- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... and actively engages patients in their health care. + Review details and expectations regarding referrals with patients. +...Degree:** Certificate **- Education:** Be a graduate from a Licensed Practical Nurse or Licensed … more
- Katmai (Fort Carson, CO)
- …as needed to provide direction in care management. + Plan and prioritize utilization review (UR) activities to ensure identified patient needs are addressed ... record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... Proactively refers cases to physician adviser for P2P, medical necessity review , and denail avoidance. Demonstrates and maintains current knowledge of regulatory… more
- Katmai (Usaf Academy, CO)
- …same duties as those required of any military or government civil service nurse of similar experience and in similar duty assignments. **ESSENTIAL DUTIES & ... all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. Adhere… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... other interdisciplinary team members; arranges followup care as appropriate. + Utilization Review -- Reviews prospectively, concurrently and retrospectively all… more
- Stanford Health Care (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... provide requested clinical and psychosocial information to assurereimbursement. + Utilization Review -- Reviews prospectively, concurrently and retrospectively… more
- Stanford Health Care (Palo Alto, CA)
- …Qualifications** + A minimum of one (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse ... APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS),...and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and respond… more
- Stanford Health Care (Palo Alto, CA)
- …accredited university. **Experience** + Five (5) years of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical ... and adherence to policy through practice analysis and case review of APPs with physicians. + Investigates and responds...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)
- …Qualifications** + A minimum of one (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse ... development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS),...and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond… more
- Battelle Memorial Institute (Columbus, OH)
- …of outpatient behavioral health activities + Under the supervision of a licensed psychiatrist, social worker, psychiatric nurse or psychologist, responsible for ... patient care, and leading therapeutic sessions under the supervision of licensed professionals. The Psychological/Mental Health Technician will require performing a… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point ... this position is able to cover a multitude of utilization review functions through point of entry,...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- UNC Health Care (Kinston, NC)
- …to support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying ... applied clinical experience as a Registered Nurse required. + 2 years utilization review , care management, or compliance experience preferred. + Minimum 1… more
- CVS Health (Austin, TX)
- …care experience is in behavioral health) **Preferred Qualifications** + 1+ years' experience Utilization Review experience + 1+ years' experience Managed Care + ... setting with diverse cultural dynamics of clinical staff and patients. Registered Nurse (RN) required. Licensed Clinical Social Worker (LCSW) preferred. +… more
- UNC Health Care (Kinston, NC)
- …REQUIREMENT Five (5) years of health care experience as a Registered Nurse . LICENSURE/REGISTRATION/CERTIFICATION Licensed to practice as a Registered Nurse ... and well-being of the unique communities we serve. Summary: This position facilitates utilization management processes to support the right care is provided at the… more
- Dartmouth Health (Lebanon, NH)
- …Strong leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully ... Remote * Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. (Based on 40 hours per week, otherwise pro rata) * FTE/Hours per pay period:.01 hrs/per week (per diem/temp) * Shift:Rotating * Job ID:35880 Dartmouth Health offers a total… more
- Centene Corporation (Harrisburg, PA)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... REMOTE/WORK FROM HOME SUPPORTING PENNSYLVANIA HEALTH & WELLNESS BEHAVIORAL HEALTH UTILIZATION MANAGEMENT.** **APPLICANTS MUST EITHER HOLD AN ACTIVE PA LICENSURE;… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... Analyzes BH member data to improve quality and appropriate utilization of services + Interacts with BH healthcare providers...teams to review care services related to Applied Behavior Analysis Services… more
- Children's Mercy Kansas City (Kansas City, MO)
- …required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...Missouri required upon hire + One of the following: Licensed RN - Kansas, Registered Nurse Multistate… more
- Medical Center Hospital (Odessa, TX)
- + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Utilization Review Program and makes appropriate referrals to designated Physician...Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational… more
- STG International (Milledgeville, GA)
- … nurse aide trainees are under the direct supervision of a licensed nurse . + Develop positive professional relationships with nursing students, ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...8 hours a day/7 day a week and a Licensed Practical Nurse (LPN) or Licensed… more
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