- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- … - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) GENERAL SUMMARY The Utilization Review/Case Management Nurse is directly responsible for review of ... arrangements and fiscal accountability as it relates to appropriate application of Utilization Management program. 7. Provides concurrent reviews of all… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a highly motivated and results-oriented ** Utilization Management (UM) Nurse ** . Our ideal **UM Nurse ** will ensure ... 8:00am-5:00pm Pacific Time **Responsibilities** + Review authorization requests, applying clinical criteria based on nationally standardized guidelines and UM… 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 ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Commonwealth Care Alliance (Boston, MA)
- …Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... Management reports to the Director of Utilization Management - Oversees clinical ...reviews). - Hire, train and mentor UM staff, including nurse reviewers and support personnel. - Act as liaison… more
- CHRISTUS Health (Texarkana, TX)
- …and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network ... Description Summary: The Registered Nurse Patient Navigator Lead is a Registered ...case management on the patient population. Create outcomes- management focus by interdisciplinary analysis of specific clinical… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland...FQ MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization ...(1) Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two… 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:October ... 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)
- …is seeking a **Registered** ** Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: RN- Experienced Registered Nurse (Geisinger Wyoming Valley, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits,… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits,… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits,… more
- Geisinger (Scranton, PA)
- Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits,… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger South Wilkes Barre, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits,… more
- Geisinger (Scranton, PA)
- Job Title: RN - Experienced Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits,… more
- Alameda Health System (San Leandro, CA)
- … Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management . **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The ... Nurse , Care Management + San Leandro, CA...background. Within the last 3 years, experience in Case Management in an acute setting or utilization review… more
- Luke Staffing (Yigo, GU)
- … clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... requirements of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active, and unrestricted… more
- PharmaCord (Jeffersonville, IN)
- …Bachelor's degree required; Master's degree is preferred Nurse line triage, Call Center Utilization Management , Call Center Case Management a plus Case ... management or Clinical Trial Nurse experience, a plus Previous personnel/team management experience is required, experience managing managers is a plus… more
- PharmaCord (Jeffersonville, IN)
- …Utilization Management , Call Center Case Management , a plus. Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree ... our Talent Acquisition team immediately at ###@pharmacord.com As an Oncology Registered Nurse (RN) Case Manager you are responsible for contact with program patients… more
- PharmaCord (Danbury, CT)
- …Utilization Management , Call Center Case Management , a plus. Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree ... independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing… more
