- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible for conducting ... physician and/or physician advisor. This individual will: + Perform utilization review by completing a timely and...patient and hospital financial risk. + Initiate and facilitate RN to RN discussion and/or Physician to… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- AdventHealth (Daytona Beach, FL)
- …32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines,...+ Current and valid license to practice as a Registered Nurse (ADN or BSN) required. +… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical Group, ... of types ofhealthcare services for which preauthorization or concurrent review will be required.Reviews previous and present medical care... Management is required. Full time employment as a registered nurse within the last 36 months… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... **Job Type:** Per Diem **Time Type:** Part time **Work Shift:** Day (United States of...necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue… more
- Wellpath (Fort Lauderdale, FL)
- …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/181904/ utilization -management- registered - nurse -%28rn%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the… more
- Penn Medicine (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- Beth Israel Lahey Health (Plymouth, MA)
- **Job Type:** Regular **Time Type:** Part time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, ... using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to… more
- Penn Medicine (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- HCA Healthcare (Richmond, VA)
- …have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. Currently offering a sign-on bonus ... and improve positive outcomes for your patients as a ** Registered Nurse RN Case Manager**...a hospital setting preferred. + Previous case management or utilization review experience preferred. Chippenham Hospital has… more
- HCA Healthcare (Webster, TX)
- …Healthcare Clear Lake we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Manager PRN and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current Registered Nurse License in the State of… more
- AdventHealth (Killeen, TX)
- …Higher Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + 5 years ... **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a...Registered Nurse Work Experience Preferred + Certified Case Manager (CCM)… more
- HCA Healthcare (Tomball, TX)
- …Healthcare Tomball we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Manager PRN and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current RN License in the State of Texas or Multi-State… more
- AdventHealth (Tarpon Springs, FL)
- …Qualifications **The expertise and experiences you'll need to succeed:** Associates Degree Nursing or RN Diploma degree. Registered Nurse ( RN ). Two (2) ... Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in… more
- McLaren Health Care (Flint, MI)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... As an employee of MIG, you will be a part of a dynamic organization that considers all our...management functions. This includes but is not limited to review and authorization of services, utilization of… more
- AdventHealth (Mansfield, TX)
- …AND EXPERIENCE REQUIRED:** Associates Degree Nursing or RN Diploma degree or higher Registered Nurse ( RN ) License Two (2) years of medical/hospital ... Texas Health Hospital Mansfield - AdventHealth is about being part of something bigger. Its about belonging to a...Registered Nurse experience This facility is an equal opportunity employer… more
- HCA Healthcare (Margate, FL)
- …growth, we encourage you to apply for our Registered Nurse RN case Mgr opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
- HCA Healthcare (West Palm Beach, FL)
- …compelling, we encourage you to apply for our Registered Nurse RN Case Mgr PRN opening. We promptly review all applications. Highly qualified candidates ... individual is recognized. Submit your application for the opportunity below: Registered Nurse RN Case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
- HCA Healthcare (Davie, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse RN Case Mgr PRN with HCA Florida University ... in our organization. We are looking for an enthusiastic Registered Nurse RN Case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
- HCA Healthcare (Aventura, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more