- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding ... and compassionate team. **The Utilization Review Specialist Senior responsibilities...Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred… more
- Sanford Health (Thief River Falls, MN)
- …$26.00 - $41.50 **Department Details** Come join our Behavioral Health team as a Utilization Review Specialist utilizing a team-based approach to patient ... program as a Licensed Practical Nurse (LPN). Registered Nurse ( RN ) preferred. Five...setting required. Preference given to individuals with experience in utilization or with CPT/ICD knowledge. Currently holds an unencumbered… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager*...team of RN Case Managers, Social Workers, Utilization Review staff, and Discharge Planners assure that ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Date: Sep 16, 2024 The State Personnel System is an E-Verify employer. For more ... 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C...as a member of the DDDP Behavior Analysis Local Review Committee, Support Planning Committee, and treatment team. Performs… more
- Hackensack Meridian Health (Neptune, NJ)
- …healthcare and serve as a leader of positive change. The Clinical Documentation Specialist Registered Nurse facilitates improvement in the overall quality, ... experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or… more
- Roper St. Francis (Charleston, SC)
- …for Primary Charge Nurse I. **Experience:** At least 2 years' experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... Nurse role. **Licensure/Certification:** Applicant must be currently licensed as a Registered Nurse in South Carolina or hold a current compact/multi-state… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... St, Orlando, FL 32803 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- AdventHealth (Winter Garden, FL)
- …for the mind, body, and spirit! **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians, ... care coordination and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST OPS - 60955422 Date: Aug 27, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS -...Nurse Practice Committee. Knowledge, skills and abilities, including utilization of equipment, required for the position: Ability to… more
- St. Mary's Healthcare (Amsterdam, NY)
- …denials by drafting appeals, negotiating with payers, or following up with payer utilization review departments in attempts of obtaining authorizations and claim ... with medical staff and care coordination leaders to ensure ongoing compliance with utilization review guidelines. * Collaborates with managed care department to… 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 Position ... that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- HCA Healthcare (El Paso, TX)
- …set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse ** **Clinical Informatics Coordinator** **to join our healthcare family.** ... **Required:** + **Associate's Degree** + **Bachelor's Degree preferred, or in progress** + ** Registered Nurse license in Texas. If Compact License, Texas license… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4660724) Apply REGISTERED NURSE SUPERVISOR A Salary ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, ... coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the... RN licensure in MN + 3-5 years utilization review or case management experience in… more
- Katmai (Fort Carson, CO)
- … Specialist , for this position for initial hire. + The registered nurse must possess sufficient initiative, interpersonal relationship skills and ... The Registered Nurses report and are accountable to the Nurse Manager. **ESSENTIAL DUTIES & RESPONSIBILITIES** + Collect, interpret, record, and communicate… more
- LifePoint Health (Athens, TN)
- …RegionalMedical Centeris currently seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is ... **Job:** **Nursing* **Organization:** **Starr Regional Medical Center* **Title:** * Intake Nurse and Utilization Specialist * **Location:**… more
- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los ... Summary The Managed Long Term Services and Supports (MLTSS) Nurse Specialist RN II applies...care, home care, or case management. OR experience in Utilization Review or Care Management will be… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and… more