- Skaggs Community Hospital Association (Branson, MO)
- …and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered ... and utilization of Aseptic Technique. ◦ Licensure/Certification/Registration ▪ Required:Missouri State Registered Nurse AND Certified as a Registered … more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …Type Full Time Salary Range $32.00 - $48.00 Hourly Description JOB TITLE: UTILIZATION REVIEW /CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) ... GENERAL SUMMARY The Utilization Review /Case Management Nurse is directly...to interact with patients/families, healthcare providers, and outside agencies. Registered Nurse with at least two years… more
- Aveanna Healthcare (Birmingham, AL)
- $7500 Sign-On Bonus Position Overview: The Hospice Registered Nurse is responsible for pain management, symptom control in the delivery of care to hospice ... of care and patient needs. Participates in quality improvement, utilization review , and infection control activities as...Time, and Paid Holidays Qualifications: Current license as a Registered Nurse in the State of Alabama… more
- Yale New Haven Health (NY)
- …Patient Throughout The Perioperative Experience. Performs Scrub And Related Duties With A Registered Nurse . Is Responsible For The Immediate Sterile Field And ... Of Practice. 14. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization , And Staff And Self Development As Outlined In Performance … more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …of healthcare services provided to all admitted patients. Using a value-based approach the Utilization Review Nurse ensures that care is administered via ... Matters.** **Overview** **Purpose Statement/Position Summary:** The Utilization Nurse is responsible for utilization review...- BSN or higher degree in nursing preferred. - Registered Nurse licensure in the State of… more
- Providence Little Company of Mary Medical Center - San Pedro (San Pedro, CA)
- …Travel Offering Nursing Profession RN Specialty Case Manager Job ID 33531206 Job Title Registered Nurse - Case Manager @ Providence Little Company of Mary ... Date 12/08/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …+ Minimum 3 years of experience in Managed Care, Provider Office, or Utilization Review organization required. + Knowledge of Commercial, Medicare, and Medi-Cal ... **Overview** BroadPath is seeking a highly motivated and results-oriented ** Utilization Management (UM) Nurse ** . Our ideal...Management (UM) Nurse ** . Our ideal **UM Nurse ** will ensure timely review of referrals,… more
- Stony Brook University (Stony Brook, NY)
- Registered Nurse (T&RC) - Blood Donor - Per Diem **Position Summary** At Stony Brook Medicine, our Registered Nurses are critical members of the team who ... while adhering to a medical regimen. **Duties of a Registered Nurse in the Blood Donor Department...Donor and Therapeutic Apheresis as assigned.. + Perform blood utilization quality assurance, donor related work as assigned. +… more
- PharmaCord (Jeffersonville, IN)
- …clearly and articulately Have a positive attitude! Education & Experience: Licensed Registered Nurse 2-3 years nursing with experience in rare disease, ... healthcare industry is required Bachelor's degree required; Master's degree is preferred Nurse line triage, Call Center Utilization Management, Call Center Case… more
- Katmai (Fort Carson, CO)
- …RESPONSIBILITIES** None. **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from a college or ... same duties as those required of any military or government civil service nurse of similar experience and in similar duty assignments. **ESSENTIAL DUTIES &… more
- Luke Staffing (Glendale, CO)
- ** REGISTERED NURSE ** **SITE OF SERVICE:** Department of Veterans Affairs, Eastern Colorado Healthcare System (ECHCS), 4100 E. Mississippi Ave, Glendale, CO 80246 ... Friday, 7:30 AM - 5:30 PM (excluding federal holidays) **POSITION OVERVIEW:** The Registered Nurse (RN) will provide on-site professional nursing services to… more
- Alameda Health System (San Leandro, CA)
- …necessarily performed by each individual in the classification. + Coordinates all utilization review functions, including response to payor requests for ... experience in Case Management in an acute setting or utilization review at a medical group or...or health plan. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California,… more
- Sprenger Wellspring Silver Maple (Lorain, OH)
- …Home Health - Lorain, OH Job Shift Any Description JOB TITLE: Licensed Practical Nurse REPORTS TO: Registered Nurse BASIC PURPOSE A clinically competent, ... on ongoing home visits and reports these to the registered nurse . In conjunction with the ...summaries within 48 hours of the patient discharge. Resource Utilization Ascertains knowledge of patient pay source and make… more
- Stony Brook University (Stony Brook, NY)
- …development, implementation and monitoring of the organizations case management and utilization review functions. + Manages daily operations, which includes ... of resources, coordination of care across the continuum, utilization review , discharge and transition planning and...Qualifications:** * Possession of license to practice as a registered nurse in New York State. *… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Disease Manager** in support of theMike O'Callaghan Military Medical Center ... background and work experience are required: Minimum of five years of experience as registered nurse with at least 12 months of experience in disease management… more
- Stony Brook University (Stony Brook, NY)
- …will be performed on the donor. * The incumbent participates in and conducts blood utilization review with the direction of the Blood Bank Medical Director. The ... + New York State license to practice as a Registered Nurse * Minimum three years relevant...or for a maximum of 90 days. An initial review of all applicants will occur two weeks from… more
- Stanford Health Care (Palo Alto, CA)
- …+ ICU/ED and Academic Medical Center experience preferred. + Case management, utilization review and/or direct provider interaction experience, preferred. + ... Clinical Document Spec . + CCDS-O or CDIP . + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . **These principles apply… more
- Alameda Health System (San Leandro, CA)
- …preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or ... AHA-American Heart Association. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California. **PAY RANGE**… more
- Centene Corporation (New York, NY)
- …requires NY RN Licensure as well as a State Issued NY ID.** **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for ... requiring authorization. Utilizes decision-making and critical-thinking skills in the review and determination of coverage for medically necessary health care… more
