- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- AdventHealth (Tampa, FL)
- …Stroke Center. **The role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... align with the physician order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Utilization Management (UM) Consultant is a registered professional nurse , qualified by education and experience to work directly with ... level degree in Nursing may have opportunity to become registered as a nurse with a state...not creditable as related degrees. Preferred Experience: 1 year Utilization Management experience preferred. Reference: For more… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited educational ... requirements _Preferred:_ + Bachelor's degree in nursing + Experience in utilization management /case management /clinical documentation, critical care, or… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and ... 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Matrix Providers (Aurora, CO)
- …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in ... Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
- Centene Corporation (Tallahassee, FL)
- …**Remote-US position. Must work Eastern or Central Standard Time.** Registered Nurse (RN)-with utilization management , concurrent review, and acute care ... and actions taken on member medical records in health management systems according to utilization management... processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health Net… 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
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- CDPHP (Albany, NY)
- …Minimum two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- Nuvance Health (Danbury, CT)
- …Summary: Required- Registered Nurse ( RN) The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team, ... Performs other duties as required. Education: ASSOCIATE'S LVL DGRE Preferred- Two Years Utilization Review Experience Required- Registered Nurse ( RN)… more
- CVS Health (Trenton, NJ)
- …**Must be able to work an Eastern Standard Time schedule** **Must be a licensed Registered Nurse , any compact licensure must cover New Jersey** + Utilization ... Jersey or Compact RN License + 3+ years of clinical experience + Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and… more
- Catholic Health (Buffalo, NY)
- …Evenings with Weekend and Holiday Rotation Hours: 8:00 am to 4:00 pm Summary: The Registered Nurse (RN) Care Manager- Utilization Review, as an active member ... of the Care Management and interdisciplinary care team, provides comprehensive ...BS Education, or BS in Health related field + Registered Nurse , licensed (unrestricted) in New York… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** Hybrid work schedule available. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Ascension Health (Tulsa, OK)
- **Details** + **Department:** Utilization Management + **Schedule:** PRN, 8am-4:30pm + **Hospital:** Ascension St. John's Medical Center + **Location:** Tulsa, ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- WellSpan Health (York, PA)
- Utilization Management Nurse (RN) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible...Registered Nurse Multi State License Upon Hire Required #LI-REMOTE Apply… more
- Actalent (Des Moines, IA)
- Utilization Management Nurse Job Description We are seeking a dedicated Utilization Management Nurse to provide members and healthcare providers ... utilization review issues and explore alternative treatment options. + Process utilization management requests using clinical knowledge to interpret medical… more
- CVS Health (Lansing, MI)
- …full-time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to promote quality effectiveness of Healthcare Services and benefit utilization . **Required Qualifications** + Registered Nurse...practice experience as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more