• The University of Vermont Health Network (Plattsburgh, NY)
    …New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge planning experience preferred.3. Three years of broad ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and… more
    JobGet (04/12/24)
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  • A-Line Staffing Solutions (Cleveland, OH)
    …Case Manager, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse , Managed ... Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN, Nurse , Managed Care, Medical… more
    JobGet (05/05/24)
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  • TulaRay (Frackville, PA)
    …nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and ... Correctional Registered Nurse Correctional nurse ...nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse more
    JobGet (04/29/24)
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  • 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
    JobGet (05/05/24)
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  • TRS Healthcare (Olney, MD)
    …to confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review Registered NurseAbout TRS HealthcareTRS Healthcare has ... TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Olney, Maryland.Job Description & RequirementsSpecialty: … more
    JobGet (05/03/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:7 Days on 7 Days OffNortheast Georgia Health System is rooted in a foundation of improving the health ... on a designated shift including the effective and efficient allocation, utilization , and management of the financial, human, and material resources. Demonstrates… more
    JobGet (05/05/24)
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  • The University of Vermont Health Network (Colchester, VT)
    POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and ... as those of various managed care insurance plans.MINIMUM REQUIREMENTSState of Vermont Registered Nurse (RN) license required. The University of Vermont Health… more
    JobGet (04/26/24)
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  • 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
    JobGet (04/29/24)
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  • Northern California Behavioral Health System (Santa Rosa, CA)
    …documentation of admissions to the Business Office, Admitting Unit and the Utilization Review Department.Communicates with managed care organizations to obtain ... each shift.RequirementsKnowledge and Experience:Current California state licensure as a Registered Nurse .Inpatient experience preferredFamiliarity with continuum of… more
    JobGet (05/06/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
    JobGet (05/04/24)
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …with Medical Assistance regulations. Nurse Auditor Hybrid / Remote Requirements Registered Nurse issued by the Pennsylvania State Board of Nursing or ... setting behavioral health setting drug and alcohol setting managed care quality management/ utilization review or other related clinical experience Or equivalent… more
    JobGet (05/05/24)
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  • Integrity Trade Services (Indianapolis, IN)
    …for appropriate admissions into Withdrawal Management based on written policies and the Utilization Review manual Record in the client records information and ... Certified or Registered Medical Assistant Multiple Shifts in Indianapolis Area...or psychological problems, and report to the Licensed Practical Nurse , Clinical Director, and/or Physician Chart thoroughly all pertinent… more
    JobGet (05/03/24)
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  • Adventist Health (Glendale, CA)
    Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in the state of practice:… more
    JobGet (05/04/24)
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  • Northeast Georgia Health System, Inc (Demorest, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... surgeries for: General, Gynecology, Orthopedics, Podiatry and ENT. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
    JobGet (05/05/24)
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  • 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 ... of Social Work program. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license… more
    JobGet (04/25/24)
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  • Eagle's Trace by Erickson Senior Living (Houston, TX)
    …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... group dedicated to only serving Erickson Senior Living residentsWhat you will need: Registered Nurse graduate from an accredited school, BSN preferred.Minimum 3… more
    JobGet (05/01/24)
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  • Signet Health (Clinton, MD)
    …package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day shifts for ... agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage… more
    JobGet (05/02/24)
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …Hybrid Research RN Requirements . Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania . Long term care, acute care, ... behavioral health, drug and alcohol, managed care, quality management/ utilization review , or home care experience required . Proficient writing and basic… more
    JobGet (05/05/24)
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  • Signet Health (Clinton, MD)
    …agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage ... Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social Worker… more
    JobGet (04/29/24)
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  • Northeast Georgia Health System, Inc (Oakwood, GA)
    Job Category:Executive Leadership, Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving ... and distribution of patient safety metrics and other key data, providing data review and analysis, and partnering with hospital leadership to align data with the… more
    JobGet (04/29/24)
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