- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2...stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions,… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …the achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required. 2 . CCM Preferred. Utilization review and ... at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates… more
- RestoraCare Staffing (Houston, TX)
- …Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a...and PC skills Current working knowledge of discharge planning, utilization management , case management , performance… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... of our communities. About the Role:Job SummaryThe Nurse Manager (NM) is responsible for leading inpatient wound...medical centers and outpatient wound care services, which includes 2 wound care clinics that provide hyperbaric oxygen therapy.… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the health ... Following admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or other certifications:… more
- Inova Health System (Fairfax, VA)
- Inova Health System is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in Fairfax, Virginia.Job Description & RequirementsSpecialty: Nurse ... NavigatorDiscipline: RNStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Oncology Nurse Navigator provides safe therapeutic care in a holistic… more
- ResCare Community Living (Canton, OH)
- …business development & growth, achievement of key performance indicators, management of nursing performance and staff development.Responsibilities:* Oversees and ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...professional consultants and direct care in coordination with Operations management * Provides feedback to Operations management regarding… more
- Baylor Scott & White Health (Waco, TX)
- …work experience above the minimum qualificationMAJOR - NursingEXPERIENCE - 2 Years of ExperienceCERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN)Basic ... Baylor Scott & White Health is seeking a Registered Nurse (RN) Ambulatory Surgery for a nursing job in Waco, Texas.Job Description & RequirementsSpecialty:… more
- Advocate Aurora Health (Oak Lawn, IL)
- …have the potential to negatively impact patient and family outcomes. 2 )Adapts practice to the latest standards according to evidence-based literature. 3)Participates ... in clinical situations. Consults with RN as to action based on observation. 2 )Consistently makes sound clinical decisions, demonstrating the ability to care for all… more
- Integrated Resources, Inc (New York, NY)
- …and the quality of life for the MetroPlusHealth members. . Coordinate with Utilization Management (UM) department on concurrent and retrospective review. . ... Notes: * Bachelor's Degree required; BSN preferred. * Two ( 2 ) to three (3) years clinical experience in certified...Using the assessments and interview done by the Assessment Nurse , the Care Manager identifies the risk factors, strengths,… more
- Wellpath (Columbus, GA)
- …adhere to the organization's Code of Conduct.Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... Compensation Range: $86,561.28 - $96,179. 2 / yearYou Matter:* Make a difference every...experience preferredLicenses/CertificationsHave and maintain current licensure as a Registered Nurse within the state of employment.Obtain and maintain CPR… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Columbus, OH)
- …community and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- ERP International (Tinker AFB, OK)
- …and Tasks: Duties may include but are not limited to** : Provides Utilization Management activities and functions by using MTF-specific Quality Improvement ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Utilization Managment** for a...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...and unrestricted RN licensure in state of residence - 2 + years of clinical experience as an RN (all… more
- CVS Health (Columbus, OH)
- …Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- Trinity Health (Albany, NY)
- …time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days/Hybrid ( 2 days Remote, 3 days ... in Office) **Position Summary** : The Registered Professional Utilization Management Lead is responsible for upholding...Requirements** : 1. Graduate of a school of nursing. 2 . Current registration as a Registered Professional Nurse… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist...clinical experience in an acute hospital setting. At least 2 years Utilization Management /Case ... nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. ... Job Summary: Our Utilization Management Appeals Nurse -...Compact license. + Previous healthcare/managed care Appeals experience. + 2 + years of healthcare/managed care experience, preferably in the… more
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