- Vanderbilt University Medical Center (Tullahoma, TN)
- …preeminent programs in patient care, education, and research. **Organization:** Utilization Management 10 **Job Summary:** Facilitates optimal reimbursement ... instead of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work Experience:** Relevant… more
- Sanford Health (Sioux Falls, SD)
- …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
- AnMed Health (Anderson, SC)
- Responsible for performing daily operations of Utilization Management (UM) program including certification management , medical necessity determinations, ... performance tracking and regulatory compliance. Qualifications: Requires current SC RN . Minimum of two years of clinical experience required. UM experience preferred… more
- Commonwealth Care Alliance (Boston, MA)
- …responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Utilization Review Specialist ( RN ) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours ... Review Specialist actively participates in the utilization management of patients and evaluating hospital...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- AdventHealth (Maitland, FL)
- …(8am-5pm or 9am-6pm)** **Location** : 600 Courtland Street, Maitland **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Geisinger (Pittston, PA)
- …within 3 years of hire - American Nurses Credentialing Center (ANCC); Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support ... to the Central region. A minimum of 2 years RN work experience is required. Job Duties: + Assist...and ongoing maintenance of New Manager Training Program, Ambulatory Nurse Leader program, and developing, implementing, and maintaining ongoing… more
- AdventHealth (Ormond Beach, FL)
- ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... South Volusia County (S. Daytona to Edgewater) **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
- AdventHealth (Orlando, FL)
- …32807, 32825, 32813, 32822, 32829, 32812, 32809 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...+ Associate's Degree + 1 year Recent, relevant clinical RN experience + Registered Nurse … more
- AdventHealth (Fletcher, NC)
- …Henderson, Polk, Buncombe and Transylvania Counties.** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...to succeed:** **Minimum qualifications:** + 1 years relevant clinical RN experience + Registered Nurse … more
- AdventHealth (Shawnee Mission, KS)
- …Franklin, Douglas and Miami Counties in Kansas. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...**Minimum qualifications:** + Active American Heart Association BLS + Registered Nurse - State Licensure and/or Compact… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST -... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida ... Requisition No: 861824 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60042416...knowledgeable of and utilize the principles of Total Quality Management . Nursing will provide guidance in the care and… more
- Roper St. Francis (Charleston, SC)
- …for Primary Charge Nurse I. Experience: At least 2 years- experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... Nurse role. Licensure/Certification: Applicant must be currently licensed as a Registered Nurse in South Carolina or hold a current compact/multi-state… more
- MyFlorida (Clearwater, FL)
- 68061397 - REGISTERED NURSE SPECIALIST Date: Aug 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency for Health Care Administration Working Title: 68061397 - REGISTERED NURSE SPECIALIST Pay Plan:...individual, team member or team leader. As assigned by management , this position is required to successfully complete the… more
- WelbeHealth (Los Angeles, CA)
- …vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care ... RN Clinic Nurse ) as needed in multiple markets. The Travel RN Specialist is accountable for providing nursing care to participants in the program… more
- Cedars-Sinai (Los Angeles, CA)
- …Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8 Hour Days ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …safety, and accreditation within Quality Service. Responsibilities The Quality Systems (QS) Specialist Registered Nurse ( RN ) demonstrates leadership, ... group of activities impacting patients and/or employees. The QS Specialist may be assigned responsibility in risk management...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Hartford HealthCare (Mansfield Center, CT)
- …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less… more
- AdventHealth (Minneola, FL)
- …body and spirit in the Minneola community. **The role you'll contribute:** The Transition Specialist Registered Nurse ensures that a care plan is carried ... the care plan. Works as part of the Care Management team to implement Advent Health's readmission prevention programs,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- AdventHealth (Tampa, FL)
- …patient satisfaction, patient safety, readmission prevention and length of stay management .The RN Care Manager communicates daily with the interdisciplinary ... of medical necessity are core competencies of this role.The RN Care Manager facilitates the collaborative management ... Diploma degree Two (2 ) years of hospital Registered Nursing experience State specific RN license… more