- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable ... Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
- Universal Health Services (San Antonio, TX)
- Responsibilities Position Summary : The Utilization Management Supervisor is responsible for planning, organizing, and managing daily operations of the ... Utilization Management team. The Supervisor ...Utilization Management team. The Supervisor duties include but...Education: + High School Diploma or GED + LVN, RN , LPC, LMSW or Bachelors Degree in Health Care… more
- Centene Corporation (Columbia, SC)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... including a fresh perspective on workplace flexibility. + Collaborates with utilization management team to resolve complex care member issues + Maintains… more
- MetroHealth (Cleveland, OH)
- …specifically focusing on payer verification, preadmission processing, authorization, clincial utilization management functions, etc.). Works with the manager ... as a clinical resource to the physician group and Utilization Management Specialists. Upholds the mission, vision,...hire. Possess a current license to practice as a Registered Nurse in the State of Ohio.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …standards, and regulatory/payor requirements. The role integrates and coordinates utilization management , care coordination, discharge planning functions and ... Support HCP Certification. Licenses and Certifications Preferred: + NJ State Professional Registered Nurse License. + Certified Case Manager. **Job ID**… more
- WelbeHealth (Los Angeles, CA)
- …quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...external), clinical staff, and others to timely resolve any utilization management issues **Job Requirements:** + Minimum… more
- Floral Long Term Care (Port Chester, NY)
- RN ( Registered Nurse ) Supervisor Floral Long Term Care is looking for a talented and hard-working RN Supervisor to join their ever-growing team. ... The RN Supervisor assumes primary nursing responsibilities for the ...as a professional role model to the other staff. RN ( Registered Nurse ) Supervisor… more
- Bon Secours Mercy Health (Youngstown, OH)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... - Neuro/Spine Med-Surg - St Elizabeth Youngstown Hospital:_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering… more
- Bon Secours Mercy Health (Youngstown, OH)
- …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency Room (ER) - St Elizabeth ... Youngstown Hospital** **Job Summary:** The Emergency Room (ER) Registered Nurse ( RN ) position is responsible for delivering exceptional nursing care to… more
- Bon Secours Mercy Health (Richmond, VA)
- …care sites and clinicians are recognized for clinical and operational excellence. ** Registered Nurse ( RN )-FT Evenings/Nights-CVICU** **$15k Sign On Bonus ... for Qualified Applicants** **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the care of… more
- Bon Secours Mercy Health (Springfield, OH)
- …is eligible for a $10,000 sign-on bonus!** **Mercy Health - Springfield Regional Medical Center - Registered Nurse ( RN ) - ICU ( Critical Care )** **_We're ... Springfield Regional Medical Center!_** **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates… more
- Bon Secours Mercy Health (Newport News, VA)
- …as a Center of Excellence. **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
- Bon Secours Mercy Health (Richmond, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... specialty certification **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of… more
- Bon Secours Mercy Health (Newport News, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... **_*_** **_Bon Secours Virginia believes strongly in the professional advancement of the clinical Registered Nurse . The professional role of the nurse not… more
- AdventHealth (Hinsdale, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient… more
- AdventHealth (Hinsdale, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient… more
- Bon Secours Mercy Health (Warren, OH)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... an 18 month commitment** **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a… more
- Bon Secours Mercy Health (Boardman, OH)
- …care) + ACLS Advanced Cardiac Life Support (preferred) + Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) + CCRN ... a better work/life balance** **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a… more
- Bon Secours Mercy Health (Youngstown, OH)
- …care) + ACLS Advanced Cardiac Life Support (preferred) + Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) + CCRN ... a better work/life balance** **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a… more