- Elevance Health (Las Vegas, NV)
- RN - Utilization / Medical Management Nurse / InPatient (JR171072) **Work Hours** : 8 hour shift within 8am - 6pm PST. Rotating Weekends and holidays. ... 8am - 6pm PST. Rotating Weekends and holidays. The ** Medical Management Nurse ** is responsible...an equivalent background. + Current active, valid and **unrestricted RN license** to practice as a health professional within… more
- HCA Healthcare (Las Vegas, NV)
- …Review, appeals, denials, managed care contracting, experienced preferred. + Currently licensed as a registered nurse ( RN ) in the state of Nevada and/ or ... application for the opportunity below: Inpatient Authorization Review Services- Registered Nurse or Licensed Practical Nurse...medical review request and /or denial activities to management as needed. **What you will do in this… more
- Molina Healthcare (Las Vegas, NV)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Las Vegas, NV)
- …with multidisciplinary teams to promote Molina care model. * Adheres to utilization management ( UM ) policies and procedures. * May work collaboratively with ... collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required… more
- Elevance Health (Las Vegas, NV)
- …necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more