• Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    …Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per ... Diem 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty**… more
    Cedars-Sinai (03/10/24)
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  • Registered Nurse (RN)…

    Avera Marshall (Sioux Falls, SD)
    …opportunities for career growth. Avera Health Plans is looking for a Registered Nurse (RN) - Utilization Management to join our Team! Position ... pride by delivering excellent care. Job Summary + The Utilization Management RN is responsible for authorization...Experience + Bachelor's degree in Nursing is preferred. + Registered Nurse with a minimum of five… more
    Avera Marshall (03/19/24)
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  • Registered Nurse

    McLaren Health Care (Detroit, MI)
    **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
    McLaren Health Care (01/17/24)
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  • RN Utilization Management - Per Diem

    Guthrie (Sayre, PA)
    Summary The Registered Nurse (RN) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, ... coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer...of patient status. + Collaborate and set standards with registered nurse (RN) case managers (CMs) and… more
    Guthrie (03/12/24)
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  • Registered Nurse RN Case Manager

    HCA Healthcare (Richmond, VA)
    …+ **Licensed Registered Nurse .** + **Previous case management or utilization review experience preferred.** CJW Medical Center ... where diversity and inclusion thrive? Submit your application for our ** Registered Nurse RN Case Manager** opening with **Chippenham Hospital** today and find… more
    HCA Healthcare (02/14/24)
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  • RN Utilization Management - FT Days

    Trinity Health (Troy, NY)
    …NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time days. M-F 8hr shifts The team ... **The selected candidate will** : + Be responsible for the utilization management , both concurrent and retroactive for inpatient and outpatient services in… more
    Trinity Health (03/06/24)
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  • RN Manager, Healthcare Services…

    Molina Healthcare (Las Vegas, NV)
    **JOB FUNCTION: UTILIZATION MANAGEMENT , REGISTERED NURSE MANAGER HEALTHCARE SERVICES** **For this role we are seeking a people leader with prior ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
    Molina Healthcare (02/11/24)
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  • Utilization Management RN

    Ellis Medicine (Schenectady, NY)
    Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
    Ellis Medicine (01/16/24)
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  • RN Case Manager

    Actalent (San Diego, CA)
    …admission status and patient classification. Skills: case management , acute care, registered nurse , data entry, utilization management , Care ... Medical, Insurance verification, Customer service, Rn license Top Skills Details: case management ,acute care, registered nurse ,data entry, utilization more
    Actalent (03/23/24)
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  • Inpatient RN Case Manager

    Actalent (San Diego, CA)
    …admission status and patient classification. Skills: case management , acute care, registered nurse , data entry, utilization management , Care ... service, Rn license Top Skills Details: case management , acute care, registered nurse , data entry, utilization management Additional Skills &… more
    Actalent (03/23/24)
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  • Registered Nurse

    EM Key Solutions, Inc. (Eglin AFB, FL)
    …Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the Medical Maintenance Team at Eglin ... Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization ...to the following: + Develops and implements a comprehensive Utilization Management plan/program in accordance with the… more
    EM Key Solutions, Inc. (02/14/24)
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  • Registered Nurse (RN)-…

    EM Key Solutions, Inc. (Eglin AFB, FL)
    …Solutions is seeking a Registered Nurse (RN) for a full-time Utilization Review / Management position supporting the Medical Maintenance Team at Eglin ... Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager...to, the following: + Develops and implements a comprehensive Utilization Management plan/program in accordance with the… more
    EM Key Solutions, Inc. (02/14/24)
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  • Registered Nurse Utilization

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Utilization Management + **Schedule:** Part Time, Every Saturday and Sunday, 7am - 7pm + **Hospital:** Ascension St. Vincent's ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
    Ascension Health (02/24/24)
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  • Registered Nurse Case Manager…

    CommonSpirit Health Mountain Region (West Jordan, UT)
    …to help you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating closely ... discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical… more
    CommonSpirit Health Mountain Region (02/09/24)
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  • Registered Nurse

    Beth Israel Lahey Health (Plymouth, MA)
    …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... Collaborates with the multidisciplinary team to assess and improve the denial management , documentation, and appeals process. + Collaborates with UR Manager and/or… more
    Beth Israel Lahey Health (03/21/24)
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  • Nurse Senior_ Utilization

    Trinity Health (Albany, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days **Position ... Summary** : The Registered Professional Utilization Management Lead...a school of nursing. 2. Current registration as a Registered Professional Nurse in New York State.… more
    Trinity Health (02/16/24)
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  • Utilization Management Appeals…

    Kepro (Indianapolis, IN)
    …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. ... Job Summary: Our Utilization Management Appeals Nurse -...applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse (RN) or Licensed Practical … more
    Kepro (01/07/24)
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  • Utilization Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, ... and to support the safety net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the… more
    LA Care Health Plan (01/14/24)
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  • RN - Telephonic Utilization

    Humana (Little Rock, AR)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) with compact license with… more
    Humana (03/28/24)
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  • Utilization Management Nurse

    Actalent (Minneapolis, MN)
    …HMO intervention and/or care provided by network physicians, clinics, etc. Skills: Utilization management , Utilization review, Interqual, Case management ... Qualifications: Education and Experience: * Graduation from an approved school of nursing as a Registered Nurse , a current Registered Nurse license, and… more
    Actalent (03/21/24)
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