- Glens Falls Hospital (Glens Falls, NY)
- … utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New York State *Skills and ... of hire. Exceptions may be made for Associate's degree RN with relevant experience and obtains certification in case...can be foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management** in support of the30th Medical Group at Vandenberg ... experience Licensure:** Current, full, active, and unrestricted license to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements - Valid Compact RN License -- please look up here https://www.nursys.com/LQC/LQCTerms.aspx and… more
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
- Intermountain Health (Murray, UT)
- …Medicaid, Marketplace Qualified Health Plans and commercial health plans. Utilization review behavior health professional proactively manage inpatient and outpatient ... utilization to assure that medical care is appropriate, efficient,...Resolves member, family/caregiver assistance requests. Minimum Qualifications + Current RN license in state of practice. + Three years… more
- Trinity Health (Columbus, OH)
- …school of nursing. Baccalaureate degree in nursing preferred. + Current license to practice as registered nurse in the State of Ohio. CCM, ACM or CPHM preferred. ... Learn more at www.experiencecolumbus.com ! **About the job:** The Utilization Review Nurse ensures that authorization requests and provider or member inquiries… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse -case-manager utilization ... for the medical necessity, intensity of service and severity of illness. RN Case Manager a plus Qualifications Education and Work Experience Required qualifications:… more
- Trinity Health (Albany, NY)
- …in Albany, NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr ... selected candidate will** : + Be responsible for the utilization management, both concurrent and retroactive for inpatient and...is realized. **Minimum requirements:** + Current and valid NYS RN license + Bachelor of Science in nursing, or… more
- Crossroads Hospice & Palliative Care (Plymouth Meeting, PA)
- …+ Utilize case management principles to ensure continuity of care and appropriate resource utilization Registered Nurse Benefits & Schedule: + Monday to ... Registered Nurse Case Managers deliver direct... Registered Nurse Case Managers deliver direct care to patients...One of the most important aspects of being a Registered Nurse Case Manager is building trusting… more
- Trinity Health (Dubuque, IA)
- …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... social and public policy to promote social justice The registered nurse at MercyOne is a collaborative...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession,… more
- Trinity Health (Dubuque, IA)
- …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... social and public policy to promote social justice. The registered nurse at MercyOne is a collaborative...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession… more
- Health Advocates Network (Medford, OR)
- …Utilization Review experience. + Pay Rate: $2,760 weekly + Specialty: Utilization Review Registered Nurse ( RN ) + Shift Info: Day + 13 Week Contracts ... School of Nursing + 2 years of experience as a Utilization Review Registered Nurse ( RN ) + American Heart Association BLS + An active, current (IL) state… more
- Trinity Health (Hartford, CT)
- …to control costs. **What you will do:** + As a ** Utilization Management Registered Nurse RN ** you will conduct prospective, concurrent and retrospective ... BSN degree + **Licensure** : Current Licensure as a registered nurse RN in Connecticut...of Care including an understanding of nationally recognized medical utilization criteria, HCFA/OBRA and state of Connecticut regulatory compliance… more
- Universal Health Services (Fremont, CA)
- …and love what you do! We are currently hiring a per diem Utilization Management Registered Nurse ( RN ) for Fremont Hospital! The per diem Utilization ... admissions for continued stay reviews including completion of certifications. The Utilization Management RN will interface with managed care organizations,… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Ortho Med Surg you want in your current role? We invest in what ... their passion for patient care. Apply today for our RN opportunity.** **Job Summary and Qualifications** + **We are...**Job Summary and Qualifications** + **We are seeking a Registered Nurse for Methodist Texsan Ortho Unit… more
- Bon Secours Mercy Health (Youngstown, OH)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. **Working Conditions** Periods...- St Elizabeth Youngstown Hospital:_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is… more
- Hartford HealthCare (Norwich, CT)
- …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... moment.* **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Inpatient Behavioral Health*… more
- Hartford HealthCare (Norwich, CT)
- …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... matters. **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Inpatient Psychiatric Services*… more
- Trinity Health (Ann Arbor, MI)
- …individuals from a variety of backgrounds because diversity makes us stronger. The RN Registered Nurse Case Manager assumes overall accountability for ... leadership role in achieving desired clinical, financial and resource utilization outcomes. This is achieved by coordinating care and...a case manager. **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** + The RN Registered Nurse Case manager… more
- Bon Secours Mercy Health (Youngstown, OH)
- …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency Room (ER) - St Elizabeth ... Youngstown Hospital** **Job Summary:** The Emergency Room (ER) Registered Nurse ( RN ) position is...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to… more