- 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 & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2...stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions,… more
- RestoraCare Staffing (Houston, TX)
- …Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a...and PC skills Current working knowledge of discharge planning, utilization management , case management , performance… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …the achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required. 2 . CCM Preferred. Utilization review and ... at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates… 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: Nurse ... NavigatorDiscipline: RNStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Oncology Nurse Navigator provides safe therapeutic care in a holistic… more
- Baylor Scott & White Health (Round Rock, TX)
- …work experience above the minimum qualificationMAJOR - NursingEXPERIENCE - 2 Years of ExperienceCERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN)Basic ... Baylor Scott & White Health is seeking a Registered Nurse (RN) System Float for a nursing job in Round Rock, Texas.Job Description & RequirementsSpecialty: System… more
- South Shore Health (Weymouth, MA)
- …and organizational resources, patient care processes, and data analysis.Knowledge of utilization management as it relates to third party payersKnowledge ... Job Description SummaryUnder the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An autonomous role… more
- Saint Agnes Medical Center (Fresno, CA)
- …the vision of the service line. The Director is responsible for development, management and utilization of financial, material, and human resources; strategic ... Employment Type:Full timeShift:Description:Reporting to the Chief Nursing Officer, Executive Management , the position is responsible for the ongoing operations,… more
- South Shore Health (Weymouth, MA)
- …including developing, initiating and monitoring procedures for the effective utilization of this unit.Job Description1. Maintains equipment for proper diagnostic ... when a service engineer has been alerted.d. Maintains supplies by stocking rooms daily. 2 . Sets up and adjusts equipment dependent on the exam.a. Sets up equipment… more
- Wellpath (Columbus, GA)
- …adhere to the organization's Code of Conduct.Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... Compensation Range: $86,561.28 - $96,179. 2 / yearYou Matter:* Make a difference every...experience preferredLicenses/CertificationsHave and maintain current licensure as a Registered Nurse within the state of employment.Obtain and maintain CPR… 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 ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Oklahoma City, OK)
- …documentation, and communication of medical services and benefit administration determinations. The Utilization Management Nurse 2 's work assignments ... barriers to helping people achieve their best health. The Utilization Management (UM) Nurse 2 uses clinical nursing skills to support the coordination,… more
- Trinity Health (Albany, NY)
- …time **Shift:** Day Shift **Description:** **Title:** Nurse Senior_ Utilization Management Lead **Shift** : M-F 8hr days/Hybrid ( 2 days Remote, 3 days ... in Office) **Position Summary** : The Registered Professional Utilization Management Lead is responsible for upholding...Requirements** : 1. Graduate of a school of nursing. 2 . Current registration as a Registered Professional Nurse… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist...clinical experience in an acute hospital setting. At least 2 years Utilization Management /Case ... nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- Kepro (Indianapolis, IN)
- …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 Summary: Our Utilization Management Appeals Nurse -...Compact license. + Previous healthcare/managed care Appeals experience. + 2 + years of healthcare/managed care experience, preferably in the… more
- Cedars-Sinai (Los Angeles, CA)
- …Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - ... Life Support (BLS) **Experience:** 3 years In acute nursing 2 years Case Management preferred 1 year...Per Diem 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… 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, CA, ... nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...Summary The Customer Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse (RN) II provides… more
- CDPHP (Albany, NY)
- …experience is required as a Licensed Practical Nurse . + Minimum of two ( 2 ) years Utilization Management experience is preferred. + Knowledge of ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...York State license required. + Associates degree or two ( 2 ) years of equivalent experience required. + Minimum two… more
- Trinity Health (Fresno, CA)
- …of Acute Care seeking your next adventure?** **Duration:** 13-week Assignment The Interim Utilization Management , RN Manager is responsible for management , ... leadership, and coordination of the Utilization Management Team to ensure payor reimbursement for services rendered while supporting the healing mission of Saint… more
- Prime Healthcare (Weslaco, TX)
- …#patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/registered- nurse -case-manager utilization - management ... in a related field. At least one year experience in case management , discharge planning or nursing management ; 2 . CCM or obtained within 6 months of hire.3.… more
