- Appcast (Randallstown, MD)
- …activities as required by payor. Monitors and identifies patterns or trends in utilization management . Monitors potential and actual denials and coordinates with ... Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN Other 92327 $38.20-$59.21… more
- CHRISTUS Health (Tyler, TX)
- …and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network ... DescriptionSummary: The Registered Nurse Patient Navigator Lead is a Registered ... Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These… more
- CHRISTUS Health (San Antonio, TX)
- …Assumes primary responsibility and 24/7 accountability for effective implementation of nursing practice and operations for assigned areas; at CHRISTUS St. Patrick ... Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and...patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the… more
- Geisinger (Lewistown, PA)
- …quality and efficiency results for assigned population.Works to appropriately apply benefits and utilization management serving as a resource to the patient or ... Nurse Hospital Case ManagerLocation: Lewistown, PennsylvaniaJob Category: RN - Registered Nurse , Nursing and Nursing SupportSchedule: Days Work Type:… more
- buyer (New York, NY)
- …outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.Oversee the ... MetroPlusHealth Physician Advisor/Medical Director. Informs member and provider of Utilization Management determinations and treatment alternatives.Identifies … more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- … - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) GENERAL SUMMARY The Utilization Review/Case Management Nurse is directly responsible for review of ... arrangements and fiscal accountability as it relates to appropriate application of Utilization Management program. 7. Provides concurrent reviews of all… more
- Geisinger (Wilkes-Barre, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/08/2025Job ID: ... typical elements considered necessary to successfully perform the job.The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities… more
- Geisinger (Wilkes-Barre, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 04/29/2025Job ID: ... - occurs during your entire first year as a GN!Job Description:The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities to meet… more
- Geisinger (Wilkes-Barre, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/01/2025Job ID: ... care.EducationGraduate from Specialty Training Program- Nursing (Required), Bachelor's Degree- Nursing (Preferred)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania)… more
- Geisinger (Danville, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/23/2025Job ID: ... Job Title: RN - Experienced Registered Nurse (Danville)Location: Danville, PennsylvaniaJob Category: Inpatient RN - Registered Nurse , Nursing… more
- Geisinger (Scranton, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/09/2025Job ID: ... Job Title: RN - Experienced Registered Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: Inpatient RN - Registered … more
- Geisinger (Danville, PA)
- … Per Diem- Float PoolLocation: Danville, PennsylvaniaJob Category: Inpatient RN - Registered Nurse , Nursing and Nursing SupportSchedule: Work Type: Part ... patient care.EducationGraduate from Specialty Training Program- (Required)ExperienceMinimum of 1 year- Nursing (Required)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania)… more
- Geisinger (Muncy, PA)
- …Category: Inpatient RN - Registered Nurse , Nursing and Nursing SupportSchedule: Rotation Work Type: Department: JM-Talent Management Nursing ... night, and weekend shifts!Job DutiesAssesses plans, organizes, performs, and evaluates nursing activities to meet the needs of the patient. Promotes adaptive… more
- Geisinger (Scranton, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/01/2025Job ID: ... the job related to that position.EducationGraduate from Specialty Training Program- Nursing (Required)Certification(s) and License(s)Licensed Practical Nurse -… more
- Geisinger (Scranton, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 04/29/2025Job ID: ... please contact Kayla Boslough at ###@geisinger.edu!EducationGraduate from Specialty Training Program- Nursing (Required)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania)… more
- Geisinger (Danville, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 08/28/2025Job ID: ... opportunities, please contact Amanda Carl ###@geisinger.eduEducationGraduate from Specialty Training Program- Nursing (Required)Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania)… more
- Geisinger (Scranton, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/10/2025Job ID: ... Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton)Location: Scranton, PennsylvaniaJob Category: LPN -… more
- Geisinger (Wilkes-Barre, PA)
- … and Nursing SupportSchedule: Rotation Work Type: Full timeDepartment: Talent Management Nursing & Nursing Support TeamDate Posted: 05/09/2025Job ID: ... practice and quality patient care. EducationGraduate from Specialty Training Program- Nursing (Required)Certification(s) and License(s)Licensed Practical Nurse -… more
- CoxHealth (Branson, MO)
- …patient care team toward goal achievement in accordance with Standards of Nurse Anesthesia Practice, National Standards of Care as identified by respective ... to other team members. Excellent communication skills, leadership ability, time management , and problem solving skills required. * Job Requirements ◦ Education… more
- PharmaCord (Danbury, CT)
- … experience with relevant disease state experience preferred. Nurseline triage, Call Center Utilization Management , Call Center Case Management , a plus. Case ... management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are located in Jeffersonville, IN. PharmaCord does reimburse for tolls if… more
