- CHRISTUS Health (Texarkana, TX)
- Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and ... and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: RN - Experienced Registered Nurse (Geisinger Wyoming Valley, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... represent typical elements considered necessary to successfully perform the job. The Registered Nurse assesses plans, organizes, performs, and evaluates nursing… more
- Geisinger (Scranton, PA)
- Job Title: RN - Experienced Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... learn more about the units below Advanced Acute Care (Cardiac/Telemetry, Medical Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Our Purpose more
- CHRISTUS Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Aveanna Healthcare (Birmingham, AL)
- $7500 Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management , symptom control in the delivery of care to hospice ... of care and patient needs. Participates in quality improvement, utilization review, and infection control activities as requested. Attends...Time, and Paid Holidays Qualifications: Current license as a Registered Nurse in the State of Alabama… more
- Quadrant Inc (Springfield, VA)
- Registered Nurse Assistant Director Springfield, VA Pay From: $55 per hour MUST: The Registered Nurse - Assistant Director must have experience with: ... Registered Nurse license in the state of Virginia CPR certified...loss, and dehydration Participating in Wound Rounds, Operations Meetings, Utilization Review, and Performance Improvement/Risk Management /Safety (PI/RM/S)… more
- CHRISTUS Health (Longview, TX)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: ... - San Pedro Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title...- 16:30 Experience: Minimum of 2 years in Case Management License: Registered Nurse License… more
- Providence Little Company of Mary Medical Center San Pedro-… (San Pedro, CA)
- …ensure timely, efficient, and effective discharge planning and transitions. Supports utilization management and ensures compliance with payer guidelines. ... Little Company of Mary Medical Center San Pedro- Case Management Job Type Travel Offering Nursing Profession RN...BLS - AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case… more
- Skaggs Community Hospital Association (Branson, MO)
- …and utilization of Aseptic Technique. Licensure/Certification/Registration: ▪ Required:Missouri State Registered Nurse AND Certified as a Registered ... and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered … more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger South Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - Licensed… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …education, and other business and organizational considerations. Department: OP Care Management Svcs FTE: 1.00 Full Time Shift: Days Position Summary: Supervise ... discharge planning by anticipating patient needs in collaboration with physicians, staff RN 's, and other health care team members * INTERVENTIONS - Monitor and… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management ... II + Six (6) months of experience in Utilization Management Per Diem RN III ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem Registered Nurse II/III - Utilization Management VCMC… more
- Tufts Medicine (Burlington, MA)
- …of Science in Nursing (BSN). 2. RN Licensure. 3. Current certification in case/ utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/Case ... review and management . The position develops and leads the Utilization Management operations, strategy and implementation of the Utilization … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Centene Corporation (Sacramento, CA)
- …Expert knowledge of industry regulations, policies, and standards preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... experience with prior auth is highly preferred** **Position Purpose:** Directs the utilization management team to ensure the appropriate application of policy… more
- Centene Corporation (Sacramento, CA)
- …and 4+ years of related experience. Knowledge of utilization management principles preferred. 25% Travel CA RN License Required **License/Certification:** ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...+ RN - Registered Nurse - State Licensure and/or Compact… more
- Centene Corporation (Richmond, VA)
- …preferred. Knowledge of claims issues related to authorizations highly preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of… more
- Centene Corporation (Richmond, VA)
- …preferred. Healthcare background in call center environment is highly preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the utilization management team to ensure the appropriate application of… more
- Centene Corporation (Madison, WI)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization … more
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