- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- …to the facility for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse (RN) license Clinical nursing experience Experience in care ... Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel...or utilization management ( 2 + years) BLS certification Computer… more
- New York State Civil Service (Wallkill, NY)
- …HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 - Utilization (NY HELPS) Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a bachelor's degree… more
- McLaren Health Care (Detroit, MI)
- …implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in nursing from accredited ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...from the physician to optimize hospital reimbursement when appropriate. 2 . Works collaboratively with ICM service lines to expedite… more
- Avera Marshall (Sioux Falls, SD)
- …shifts to fit your lifestyle and opportunities for career growth. Avera is looking for a Registered Nurse (RN) - Utilization Review to join our Team! *Must ... live within a 2 hour radius of an Avera facility* Position Highlights:...of related professional experience. Licensure/Certification/Registration + Licensed as a Registered Nurse in the state of South… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Utilization Management** in support of the30th Medical Group at Vandenberg AFB, ... check/security clearance **Job Locations** _US-CA-Vandenberg AFB_ **Posted Date** _1 month ago_ _(5/16/2024 2 :39 PM)_ **_Job ID_** _2024-4519_ **_Category_**… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... years in the supervision* of nursing staff engaged in utilization review activities. -AND- 2 . Current certification...in a state other than California must provide their Registered Nurse License Number from that state… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review ...certification is required. + Experience: Requires a minimum of 2 years of clinical and utilization review… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) compact licensure with no… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...clinical experience in an acute hospital setting. At least 2 years Utilization Management/Case Management experience in… more
- Kepro (Indianapolis, IN)
- …other information applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) ... partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Job… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs...review. * Working knowledge of URAC and NCQA. * 2 + years' experience in a UM team within managed… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …discharge between levels of care and facilities Essential Qualifications + Current licensed Registered Nurse (RN) in good standing. Must retain active licensure ... Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity...review. + Working knowledge of URAC and NCQA. + 2 + years' experience in a UM team within managed… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Outpatient, DME, and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse (RN) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal...benefit interpretation, contract language, medical and policy review. + 2 + years' experience in a UM team/Appeals within managed… more
- Louisiana Department of State Civil Service (Raceland, LA)
- Registered Nurse 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4551275) Apply Registered Nurse 2 Salary $4,470.00 - ... to patients and/or clients. LEVEL OF WORK: Experienced. SUPERVISION RECEIVED: General from a Registered Nurse Supervisor A or B, but may receive supervision from… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse , an experienced clinician, functions at the Competent to Proficient ... Certifications, Licenses and Registrations section. **WORK EXPERIENCE** + Two years of registered nurse experience in a healthcare environment **LICENSES AND… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... Staff nurses starting at $36 per hour! **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 72...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- Ventura County (Ventura, CA)
- Registered Nurse I/II and Nurse Extern -...each hour worked for all VCMC/SPH Nursing Units + Float Nurse Premium Pay - $ 2 .50 per hour per hour ... Regular and Per Diem Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4219899) Apply Registered Nurse I/II and Nurse Extern - Regular… more
- McLaren Health Care (Petoskey, MI)
- …Hours:** 72 **Daily Work Times:** 7a-7:30p **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the nursing ... the physical, psychosocial, and educational needs of the patient. 2 . Plans and implements nursing care according to patient...+ Associate Degree from an accredited Nursing program + Current State of Michigan Registered Nurse license… more
- The County of Los Angeles (Los Angeles, CA)
- …1. Three years of full-time experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2 . A license to practice as a ... REGISTERED NURSE II - NORTH COUNTY...care. + participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted...needs, to identify potential barriers to optimal health, resource utilization , and methods for minimizing barriers. + Assist the… more
