- Tenet Healthcare (Detroit, MI)
- …of care options May, if licensed RN , oversee work delegated to Utilization Review LVN /LPN and/or Authorization Coordinator. (10% daily, essential) ... Group Utilization Review Director - 2506000536 Description...(CPA) preferred, Six Sigma Green Belt preferred · Valid Registered Nurse ( RN ) preferred PHYSICAL… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Currently recruiting a Licensed Practical Nurse (LPN/ LVN ) - Utilization Review in...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Fresenius Medical Center (Fort Mill, SC)
- **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program ... (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- Fresenius Medical Center (Pomona, CA)
- **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... for new employees who meet the RN CAP 2 criteria or attained through...be made. **SUPERVISION:** + Assigned oversight of Patient Care Technicians// LVN /LPNs/RNs as a Team Leader or designated Nurse… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506000443 Description : DMC Detroit Receiving Hospital , Michigan’s first Level I Trauma Center, helped pioneer ... Rosa Parks Geriatric Center of Excellence. Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- STG International (Milledgeville, GA)
- …regulations and guidelines that govern the facility. + Coordinate with the scheduler to ensure a Registered Nurse ( RN ) is on duty at least 8 hours a day/7 ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) is on duty 24 hours… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- Summary The Licensed Vocational Nurse /Practical Nurse ( LVN /LPN) have a broad degree of practical nursing knowledge and skills. The LVN /LPN will care for ... Coordinator for questions/assistance. Learn more Duties and responsibilities of the LVN /LPN include: Incumbent performs retrospective medical review of non-VA… more
- Centene Corporation (Sacramento, CA)
- …Nurse - State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State ... a fresh perspective on workplace flexibility. This position requires RN California Licensure and for candidates to have a...analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with… more
- ChenMed (St. Louis, MO)
- … RN with Bachelor Degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + A minimum ... DUTIES/RESPONSIBILITIES:** The ACN role may be performed by an RN or LPN/ LVN with each performing within...discharge planning. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Utilization Review (UR) and discharge planning +… more
- Tenet Healthcare (Detroit, MI)
- …Work Education or Bachelor's degree in Business, Nursing or Health Care Administration. 2. Registered Nurse or LCSW / LMSW license. Must be currently licensed, ... Manager of Case Management RN or LMSW - 2406002577 Description : DMC...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
- Molina Healthcare (Columbus, OH)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... Friday Monday 8:00am - 5:00pm (occasional weekend per business need) Unrestricted RN licensure **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN… more
- Molina Healthcare (Columbus, OH)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Molina Healthcare (Las Cruces, NM)
- …Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ... Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse ( LVN )...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Molina Healthcare (Columbus, OH)
- …Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ... Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse ( LVN )...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …committed to serving the veteran. Direct Care Licensed Vocational Nurses assist the Registered Nurse in the coordination of care focused on patient transition ... vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-LPN-Career-Flyer.pdf The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/ LVN ) 6 is to perform assigned… more
- Banner Health (Brush, CO)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Greeley, CO)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Torrington, WY)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Phoenix, AZ)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Greeley, CO)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
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