- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... are utilized for the following types of inpatient and outpatient surgeries: General, Gynecology, Neurosurgery, Orthopedics, Plastics, Robotic, Urology, Podiatry,… more
- Molina Healthcare (Bronx, NY)
- …an integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/ outpatient medical necessity/ utilization review , and/or other ... and the site of service. **We are seeking a Registered Nurse with previous UM and** **inpatient...skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. +… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- …Position Type- Onsite EM Key Solutions is seeking a Registered Nurse ( RN ) for a full-time Utilization Review / Management position supporting the ... Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager...procedures, laboratory, radiology, and pharmacy. + Performs medical necessity review for planned inpatient and outpatient surgery;… more
- Ventura County (Ventura, CA)
- … Nurse III - Hospital Case Management/ Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply Per ... Registered Nurse III - Hospital Case Management/ Utilization Review Salary $119,061.54 - $151,803.47 Annually...supervision commensurate with their experience. APPROXIMATE SALARY: Per Diem Registered Nurse III (PD RN … more
- University of Virginia (Charlottesville, VA)
- Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management ... 2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED QUALIFICATIONS:… more
- Fresenius Medical Center (Denver, CO)
- **POSITION FEATURES:** Lowry Clinic *Comprehensive training provided **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be ... level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1.… more
- Fresenius Medical Center (Houston, TX)
- …to 5pm Location: 5435 Aldine Mail Rte. Houston, Texas 77039 **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry ... level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1.… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- … Manager Onsite Position EM Key Solutions is seeking Registered Nurse ( RN ) for a full-time Utilization Review / Management position supporting the ... Registered Nurse - Utilization...procedures, laboratory, radiology and pharmacy. + Performs medical necessity review for planned inpatient and outpatient surgery;… more
- Fresenius Medical Center (Eastman, GA)
- …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
- Arms Acres (Bronx, NY)
- …requested by the Director of Outpatient Operations. Maintains meeting minutes, utilization review minutes, incident reports, and staff supervisory reports as ... Outpatient Clinical Director, Bronx *sign on bonus eligible...Outpatient Operations. Requirements Masters Required, LCSW, LMHC, LMSW, RN or Masters w/ CASAC Required, must have a… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in ... of the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the right care,… more
- CVS Health (Salt Lake City, UT)
- …as ambulatory care or outpatient program- Managed care and utilization review experience preferred.- Crisis intervention skills preferred. Education Master's ... social worker, LPC, LCSW, LMFT, LMHC, Behavioral /mental health services or if Registered Nurse , Associates degree required, BSN preferred Pay Range The typical… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of… more
- AdventHealth (Hinsdale, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- AdventHealth (Hinsdale, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
