- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from...+ Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado or… more
- Stanford Health Care (Palo Alto, CA)
- …Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), ... America) The Lead Advanced Practice Provider provides supervision and management of advanced practice providers (APPs) in a distinct...under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered … more
- Stanford Health Care (Palo Alto, CA)
- …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), ... a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse … more
- Stanford Health Care (Pleasanton, CA)
- … Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist) + Management experience Preferred **Required Knowledge, ... + PA - Physician Assistant State Licensure or + RN - Registered Nurse -... Nurse Practitioner or + CNS - Clinical Nurse Specialist or + CRNA - Certified… more
- UNIVERSITY HEALTH (San Antonio, TX)
- …Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse (s) ( RN ) are highly preferred. recblid ... Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist (s), Technician(s), and Associate(s). Promotes the Health System's guest relations' policy.… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as ... a minimum of 85% on IRR quarterly. + Complete Utilization Management for assigned patients with a...School of Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic… more
- Penn State Health (Hershey, PA)
- …discrimination._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management Specialist - Utilization ... for maintaining compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATION(S):** + Bachelors Degree in Nursing… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse -...**Experience:** 5 years Clinical nursing experience. 2 years Care Management and/or Utilization Management . **Preferred… more
- AnMed Health (Anderson, SC)
- …here. This position is responsible for performing the daily operations of the Utilization Management program at AnMed within the Care Coordination model. These ... necessity review, continued stay/concurrent review, retrospective review, bed status management , resource utilization management , regulatory compliance,… more
- Sanford Health (Sioux Falls, SD)
- …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
- UnityPoint Health (Cedar Rapids, IA)
- …Adolescent Treatmt/Child S + Shift: 0900-1700 + Job ID: 174223 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient ... clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management ...health care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health work experience.… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts ... includes three years in utilization review and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State… more
- AdventHealth (Orlando, FL)
- …to more than 32,000 inpatients and 125,000 outpatients each year **The Care Transitions Registered Nurse ensures that a care plan is carried out in partnership ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- AdventHealth (Ormond Beach, FL)
- ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... South Volusia County (S. Daytona to Edgewater) **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
- AdventHealth (Orlando, FL)
- …32807, 32825, 32813, 32822, 32829, 32812, 32809 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...+ Associate's Degree + 1 year Recent, relevant clinical RN experience + Registered Nurse … more
- AdventHealth (Fletcher, NC)
- …Henderson, Polk, Buncombe and Transylvania Counties.** **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...to succeed:** **Minimum qualifications:** + 1 years relevant clinical RN experience + Registered Nurse … more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60066788 Date: Oct 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 861221 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60066788...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
- AdventHealth (Shawnee, KS)
- …Franklin, Douglas and Miami Counties in Kansas. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patients care based on individual patient needs. The RN Care Manager is responsible for independent management... experience + Active American Heart Association BLS + Registered Nurse State Licensure and/or Compact State… more
- Cedars-Sinai (Los Angeles, CA)
- …Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8 Hour Days ... care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN, Occupational Therapist, Physical Therapist, Physician… more
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