- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... 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
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical Group, ... practices as needed for patterns, trends, orincidents of under or over utilization of hospital resources incidental to medical careprovided to beneficiaries. + Plans… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …established policies and guidelines. Responsibilities The Utilization Management (UM) Registered Nurse ( RN ) executes position responsibilities that ... leadership, experience, and creative approaches to management of complex utilization processes. Practical experience in the application of UM...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Ascension Health (Tulsa, OK)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... time of hire. **Additional Preferences** + Minimum of 3 years of RN experience + Utilization Review experience preferred **Why Join Our Team** Ascension St. John… more
- Ascension Health (Wichita, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Review + **Schedule:** Full time, 36 hrs,...care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within… more
- Humana (Jackson, MS)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse license in a state that is part of the ... community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies,… more
- Ascension Health (Baltimore, MD)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes Hospital + **Location:**… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... **Position Summary:** Responsible for Utilization and Care Management services to the Emergency...needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses if follow… more
- Beth Israel Lahey Health (Plymouth, MA)
- …job that may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced degree in healthcare ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- MaineGeneral Health (Augusta, ME)
- …MaineGeneral Health is offering an exciting opportunity for an experienced Utilization Review Registered Nurse ( RN ) to join our team. If you have a ... we want to hear from you! Job Description: The Utilization Review Team at MaineGeneral prides itself on being...will have: + State of Maine licensure as a Registered Nurse ( RN ) or ability… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse , Revenue Integrity & Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... by Forbes as a Best Employer. Position Summary: The RN Utilization Management I will perform ...word and excel. Licensure Requirements: Current licensure as a Registered Nurse ( RN ) as issued… more
- Ascension Health (Jacksonville, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse obtained prior to hire date or job transfer ... **Details** + **Department:** Utilization Management + **Schedule:** Part Time; Every Saturday...date. Licensed as a Registered Nurse in Florida. Credentialed from State… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The **Registry Utilization Review Nurse ** (PRN) is responsible for conducting medical ... with the attending physician and/or physician advisor. + The UR RN (PRN) will perform utilization review by completing a timely and comprehensive review of all… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to review… more
- BJC HealthCare (St. Louis, MO)
- …(commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff nurse experience performing care for hospitalized patients. + 2 years of ... utilization review (UR) experience reviewing hospital admissions for medical...in St. Louis. + Have both Missouri and Illinois RN licenses. + If candidate only has one … more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders...State Licensure Current RN license as issued by the State Board of… more
- Hartford HealthCare (Norwich, CT)
- …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... matters. **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Inpatient Psych* **Location:**… more
- Actalent (Cary, NC)
- …Triage skills + Acute care experience + Oncology nursing expertise + Registered Nurse ( RN ) license + Utilization management skills + Patient education ... or Bachelor's degree in Nursing or accredited nursing diploma + Registered Nurse with current unrestricted compact state license or primary NC licensure… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. **Working Conditions** Periods...Med-Surg - Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is… more
- Bon Secours Mercy Health (Greenville, SC)
- …and operational excellence. FT Nights **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to… more