- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... responsible for day-to-day timely clinical and service authorization review for medical necessity and...service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Utilization Management** for a temporary contract position in support of ... professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness - Ensure compliance with standards… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse (RN) Case Manager** in support of the 1st Special Operations Medical Group at Hurlburt ... Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) American Board for Occupational Health… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse (RN) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine Palms, ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Luke Staffing (Glendale, CO)
- ** REGISTERED NURSE ** **SITE OF SERVICE:** Department of Veterans Affairs, Eastern Colorado Healthcare System (ECHCS), 4100 E. Mississippi Ave, Glendale, CO 80246 ... **Will consider Part Time and Full Time Applicants** **POSITION OVERVIEW:** The Registered Nurse (RN) will provide on-site professional nursing services to… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... no limitations, stipulations or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security** : Must possess… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital + FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... Minimum Experience: Either (1) Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two years of full-time continuous… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Health Educator** supporting **Naval Medical Center San Diego, CA ... professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness. - Ensure compliance with standards… more
- Katmai (Fort Carson, CO)
- …RESPONSIBILITIES** None. **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from a college or ... same duties as those required of any military or government civil service nurse of similar experience and in similar duty assignments. **ESSENTIAL DUTIES &… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse IV + Oakland, CA + Highland General Hospital + Emergency + Full Time - Night + Management + TBD + Req #:43134-32050 + FTE:1 + Posted:November 4, ... degree in Nursing preferred. Minimum Experience:One year full-time, continuous experience as a Clinical Nurse III or three years experience as a Clinical… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking a ** Registered ** ** Nurse (RN)** for a Full-Time position in ** Utilization Management** at MacDill AFB, FL. Apply ... professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness. - Ensure compliance with standards… more
- Daiichi Sankyo, Inc. (Philadelphia, PA)
- … - State Licensure and/or Compact State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as well as pharmaceutical ... of nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating HCPs/clinics with… more
- Luke Staffing (Yigo, GU)
- …+ **Licensure:** Current, full, active, and unrestricted license to practice as a Practical OR Registered Nurse in any one of the 50 States, the District of ... regulations to analyze medical referrals/appointments. Proactively collaborates with TRICARE Regional Office Clinical Liaison Nurse and MTF point of contact to… more
- Battelle Memorial Institute (Norfolk, VA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …at a local MTF + Current, full, active, and unrestricted license to practice as a Registered Nurse in one of any US State, the District of Columbia, Guam, Puerto ... common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... Experience:** 3+ years nursing experience with advanced level pediatric clinical experience and utilization management and/or discharge planning… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …of different claim types is desired. (Preferred) + Current Washington State License: Registered Nurse (RN), Advanced Registered Nurse Practitioner ... our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Clinical Policy Coding Administrator_** The **_Clinical Policy Coding Administrator_**… more
- Stanford Health Care (Palo Alto, CA)
- …APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist ... functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered...on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient… more
- Stanford Health Care (Palo Alto, CA)
- …of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist ... as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse … more
- Stanford Health Care (Palo Alto, CA)
- …and outcomes of patient health care **Licenses and Certifications** + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection;participates… more
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