- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- … Nurse (RN) to work at its Buffalo Location. The Nurse Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that ... of complex utilization processes. Responsibilities The Nurse Utilization Management (UM) Registered Nurse (RN) executes position responsibilities… 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
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- CVS Health (Tallahassee, FL)
- …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …recruiting for one Registered Nurse to perform patient flow utilization management duties at the VA hospital in Seattle, Washington. Responsibilities The ... Utilization Management (UM) Nurse uses... Utilization Management (UM) Nurse uses the nursing process...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (Nashville, TN)
- …3 years of relevant case management / utilization review experience preferred + Registered Nurse - Currently licensed as a registered professional ... join an organization that invests in you as a Utilization Review Services Registered Nurse ?...for compact states required Parallon provides full-service revenue cycle management , or total patient account resolution, for HCA Healthcare.… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited educational ... requirements _Preferred:_ + Bachelor's degree in nursing + Experience in utilization management /case management /clinical documentation, critical care, or… more
- CVS Health (Trenton, NJ)
- …**Must be able to work an Eastern Standard Time schedule** **Must be a licensed Registered Nurse , any compact licensure must cover New Jersey** + Utilization ... Jersey or Compact RN License + 3+ years of clinical experience + Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Matrix Providers (Aurora, CO)
- …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in ... Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
- Centene Corporation (Jefferson City, MO)
- …degree and 4+ years of related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse ... (2)** **with experience in acute care mental health settings, and (3) utilization management / review.** Department: Ambetter Utilization Management /… more
- Centene Corporation (New York, NY)
- …2+ years supervisory experience preferred. + Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse ... Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates… more
- Ochsner Health (New Orleans, LA)
- …develop and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC Jefferson Highway PRN ... 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
- LifePoint Health (Louisburg, NC)
- …select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:** ... Registered Nurse (RN) Utilization ... Registered Nurse (RN) Utilization Review Job Type:...days for patients. - Maintaining communication with the Case Management Department to facilitate timely discharge planning.. Reports to:… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes Hospital + **Location:** ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Ascension Health (Tulsa, OK)
- **Details** + **Department:** Utilization Management + **Schedule:** PRN, 8am-4:30pm + **Hospital:** Ascension St. John's Medical Center + **Location:** Tulsa, ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager and/or… more
- CVS Health (Carson City, NV)
- …weekend, evening and holiday rotations._ **Must reside in the PST zone** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... **Required Qualifications** - 2 years of experience as a Registered Nurse in adult acute care/critical care...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more