learn more at www.experiencecolumbus.com ! **About the job:** The Utilization Review Nurse ensures that authorization requests and provider or… more
- Beth Israel Lahey Health (Burlington, MA)
- …Functions and Responsibilities:** Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that ... payer certification, and denied cases. Monitors effectiveness/outcomes of the utilization management program, identifying and applying appropriate metrics,… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 240514-5612FP-001 Location New Haven, CT Date Opened 5/16/2024 12:00:00 AM Salary $76,565* - ... and Addiction Services ( DMHAS (https://portal.ct.gov/DMHAS/About-DMHAS/Agency/About-DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) ! We are… more
- CVS Health (Phoenix, AZ)
- …the state of Arizona or Compact RN licensure Preferred Qualifications: + Utilization management experience preferred. + Acute care setting experience preferred ... and affordable. Candidates from any state are welcome to apply ! Working hours will be 8am-5pm Monday - Friday...to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and… more
