- 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
- 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
- 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 ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing process as a basis for patient care. RNs provide… more
- Baylor Scott & White Health (Round Rock, TX)
- Baylor Scott & White Health is seeking a Registered Nurse ( RN ) System Float for a nursing job in Round Rock, Texas.Job Description & RequirementsSpecialty: ... Care UnitShift/Status: Full-time, 36 hours per weekSchedule: Night Shift (7pm - 7am)JOB SUMMARYThe Registered Nurse ( RN ) Float is a licensed professional who… more
- Adventist Health (Portland, OR)
- …(BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in the state of practice: ... Adventist Health is seeking a Registered Nurse ( RN ) Home...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... with tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people… 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 ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and… more
- Tamarack Health - Hayward Medical Center (Hayward, WI)
- …minimize the occurrence of adverse events and mitigate potential liabilities.*Regulatory Requirements** Registered Nurse ( RN ) licensure, with a Bachelor of ... 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)
- …community.Job Description:EDUCATION:Graduate of an accredited school of nursing.CERTIFICATION & LICENSURE: RN - Registered Nurse of CaliforniaBLS-Basic Life ... maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team… more
- CVS Health (Harrisburg, PA)
- …Consultant role is 100% remote and the candidate can live in Pennsylvania. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Kentucky compact… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical ... management function. Required Qualifications + 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN … more
- CVS Health (Columbus, OH)
- …and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote ... external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+...3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of… more
- Kepro (Indianapolis, IN)
- …health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/ RN to join our growing team. Job ... Summary: Our Utilization Management Appeals Nurse - LPN/ RN ...applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse ( RN ) or Licensed… more
- AdventHealth (Tampa, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... . 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
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per ... an accredited nursing program Bachelor's Degree Nursing preferred **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...Diem 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… 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 ... accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing..., or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management /Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN ) II provides...skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and… more
