- Beth Israel Lahey Health (Milton, MA)
- …**Scheduled Hours:** 0 **Work Shift:** Day (United States of America) CASE MANAGER UTILIZATION SPECIALIST ( RN ) **Job Description:** CASE MANAGER ... UTILIZATION SPECIALIST ( RN ) **FLSA Status:** Exempt **As a health care organization, we have a responsibility to do everything in our power to care for and… more
- BayCare Health System (Cotton Plant, AR)
- …Critical Care or Emergency Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our...2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- Munson Healthcare (Traverse City, MI)
- …required to obtain a BSN within 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan. + Minimum of three years clinical ... team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes many… more
- Providence (Portland, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all core ... CES/JAMA coding configuration + Critically assess and prepare all cases for RN /MD review of coverage (medical necessity, eligibility, network status, regulatory) +… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of the ... is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN ) to assist...Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (ie… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of the ... is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN ) to assist...Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (ie… more
- Universal Health Services (Groton, CT)
- …DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, concurrent, and ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...Degree in Psychology or related Human Service Field or RN . Knowledge of Utilization Review Processes, insurance… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Utilization Management Nurse Specialist RN II will...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Sanford Health (SD)
- …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to assure… more
- YesCare Corp (Brentwood, TN)
- …internet, medical records and other proprietary company/client systems. + Certificates and Licenses: Registered Nurse ( RN ) active license + Language Ability: ... Below is a list of your responsibilities as a ** Utilization Management Specialist 2** with YesCare :...reporting. + Work with other UM inpatient and outpatient nurse reviewers to assure proper treatment in the appropriate… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management/Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN ) II provides direct assistance to member's… more
- Corewell Health (Grand Rapids, MI)
- …equivalent related field + 2 years of relevant experience related experience Required + LIC- Registered Nurse ( RN ) - STATE_MI State of Michigan required ... Utilization Management Clinical Program Specialist . Responsibility for coordinating the services provided by multiple disciplines within and outside the health… more
- Trinity Health (Muskegon, MI)
- …immediate supervisor or appropriate resource person. **11.** All other duties as assigned. **What Registered Nurse , RN will need:** + Graduation from a NLN ... prizes + Unlimited career growth opportunities **What Oncology Clinic Specialist will do:** **1.** Assess the needs and condition...accredited school of nursing + BSN preferred. + Valid Registered Nurse ( RN ) licensure authorized… more
- Trinity Health (Ann Arbor, MI)
- …compassionate and transforming healing presence in our community. The Clinical Nurse Specialist (CNS) functions as an advanced practice registered nurse ... progressively more responsible related work experience. + Current and valid Registered Nurse license and Clinical Nurse Specialist license in the State… more
- AdventHealth (Orlando, FL)
- …inpatients and 125,000 outpatients each year **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... high risk for readmission or for high emergency room utilization . Follows up with patients at location of post...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Bon Secours Mercy Health (Richmond, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... * Weekly check-in with Nursing Professional Development Coordinator or Clinical Nurse Specialist * Ongoing educational opportunities, including quarterly… more
- AdventHealth (Hinsdale, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- AdventHealth (Hinsdale, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- Bon Secours Mercy Health (Springfield, OH)
- …is eligible for a $10,000 sign-on bonus!** **Mercy Health - Springfield Reginal Medical Center** ** Registered Nurse ( RN ) - Interventional Radiology / IR** ... **Summary of Primary Functions** The Cardiac Cath Lab Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the care of the patient in… more
- MyFlorida (Tarpon Springs, FL)
- REGISTERED NURSE SPECIALIST - 64029282 1 1 Date: Apr 24, 2024 Location: TARPON SPRINGS, FL, US, 34689 The State Personnel System is an E-Verify employer. For ... . Requisition No: 827014 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64029282 1 1… more