- Beth Israel Lahey Health (Burlington, MA)
- …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... high-level proficiency in navigating the Electronic Medical Record and applications related to utilization management . Compliance with the Code of Ethics and… more
- Centene Corporation (Olympia, WA)
- … (UM) to align to goals and objectives + Develops, implements, and maintains compliance with utilization management policies and procedures + Reviews ... Review team to ensure appropriate care to members. Manages utilization management issues related to member care,...highly preferred + Medicaid experience highly preferred **License/Certification:** + RN - Registered Nurse -… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... to build a rewarding, lasting career with impact. Job Duties The RN Clinical Access Specialist performs initial, concurrent and retrospective medical record review… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas ... Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse will coordinate discharge planning to...setting + Minimum of one year experience in Case Management / Utilization Management or Home Care… more
- AdventHealth (La Grange, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes… 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
- Ascension Health (Baltimore, MD)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department:** Utilization Management + **Schedule:** Hybrid work...Registration: + Registered Nurse credentialed from the Maryland Board… 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
- Avera (Sioux Center, IA)
- …and CVS. There's a reason we are a recognized healthcare leader. **Position Highlights** ** Registered Nurse ** **Summary** + The RN assists the Resource ... Nurse ** **Summary** + The LPN assists the registered nurse in the management ...and fellow employees. + Coordinates acknowledging orders with the RN and following through with them. Records and documents… more
- Ochsner Health (New Orleans, LA)
- …discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway PRN To perform ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- Avera (Scotland, SD)
- …to join our team! We offer quality care close to home. **Position Highlights** **Seeking a Registered Nurse ( RN ) to join our team on the Med Surg Floor ... professional level of behavior in her/his role as an RN . The American Nurses Associations (ANA) scope and standards...**CERTIFICATION, LICENSURE, and/or REGISTRATIONS:** + Current licensure as a Registered Nurse in the State of South… more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... successful candidate for the position must have a valid RN license in Ohio, as well as previous Long...Responsibilities of the position will include: + Evaluate facility compliance to federal regulations and targets for utilization… more
- Avera (Rock Rapids, IA)
- …Mileage reimbursement May be eligible for a relocation bonus **Student Loan Repayment:** This Registered Nurse ( RN ) position may be eligible for Avera's ... cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing Upon Hire… more
- AdventHealth (Tarpon Springs, FL)
- …home visits in the Pinellas County area. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Case Manager -** **AdventHealth...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
- AdventHealth (Deland, FL)
- …conducting patient visits West Volusia County **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Care Manager | AdventHealth...Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
- Community Health Systems (Gadsden, AL)
- **Job Summary** The Registered Nurse ( RN ), Charge Nights, oversees the operations of a nursing unit during assigned shifts, ensuring effective and efficient ... problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or… more
- Avera (Sioux Falls, SD)
- …cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing Upon Hire ... 8am-8:30pm weekend and call time involved Hospital at Home RN Case Manager: Delivers Nursing Care in the patients...to include lab draws, nebulizer treatments, wound care, case management , discharge planning and as needed cares. Responsible for… more
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