- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... health of our communities. About the Role:Job SummaryThe Nurse Manager (NM) is responsible for leading inpatient wound care services across 5 medical centers and… more
- ResCare Community Living (Canton, OH)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... Degree from an accredited school of nursingQualifications:* Must be a Licensed Registered Nurse (RN) in good standing and currently licensed by… more
- 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
- 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
- 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
- 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
- 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
- Intermountain Health (Murray, UT)
- …discharge planning efforts, coordination of transition of care and manage utilization through appropriate review of authorization requests. Job Essentials ... **Job Description:** Proactively manage inpatient and outpatient utilization to assure that medical care is appropriate, efficient, and medically necessary. Support… 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 $136,506.59 - $174,045.90 Annually Location Ventura, CA Job Type Per-Diem… more
