- AdventHealth (Tampa, FL)
- …such as heart failure, cancer and other diseases. **The role youll contribute:** The Utilization Management (UM) Specialist works under the direction of the ... is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN )...Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (ie… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Commonwealth Care Alliance (Boston, MA)
- …responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting ... & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the… more
- UnityPoint Health (West Des Moines, IA)
- …payers approved days, denials, requests for further information. + In coordination with RN Utilization Management Specialist , communicate opportunities ... Under the guidance and supervision of the Manager of Utilization Management and RN UM...according to established processes. Seeks necessary clinical direction of RN UM Specialist staff or Manager. +… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job...the lives of those we serve. Connect with our RN recruiting specialist . Do you need more time ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
- AdventHealth (Orlando, FL)
- …601 EAST ROLLINS STREET, Orlando, 32803 **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... 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
- Roper St. Francis (Charleston, SC)
- …received those credentials. **RCIS Licensure/Certification:** * Must maintain active Registered Cardiovascular Invasive Specialist Registration with the SC ... of Radiologic Technologists (AART). **RCIS Primary Source Verification:** * All - Registered Cardiovascular Invasive Specialist Registration with SC Board of… more
- AdventHealth (La Grange, IL)
- …resolution 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 and… more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager*...in the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review staff, ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- AdventHealth (Fletcher, NC)
- …Flat Rock, Flat Rock, Tuxedo and Zirconia.** **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...1 years relevant clinical RN experience + RN - Registered Nurse -… 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 (Hinsdale, IL)
- …Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) Preferred ... documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- AdventHealth (Maitland, FL)
- …Park, Casselberry, Altamonte Springs, Maitland area **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional ... ** Registered Nurse Case Manager - AdventHealth...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
- Roper St. Francis (Charleston, SC)
- …Charge Nurse I. Experience: Experience: At least 2 years� experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... Nurse role. Licensure/Certification: Applicant must be currently licensed as a Registered Nurse in South Carolina or hold a current compact/multi-state… more
- WelbeHealth (Los Angeles, CA)
- …vulnerable seniors with better quality and compassion in a value-based model, and the Travel Registered Nurse ( RN ) Specialist directly guides this care ... RN Clinic Nurse ) as needed in multiple markets. The Travel RN Specialist is accountable for providing nursing care to participants in the program… more
- Hartford HealthCare (Mansfield Center, CT)
- …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST -... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida ... Requisition No: 855777 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60006519...knowledgeable of and utilize the principles of Total Quality Management . Nursing will provide guidance in the care and… more
- MyFlorida (Orlando, FL)
- 68064620 - REGISTERED NURSE SPECIALIST Date: Jul 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 853402 Agency: Agency for Health Care Administration Working Title: 68064620 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number:… 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
- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... by drafting appeals, negotiating with payers, or following up with payer utilization review departments in attempts of obtaining authorizations and claim payment. *… more
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