- The University of Vermont Health Network (Colchester, VT)
- …stays, including psychiatry; affirming compliance with CMS' Conditions of Participation regarding Utilization Management with annual review of the UM Plan and ... assisting with the coordination of the Utilization Management Committee; Knowledge of CMS policy,...of various managed care insurance plans.MINIMUM REQUIREMENTSState of Vermont Registered Nurse (RN) license required. The University… more
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge… more
- Baylor Scott & White Health (Waco, TX)
- Baylor Scott & White Health is seeking a Registered Nurse (RN) Ambulatory Surgery for a nursing job in Waco, Texas.Job Description & RequirementsSpecialty: ... hours per weekShift: 8 hours, daysEmployment Type: StaffJOB SUMMARYThe Operating Room (OR) Registered Nurse (RN) is a licensed professional who uses the BSWH… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and are honored to be a part of this incredible work.What Will You Do?As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in ... in the teaching of persons' served families and provides milieu management . Communicates with and educates persons' served families/significant others in… more
- Inova Health System (Fairfax, VA)
- Inova Health System is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in Fairfax, Virginia.Job Description & RequirementsSpecialty: ... patient's needs and advocates for patient rights and appropriate utilization of services. Builds working relationships with patient, healthcare...- Licensed in the Commonwealth of Virginia as a Registered Nurse - Experience - 3 to 5… more
- Adventist Health (Portland, OR)
- …Experience: Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) ... Adventist Health is seeking a Registered Nurse (RN) Home Health Care...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge ... at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates… more
- Tamarack Health - Hayward Medical Center (Hayward, WI)
- …the occurrence of adverse events and mitigate potential liabilities.*Regulatory Requirements** Registered Nurse (RN) licensure, with a Bachelor of Science ... the ability to effectively manage a team.*Key Responsibilities:**Leadership and Management :** Provide strategic leadership to the nursing department, setting clear… more
- Sutter Health (Alameda, CA)
- …Description:EDUCATION:Graduate of an accredited school of nursing.CERTIFICATION & LICENSURE:RN- Registered Nurse of CaliforniaBLS-Basic Life Support Healthcare ... maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team… more
- 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
- Glens Falls Hospital (Glens Falls, NY)
- …30 hours per week, can be foundhere. **Job:** **Nursing - Case Management * **Title:** * Registered Nurse - Utilization Review Nurse - Care ... timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and… more
- AdventHealth (Tampa, FL)
- …Primary Stroke Center. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... . Current and valid license to practice as a Registered Nurse (ADN or BSN) required. ....care clinical nursing experience required. . Minimum two years Utilization Management experience, or equivalent professional experience.… 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 ... may include but are not limited to** : Provides Utilization Management activities and functions by using...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- 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
- Ventura County (Ventura, CA)
- … Nurse III - Hospital Case Management / Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply Per ... Diem Registered Nurse III - Hospital Case Management / Utilization Review Salary $119,061.54 - $151,803.47 Annually Location Ventura, CA Job Type Per-Diem… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse -case-manager utilization - ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
- Trinity Health (Albany, NY)
- …NY** is looking for an experienced RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr shifts The ... **The selected candidate will** : + Be responsible for the utilization management , both concurrent and retroactive for inpatient and outpatient services in… more
- Dignity Health (Northridge, CA)
- …required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. + Previous ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… more
- Actalent (San Diego, CA)
- …admission status and patient classification. Skills: case management , acute care, registered nurse , utilization management , Care management ... service, Rn license Shift: 9PM - 7AM Top Skills Details: case management ,acute care, registered nurse , utilization management Additional Skills &… more
- Actalent (San Diego, CA)
- …admission status and patient classification. Skills: case management , acute care, registered nurse , utilization management , Care management ... the scope of services defined by the Registered Nurse RN state licensure requirements. + Utilization Management : Assures the patient is in the… more
