- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...- Oncology Unit Cardiac Special Care Unit Electrophysiology Unit Emergency Department Observation Unit Labor & Delivery Unit Tambur… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …department budget, staffing, and training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...Trauma, Cardiac/Telemetry, Orthopedics) Cardiac Special Care Unit Childbirth Unit Emergency Department Float Pool Intensive Care Unit Operating Room… more
- Northwestern Memorial Healthcare (Grayslake, IL)
- …join our quest for better? Job Description 36 hrs/wk - 0.9 FTE The Registered Nurse BSN embodies the attributes of the Relationship Based Care model and performs to ... values of NM, adheres to the State of Illinois Nurse Practice Act, the organization's Code of Ethics and...regular basis, and through participation in clinical case peer review . Works collaboratively with all hospital services to responsibly… more
- Northwestern Memorial Healthcare (Mchenry, IL)
- …Job Description Scheduling Need: 12-hour shifts, 6pm-6am, every other weekend. The Staff Nurse Inpatient reflects the mission, vision, and values of NM, adheres to ... other regulatory and accreditation standards. A clinically competent, registered, professional nurse who prescribes, delegates and coordinates nursing care to the… more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II is primarily responsible for ... admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests where determination requires extended … more
- PIH Health (Los Angeles, CA)
- Job Description The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures ... of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing...for preparing cases for Physician Advisor for 2nd level review . PIH Health is a nonprofit, regional healthcare network… more
- HEALTH FIRST CAREERS (Melbourne, FL)
- Job Requirements POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate ... information that relates to insurance reimbursement in appropriate reviews. The UR Nurse utilizes advanced clinical skills to facilitate the provision of care… more
- Boston Medical Center (Boston, MA)
- …with the American Nurses Association's "Standards of Clinical Nursing Practice," the registered nurse , under the general supervision of the Nurse Manager, is ... and direct patient care. The RN is a staff nurse in the clinic with a particular emphasis on...in the areas of program development, implementation, marketing and review of clinical programs/services; provides nursing care to clinic… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- OCCUPATIONAL SUMMARY The Registered Professional Nurse at Northside Hospital independently plans and provides professional nursing care to patients in accordance ... and in accordance with the scope of practice as defined by the Georgia Nurse Practice Act. The American Nurses Association's (ANA) Nursing: Scope and Standards of… more
- Roper St Francis Healthcare (Summerville, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... in early 2026. This growth will bring expanded services to emergency , cardiology, orthopedics, obstetrics, neurology, inpatient dialysis and additional specialties… more
- Wellstar Health System (Marietta, 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
- Texas Health Resources (Dallas, TX)
- Nurse Manager II-Surgery Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you to ... care. We specialize in cancer care, cardiology, neurosciences, women's services, and emergency medicine. Our hospital is home to a renowned Level III Neonatal… more
- TulaRay (Harrisburg, PA)
- …setting, behavioral health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience; or An ... of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing;...(MA), health care services, human services, long term care, utilization review , or knowledge of home care… more
- Kaiser Permanente (Denver, CO)
- …position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits ... and incidents, and unsafe working conditions promptly. Adopted from Colorado State Nurse Practice Act CRS 12-38-103) Evaluating health status through the collection… more
- Garden Place Healthcare (Attleboro, MA)
- …RN, Nursing Supervisor, Unit Manager, DON and/or ADON, the licensed practical nurse delivers efficient and effective nursing care while achieving positive clinical ... within the scope of practice defined by the state nurse practice act. The LPN contributes to nursing assessments...to achieve patient goals and minimize re-hospitalization. Participates in review and revision of plan of care Provision of… more
- Roper St Francis Healthcare (Summerville, SC)
- …as appropriate. Participates in budget preparation for cost centers. Assures economical utilization of time, materials and resources through review of workflow ... in early 2026. This growth will bring expanded services to emergency , cardiology, orthopedics, obstetrics, neurology, inpatient dialysis and additional specialties… more
- Roper St Francis Healthcare (Charleston, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess,… more
- North Port Behavioral Health (North Port, FL)
- …Clinical professional is responsible for facilitating admissions, clinical intake assessments, and utilization review processes to assure continuity for the most ... appropriate level of care for patients and their benefit/resource utilization . Responsibilities REGISTERED NURSE ESSENTIAL FUNCTIONS Provide and coordinate care… more
- Ventura County, CA (Ventura, CA)
- …department in-services and staff development programs; May participate in quality assurance/ utilization review or other non-direct patient care nursing ... The ideal candidate is a compassionate, adaptable, and clinically skilled registered nurse who excels in delivering comprehensive care to patients with complex… more
