- McLaren Health Care (Detroit, MI)
- …implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in nursing from accredited ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...from the physician to optimize hospital reimbursement when appropriate. 2 . Works collaboratively with ICM service lines to expedite… more
- Cedars-Sinai (Los Angeles, CA)
- …Hearing, Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement...Life Support (BLS) **Experience:** 3 years In acute nursing 2 years Case Management preferred 1 year CPT coding… more
- Prime Healthcare (Weslaco, TX)
- …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse -case-manager utilization ... At least one year experience in case management, discharge planning or nursing management; 2 . CCM or obtained within 6 months of hire.3. Experience and knowledge in… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... years in the supervision* of nursing staff engaged in utilization review activities. -AND- 2 . Current certification...in a state other than California must provide their Registered Nurse License Number from that state… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review ...certification is required. + Experience: Requires a minimum of 2 years of clinical and utilization review… more
- Trinity Health (Albany, NY)
- …: 1. Graduate of a school of nursing. 2 . Current registration as a Registered Professional Nurse in New York State. 3. Bachelor of Science in Nursing ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days/Hybrid ( 2 … more
- Humana (Columbus, OH)
- **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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...clinical experience in an acute hospital setting. At least 2 years Utilization Management/Case Management experience in… more
- CDPHP (Albany, NY)
- …is required as a Licensed Practical Nurse . + Minimum of two ( 2 ) years Utilization Management experience is preferred. + Knowledge of coding/claims processing ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...constituents on CDPHP guidelines, policies, and procedures. QUALIFICATIONS + Registered Nurse or Licensed Practical Nurse… more
- Kepro (Indianapolis, IN)
- …other information applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) ... 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… more
- Trinity Health (Fresno, CA)
- …to patients, families, and hospital staff **Requirements** + State of California Registered Nurse (RN) License. + Current American Heart Association (AHA) ... time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next adventure?**...BLS Certification. + Minimum of 2 years of hospital URM supervisory/management experience. + MCG… more
- LA Care Health Plan (Los Angeles, CA)
- …that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides direct assistance ... Utilization Management/Appeals and Grievances Nurse Specialist...participating provider groups, and other external agencies. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- Louisiana Department of State Civil Service (Laplace, LA)
- Registered Nurse 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4473346) Apply Registered Nurse 2 Salary $4,470.00 - ... to patients and/or clients. LEVEL OF WORK: Experienced. SUPERVISION RECEIVED: General from a Registered Nurse Supervisor A or B, but may receive supervision from… more
- Fresenius Medical Center (O'Fallon, IL)
- **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies 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...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- Fresenius Medical Center (Detroit, MI)
- …with match * Many perks and discount programs available. **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level ... (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... Staff nurses starting at $36 per hour! **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 72...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- Ventura County (Ventura, CA)
- Registered Nurse I/II and Nurse Extern -...each hour worked for all VCMC/SPH Nursing Units + Float Nurse Premium Pay - $ 2 .50 per hour per hour ... Regular and Per Diem Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4219899) Apply Registered Nurse I/II and Nurse Extern - Regular… more
- McLaren Health Care (Petoskey, MI)
- …Hours:** 72 **Daily Work Times:** 7a-7:30p **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the nursing ... the physical, psychosocial, and educational needs of the patient. 2 . Plans and implements nursing care according to patient...+ Associate Degree from an accredited Nursing program + Current State of Michigan Registered Nurse license… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4443459) Apply Registered Nurse Supervisor Salary ... spouses superior care. If you are an ambitious, confident Registered Nurse Supervisor committed to providing amazing...40-hour work week + Work hours are 2nd shift ( 2 :00 PM to 10:30 PM), with 30-minute lunch; works… more
- The County of Los Angeles (Los Angeles, CA)
- …1. Three years of full-time experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2 . A license to practice as a ... REGISTERED NURSE II - NORTH COUNTY...care. + participating in conducting prospective, concurrent, and retrospective utilization reviews of patient services or hospitalization to maintain… more