- Singing River Health System (Pascagoula, MS)
- Utilization Review Surgery Nurse - RN Pascagoula Hospital | Full -Time | Monday-Friday rotating weekends/Holidays | 2809 Denny Ave Pascagoula, Mississippi ... training. Experience: 3-5 years' Registered Nurse (RN) experience in surgical nursing, Utilization Review , Ambulatory or Acute Care that has relevance to the… more
- Berkshire Hathaway Homestate Companies (Omaha, NE)
- …in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment ... in accordance with applicable legal requirements. This is a full -time, permanent position within our Medical Management team and...attorneys. Act as a medical resource in regards to utilization review to Claims Support Nurse… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support...in 2028. Perks of Joining Geisinger as a Graduate Nurse ! Offer GNs up to a year in advance… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support...& Children's Perks of joining Geisinger as a Graduate Nurse ! Offer GNs up to a year in advance… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… more
- Ascension (Baltimore, MD)
- Details up to $5,062 gross full weekly travel rate Department: Ascension Travel Program & Interim Leadership Schedule: Full -time Hospital: St. Agnes Location: ... American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer...American Heart Association or American Red Cross accepted. Registered Nurse obtained prior to hire date or job transfer… more
- Blue Shield of California (El Dorado Hills, CA)
- …Services department including concurrent review , transplant and NICU/HROB. The Manager, Utilization Management Nurse Management will report to the Director, ... least 2 years of prior relevant experience in transplant utilization management review About the Team About...Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our… more
- Montclair Hospital Medical Center (Montclair, CA)
- …based on collective bargaining agreement requirements and/or the employment status, ie full -time or part-time. This is a Fast-paced work environment in which you ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015.… more
- Mindful Care (Stamford, CT)
- We are seeking Board Certified Psychiatric Mental Health Nurse Practitioners (PMHNP) licensed in both Connecticut and New York to expand access to behavioral health ... by the American Nurses Credentialing Center (ANCC) or the American Association of Nurse Practitioners (AANP) as a PMHNP-BC is necessary-new graduates may apply, but… more
- University of Southern California (Los Angeles, CA)
- The Assistant Nurse Manager, in collaboration with and under the direction of the Department Nurse Manager, is accountable for ongoing leadership and operations ... and for nursing care safety and quality. The Assistant Nurse Manager uses sound human resource and budget principles...for patients and staff up to and including comprehensive review of reportable events. l. Supervises care provided by… more
- Northwestern Memorial Healthcare (Lake Forest, IL)
- …for better? Job Description 36 hrs/wk - 0.9 FTE/Nights 3rd Shift The Registered Nurse BSN embodies the attributes of the Relationship Based Care model and performs ... values of NM, adheres to the State of Illinois Nurse Practice Act, the organization's Code of Ethics and...regular basis, and through participation in clinical case peer review . Works collaboratively with all hospital services to responsibly… more
- Wellstar Health System (Roswell, GA)
- …an opportunity for a Registered Nurse (RN) in Acute Care - Cardiac Telemetry. Full -Time Night Shift The RN Clinical Nurse is a proactive member of an ... patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared… more
- Northwestern Memorial Healthcare (Huntley, IL)
- …our employees. Ready to join our quest for better? Job Description The Staff Nurse Inpatient reflects the mission, vision, and values of NM, adheres to the ... other regulatory and accreditation standards. A clinically competent, registered, professional nurse who prescribes, delegates and coordinates nursing care to the… more
- International SOS Government Medical Services (Denver, CO)
- …Clinically review consults and requests for completeness and appropriateness for utilization review . Disposition care in the community per utilization ... not specifically listed above. Qualifications Basic Requirements/Certifications: A registered nurse (RN) will have a current, full ,...registered nurse (RN) will have a current, full , active and unrestricted license in a State, Territory,… more
- Team Select Home Care (Jeffersonville, IN)
- …Control Plan, EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality assurance and performance ... *PRN, Part Time, Full Time *Flexible Hours *Weekly Pay Ready to...purpose? Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence to… more
- Elevance Health (Woodland Hills, CA)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education ... Description: Virtual: This role enables associates to work virtually full -time, with the exception of required in-person training sessions,...5pm CST, this position includes weekends. The Med Mgmt Nurse CA is responsible for review of… more
- MedElite Group, LLC. (Hollywood, FL)
- …Former Home Health, Hospice, or ALF QA Staff with team oversight responsibilities Utilization Review or Discharge Planning RNs from Hospital or Insurance ... CoCM Behavioral Health Care Manager Location: Hollywood, FL/ Brooklyn, NY Schedule: Full -Time Salary: $110,000 - $125,000 About Infinite Medical PC Infinite Medical… more
- HCA Healthcare (Pasadena, TX)
- …satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager opening. We promptly review all applications. Highly qualified ... Do you have the career opportunities as a(an) Registered Nurse Case Manager you want with your current employer?...Health Assistance Fund that offers free employee-only coverage to full -time and part-time colleagues based on income. Learn more… more
- Frontier Health (Rogersville, TN)
- …on Accreditation of Rehabilitation Facilities (CARF) and other applicable accrediting, licensing, utilization review and payor agencies. 6. Comply with relevant ... Description JOB TITLE Psychiatric Nurse Practitioner SUMMARY: Psychiatric Nurse Practitioner performs in an expanded role and practices based upon protocols that… more
- UHS (Riverside, CA)
- …required, Bachelor's preferred. Minimum 3 years' experience in Medical Management ( Utilization Management, Appeals and Grievances, and/or Concurrent Review ). ... Responsibilities SUMMARY: The Delegation Oversight Nurse performs activities to assure compliance with Health Plan requirements. The Nurse will manage activities… more
