- Aequor (New York, NY)
- …occupational nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, ... current NP license in New York State Master's Degree in Advanced Practice Registered Nursing Current APRN Board Certification Minimum of 3-5 years' experience as an… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge planning experience preferred.3. Three years of broad ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...via secure virtual link to patient rooms.#RNSINDJob Summary: The Registered Nurse I (Virtual) assesses, plans, implements… more
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... of Social Work program. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license… more
- Wellstar Health System, Inc. (Avondale Estates, GA)
- Facility: Kennestone Hospital WellStar Kennestone Hospital has an opportunity for a Registered Nurse (RN) - Acute Pulmonary -Full-time - Day Shift OverviewThe RN ... Clinical Nurse is a proactive member of an interdisciplinary team...diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and promotion of… more
- Wellstar Health System, Inc. (Decatur, GA)
- Facility: Kennestone Hospital Overview The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure ... patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared… more
- Wellstar Health System, Inc. (Duluth, GA)
- …to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review , etc); completion of timely documentation and promotion of a ... supports performance improvement inclusive of all stakeholders, research and research utilization to promote safe, quality patient care including initiating and/or… more
- Fresenius Medical Care (West Springfield, MA)
- …auditing activities. Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review . Responsible for all required network reporting and on-site state or… more
- University of New Mexico - Hospitals (Algodones, NM)
- This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance ... patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE… more
- University of New Mexico - Hospitals (Algodones, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case managers...Bio Hazardous Materials req PPE * Subject to an annual contract and performance appraisal Department: Registered Nurse… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for Full-Time ... utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse (RN) in New York State *Skills and… more
- Health Advocates Network (Baltimore, MD)
- Health Advocates Network is urgently hiring Utilization Review Registered Nurse ** RNs** with at least **2** years of recent acute care experience! ... IMMEDIATE STARTS! + Pay Rate: $2,074 weekly + Specialty: Utilization Review Registered Nurse (RN) + Shift: 8hr Day + 13 Week Contracts and more… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location Middletown, CT Date Opened 5/17/2024 12:00:00 AM ... we serve. THE POSITION: We are currently seeking a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=undefined&R3=undefined)… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Geisinger (Danville, PA)
- …+ Required experience: 3 years of RN work experience + Preferred Experience: Utilization Review / Utilization Management Work from Home Internet requirements: ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
- University of Washington (Seattle, WA)
- …artistic pursuits, and natural beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three years ... Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open... Management Specialist RN2 is responsible for the ongoing review of a designated group of patients through the… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 240514-5612FP-001 Location New Haven, CT Date Opened 5/16/2024 12:00:00 AM Salary $76,565* - ... and Addiction Services ( DMHAS (https://portal.ct.gov/DMHAS/About-DMHAS/Agency/About-DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) !… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more
