- CHRISTUS Health (Texarkana, TX)
- Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and ... other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network support.… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...Case Manager) **Required Experience (must have):** + 2 to 3 years Utilization Management experience in a… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Health Educator** supporting **Naval Medical Center San Diego, CA ... with already existing departments, command, and community programs to ensure appropriate utilization of resources to meet the patients' health and wellness goals. ?… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Alameda Health System (Oakland, CA)
- …of the required experience.) Required License/Certifications:CCRN - Critical Care Registered Nurse is desirable. Required Licenses/Certifications:ACLS - Advanced ... (Required for Emergency department). Required Licenses/Certifications:Valid license to practice as a Registered Nurse in the State of California Alameda Health… more
- Alameda Health System (San Leandro, CA)
- …at a medical group or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California, Active BLS - Basic Life ... Nurse , Care Management + San Leandro, CA +...Care Management provides Care Coordination, Compliance, Transition Coordination, and Utilization Management. **DUTIES & ESSENTIAL JOB FUNCTIONS** NOTE:The following… more
- Alameda Health System (Oakland, CA)
- …in Nursing preferred. Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/CertificationsTPM: ACLS, TNCC, ... Two years of full-time continuous experience as a Clinical Nurse IV with AHS. ( 3 ) The equivalent...department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Master's degree in Nursing, Health Care Administration, or related field preferred. Current Registered Nurse licensure in the State of California and AHA CPR/BLS ... **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Nurse Care Manager performs complex discharge planning for patients of… more
- Highland Hospital (Rochester, NY)
- …experience 3 . License/Certification Required: Current NYS license as a Registered Professional Nurse . AHA Health Care Provider BLS CPR Certification ... **17189BR** **Title:** NURSE MANAGER - ICU **Department/Cost Center:** 612 -...resource management, assessment and monitoring of resource needs and utilization , staff professional development, unit-based research and performance improvement,… more
- Highland Hospital (Rochester, NY)
- …experience 3 . License/Certification Required: Current NYS license as a Registered Professional Nurse . AHA Health Care Provider BLS CPR Certification ... **17126BR** **Title:** NURSE MANAGER - W4 **Department/Cost Center:** 632 -...resource management, assessment and monitoring of resource needs and utilization , staff professional development, unit-based research and performance improvement,… more
- Stanford Health Care (Palo Alto, CA)
- …(Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist). + Three ( 3 ) years of APP experience ... under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse...on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient… more
- Stanford Health Care (Palo Alto, CA)
- …**A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse (RN) who works collaboratively with Clinical Research Staff ... Qualifications** + 5 plus years nursing experience required OR 3 + years in an oncology research nurse ...in a related field **Licenses and Certifications** + California Registered Nurse (RN) + American Heart Association… more
- Stanford Health Care (Palo Alto, CA)
- …and outcomes of patient health care **Licenses and Certifications** + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . ... include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …State Licensure as a registered nurse (REQUIRED) + Three ( 3 ) years of clinical experience (REQUIRED) + Utilization Management experience + Experience ... to ensuring the highest quality of care while managing utilization effectively. + Influence critical decisions that impact patient...or not, a pension plan that is vested after 3 years of service. + Wellness incentives with a… more
- BlueCross BlueShield of Tennessee (Memphis, TN)
- …position\. + This job requires digital literacy assessment\. **Job Qualifications** _License_ + Registered Nurse \(RN\) with active license in the state of ... have you on our team\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases...their residence if the state is participating in the Nurse Licensure Compact Law\. _Experience_ + 3 … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …or four (4) years' work experience **(Required)** + Current State Licensure as a registered nurse where licensing is required by State law **(Required)** + Three ... ( 3 ) years of clinical experience ( **Required)** + Utilization Management experience (Preferred) + Experience working in the health plan industry (Preferred)… more
- Commonwealth Care Alliance (Springfield, MA)
- …have): - Meaningful clinical experience including: - 3 + years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - 2+ ... a member of the management team, shared accountability for reductions in acute care utilization - Attend team meetings and huddles to provide input on patient care,… more
- Commonwealth Care Alliance (Boston, MA)
- …have): - Meaningful clinical experience including: - 3 + years' experience as a Registered Nurse in a high-touch clinical environment or home care, OR - 2+ ... a member of the management team, shared accountability for reductions in acute care utilization - Attend team meetings and huddles to provide input on patient care,… more
- New York State Civil Service (Malone, NY)
- …Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 3 - Utilization Temp/Hourly 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 in… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print... Premium Pay - $1.50 per hour + Float Nurse Premium Pay - $ 3 .50 per hour ... (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior Registered Nurse - Hospital Management Utilization Salary $118,668.43 -… more
