- 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
- 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
- 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
- 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 ... delegating/coordinating staff assignments and promoting staff development.* Responsible for the utilization and continued review of patient care protocols,… more
- Adventist Health (Portland, OR)
- Adventist Health is seeking a Registered Nurse (RN) Home Health Care Manager for a nursing job in Portland, Oregon.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
- South Shore Health (Weymouth, MA)
- …chart at time of occurrence as well as notifying the appropriate staff member, ie, nurse , physician.3 - Safe utilization of gas cylinders and piped in gas ... order before treatment administered as evidenced by Process Improvement review . b - Discontinues treatment if any adverse or...as evidenced by minutes of meeting or requests a review of the material from supervisors or managers. b… more
- South Shore Health (Weymouth, MA)
- …- eDischarge, EHR, Interqual, MCCM, Epic, WorkdayJOB REQUIREMENTSMinimum Education Registered Nurse , Bachelors prepared strongly preferredMinimum Work ... cost while assuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides… 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 ... and assists in meeting financial targets by effectively managing utilization , productivity, personnel and supplies. Participates as necessary in referral… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for Full-Time ... utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse (RN) in New York State *Skills and… more
- Cedars-Sinai (Los Angeles, CA)
- …Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 Hour Days **Department** ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Utilization Review - Behavior Health + **Schedule:** PRN, Day Shift, 8 hr shift, Rotating Weekends and Holidays + **Hospital:** ... Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests… more
- Ascension Health (Southfield, MI)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… 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
- Ascension Health (Pensacola, FL)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- 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 appropriateness… 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 ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in… more
- 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 ...Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC);… more
- 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...Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC);… 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 ... of the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the right care,… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
