- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
- AdventHealth (Orlando, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... 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 +… more
- AdventHealth (Tampa, FL)
- …role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... admission, treatment, and appropriate level of care. The UM RN leverages the algorithmic logic of the XSOLIS Cortex...order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor… 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
- 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
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN ) supports daily coordination of care across healthcare continuum with the ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- AdventHealth (Altamonte Springs, FL)
- …role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... 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
- McLaren Health Care (Pontiac, MI)
- …activities 12. Performs other duties as assigned. _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's degree in nursing from accredited ... needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses..._Preferred:_ + Bachelor's degree in nursing + Experience in utilization management /case management /clinical documentation, critical… 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 ... **Required Qualifications** + Must have active, current and unrestricted RN licensure in New Jersey or Compact RN... License + 3+ years of clinical experience + Utilization Management is a 24/7 operation and… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Ochsner Health (New Orleans, LA)
- …discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway PRN To perform ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… 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
- Bon Secours Mercy Health (Portsmouth, VA)
- …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... ( RN ) - Med-Surg - Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
- Bon Secours Mercy Health (Greenville, SC)
- …and operational excellence. FT Nights **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
- Catholic Health (Buffalo, NY)
- …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
- Bon Secours Mercy Health (Suffolk, VA)
- …**Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …on bonus eligible **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. * Participates in the safe management of the milieu, intervening effectively with patients who...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric… more
- LifePoint Health (Johnstown, PA)
- …in employment. **Job:** **Nursing* **Organization:** ** **Title:** * Registered Nurse ( RN )- Case Management PRN/Hourly* **Location:** ... * Registered Nurse ( RN ), Case Manager...in the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review staff,… more
- Bon Secours Mercy Health (Springfield, OH)
- …recognized for clinical and operational excellence. **Mercy Health - Springfield Regional Medical Center - Registered Nurse ( RN ) - ICU ( Critical Care )** ... **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the care of the patient in collaboration… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas ... Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse will coordinate discharge planning to...setting + Minimum of one year experience in Case Management / Utilization Management or Home Care… more