- CHRISTUS Health (Macdona, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Arp, TX)
- DescriptionSummary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness ... and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network… more
- Appcast (Randallstown, MD)
- Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full -time - Day shift - 8:00am-4:30pm RN Other 92327 ... system that values bold ideas and community-centered care. The Utilization Review Nurse RN conducts...by payor. Monitors and identifies patterns or trends in utilization management . Monitors potential and actual denials… more
- Jooble (Alamogordo, NM)
- Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and ... and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network… more
- Jooble (Caddo County, LA)
- …patient care experience in a relevant setting Minimum of 5-10 years of healthcare management experience RN License in state of employment or compact Work ... designated service line and staff for a facility; ensures quality and full compliance with relevant policies and standards. Responsibilities: * Implementing and… more
- Jooble (Alexandria, LA)
- …nursing services and staff for a department; ensures quality and full compliance with relevant policies and standards. Responsibilities: Implementing and monitoring ... in matters related to nursing service and strategies Standard I: Financial Management Recognizes the impact of reimbursement on revenue Understands the relationship… more
- Trinity Health (Albany, NY)
- …lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital-- Full -TIme Days** If you are ... looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference,...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
- Alameda Health System (Oakland, CA)
- … Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Sanford Health (Fargo, ND)
- …N, Fargo, ND 58102, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $34.00 - $51.00 **Pay Info:** ** ... ** **Job Summary** Provides expertise and leadership to ensure effective resource management for patient care delivery across the care continuum for assigned patient… more
- ERP International (Barksdale AFB, LA)
- …ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full -time position supporting the 2d Medical Group, ... year of experience in Utilization Management is required. Full time employment as a registered nurse within the last 36 months is mandatory. Six… more
- Beth Israel Lahey Health (Plymouth, MA)
- …job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of...+ Minimum of 3 years of progressive experience in utilization management and appeal/denial management .… more
- Beth Israel Lahey Health (Boston, MA)
- …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... and Responsibilities:** 1, Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior ... Registered Nurse - Hospital Management Utilization ...EDUCATION, TRAINING, and EXPERIENCE Requires two (2) years of full -time professional registered nurse experience,… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... Bonus! Schedule: Full Time: 8:00am-4:30pm, requires 6 weekends a year. Utilization Management Registered Nurse ( RN ) Position Responsibilities: +… more
- Wellpath (Fort Lauderdale, FL)
- …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/181904/ utilization - management - registered - nurse -%28rn%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help… more
- Bon Secours Mercy Health (Suffolk, VA)
- …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... ( RN ) - Med-Surg -Harbour View Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full -time ** Registered Nurse ( RN ) Utilization Management ** for a temporary contract position in ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Penn Medicine (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- Bon Secours Mercy Health (Petersburg, VA)
- …Full -time night shift/12hr shifts** **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
- St. Luke's University Health Network (Quakertown, PA)
- …including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director. . Facilitates communication among all ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
