- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of ... is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN )...Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (ie… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of ... is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN )...Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (ie… 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...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Sanford Health (SD)
- …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… 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 ... Solution Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN...skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and… more
- YesCare Corp (Brentwood, TN)
- …Veterans_ _._ **Responsibilities** Below is a list of your responsibilities as a ** Utilization Management Specialist 2** with YesCare : + Responsible ... + Experience Level: 3 - 5 year's experience in utilization management , case management , quality...and other proprietary company/client systems. + Certificates and Licenses: Registered Nurse ( RN ) active license… more
- Corewell Health (Grand Rapids, MI)
- Utilization Management Clinical Program Specialist . Responsibility for coordinating the services provided by multiple disciplines within and outside the ... 2 years of relevant experience related experience Required + LIC- Registered Nurse ( RN ) - STATE_MI...Beltline - Grand Rapids Department Name PH - Pre-Service Utilization Management Employment Type Full time Shift… more
- Trinity Health (Ann Arbor, MI)
- …compassionate and transforming healing presence in our community. The Clinical Nurse Specialist (CNS) functions as an advanced practice registered nurse ... through the diagnosis and treatment of health/illness states, disease management , health promotion, and prevention of illness and risk...work experience. + Current and valid Registered Nurse license and Clinical Nurse Specialist… more
- AdventHealth (Orlando, FL)
- …inpatients and 125,000 outpatients each year **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Bon Secours Mercy Health (Richmond, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... * Weekly check-in with Nursing Professional Development Coordinator or Clinical Nurse Specialist * Ongoing educational opportunities, including quarterly… more
- AdventHealth (Hinsdale, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- AdventHealth (Hinsdale, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes… more
- MyFlorida (Tarpon Springs, FL)
- REGISTERED NURSE SPECIALIST - 64029282 1... Nurse . Preferred + At least one year case management experience + At least one year experience working in ... . Requisition No: 827014 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64029282 1 1… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING - DAY SHIFT) Date: Apr 23, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32447 MARIANNA, ... 818010 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438...of clients and to evaluate the appropriateness of that utilization . Recruiting Contact: Lizzie Holland Human Resource Specialist… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60005472 Date: Apr 16, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. For ... Requisition No: 797758 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60005472... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60957239 Date: Apr 24, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. ... Requisition No: 815370 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS -...knowledgeable of and utilize the principles of Total Quality Management . The employee in this position spends a minimum… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST OPS - 60955422 Date: Apr 4, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS -...Nurse Practice Committee. Knowledge, skills and abilities, including utilization of equipment, required for the position: Ability to… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager near Palm Springs, California, to provide care to ... Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval...- Fri between 7AM - 6PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) + Association of Rehabilitation… more
- Mayo Clinic (Jacksonville, FL)
- …and inclusion, and provides the resources you need to succeed. **Responsibilities** The RN Quality Specialist strives to enhance patient care outcomes through ... care. Integrates and coordinates efforts to promote efficiency in management and utilization of systems and resources....Certified Professional in Healthcare Quality (CPHQ) preferred. + Current RN licensure in State of Florida. + Current BLS… more