- Trinity Health (Stafford Springs, CT)
- …Day Shift **Description:** RN or Social Worker **Position Purpose** The Utilization Management Specialist is responsible for acute care concurrent ... Records) and Admitting, to provide pertinent data relating to utilization management / clinical resource management...required) + State of Connecticut LCSW, LMFT, LPC or RN license in good standing required + Minimum of… more
- Penn Medicine (Lancaster, PA)
- …each day. Are you living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical ... duties as assigned. Responsibilities: Minimum Required Qualifications: + Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing +… 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
- Penn State Health (Hershey, PA)
- …###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) Penn State Health is seeking a dedicated ** Utilization Management Specialist ** to join our ... is required. + Currently licensed to practice as a Registered Nurse by the state of employment...**Position** Specialist (Part-time) - VARIED SHIFTS - Utilization Management **Location** US:PA: Hershey | Nursing… more
- Sanford Health (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
- LifePoint Health (Johnstown, PA)
- …in employment. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN )- Case Management PRN/Hourly* **Location:** ... * Registered Nurse ( RN ), Case Manager...in the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review staff,… more
- AdventHealth (Dade City, FL)
- ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... **Location:** 13925 17TH ST, Dade City, 33525 **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
- AdventHealth (Hinsdale, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... . BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION… more
- LifePoint Health (Martinsville, VA)
- …others. Here, you're not just valued as an employee, but as a person. As a registered nurse ( RN ) joining our team, you're embracing a vital mission dedicated ... in employment." **Job:** **Nursing* **Organization:** **Sovah Health - Martinsville* **Title:** * Registered Nurse ( RN ) - Case Manager* **Location:**… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C -...Evaluation and Treatment Center is looking for a skilled RN to join our team, providing comprehensive care and ... Requisition No: 843066 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60032928...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the ... . Requisition No: 850116 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67040015 - SUNLAND CENTER -… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST (I/C) - 60043244 Date: Apr 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... Requisition No: 851275 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST (I/C) -... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida… more
- Hartford HealthCare (Bloomfield, CT)
- …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare* ... nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less...and more! The Quality Assurance & Performance Improvement ("QAPI") Specialist is an individual that will be assisting with… more
- MyFlorida (Orlando, FL)
- 68064646 - REGISTERED NURSE SPECIALIST Date: Apr 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 850840 Agency: Agency for Health Care Administration Working Title: 68064646 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number:… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) + Association of Rehabilitation… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Part-time Description As a Registered Nurse ( RN ) at Fenway Health ... to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more
- MyFlorida (Port Charlotte, FL)
- …that all verbal orders, including telephone orders from attending physicians are received by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50009026 Date:...current status and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
- MyFlorida (St. Augustine, FL)
- …all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50950037 Date:...resident's status, and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
- HonorHealth (Scottsdale, AZ)
- …1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required ... does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews...from an accredited NLN/CCNE institution Required Experience 3 years Registered Nurse in an acute care setting.… more
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