- 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
- 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 ... GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall quality… 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
- 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...medical centers and outpatient wound care services, which includes 2 wound care clinics that provide hyperbaric oxygen therapy.… 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) functions as the first-line administrative ...and is required to frequently apply a set of management principles to ensure smooth operations of the department.… 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
- 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 health ... Following admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or other certifications:… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Staff on a designated shift including the effective and efficient allocation, utilization , and management of the financial, human, and material resources. ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:7 Days on 7 Days OffNortheast...in either a clinical or leadership specialty within two ( 2 ) years of hire.Educational Requirements: Bachelors or Masters Degree… more
- Integrated Resources, Inc (Riverside, CA)
- …the interdisciplinary approach to providing continuity of care, including Utilization management , Transfer coordination, Discharge planning, and obtaining ... services for patients/families. . Conducts daily clinical reviews for utilization /quality management activities based on guidelines/standards for patients… more
- Community Health System - CA (Fresno, CA)
- …25K in bonus incentives (sign on and relocation) for qualified candidatesIf you are a nurse (RN) looking for a position where you can utilize AND grow your critical ... for you to grow your career. As a Registered Nurse in our PACU, you will be key to...caring for trauma and critical care patients, or phase 2 preparing for a discharge home, you will make… 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 (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization ... on a rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures mandatory reporting completed. Conducts and… 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
- ERP International (Tinker AFB, OK)
- …and Tasks: Duties may include but are not limited to** : Provides Utilization Management activities and functions by using MTF-specific Quality Improvement ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Utilization Managment** for a...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… 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
