- 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 years...tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …as opportunities for improvement up the chain of command. Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Evening...physician advisor. Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the… 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
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: ... 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 planning or… 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: ... Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in...RN ) licensure in the state of practice: Required Case management certification: Preferred Basic Life Support (BLS OR… more
- Signet Health (Clinton, MD)
- …regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage for ... and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three...Triaging, assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified as… more
- The Judge Group Offshore Travel (Long Branch, NJ)
- The Judge Group Offshore Travel is seeking a local contract nurse RN Case Management for a local contract nursing job in long branch, New Jersey.Job ... experience required Case Manager will be focused on criteria and utilization review so must have documented experience with this EPIC charting required BLS… more
- Rio Vista Behavioral Health (El Paso, TX)
- …Behavioral Science, Social Work or related field. In some states, may also be a registered nurse , in which case , an associate's or bachelor's degree in ... professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the… more
- Signet Health (Clinton, MD)
- …regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage for ... Experience & Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...**Working Title** : CSMC 8750000 Utilization Management Utilization Review Case Manager FR… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking Utilization Review Case Manager to ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for… more
- Trinity Health (Fresno, CA)
- …Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial services ... time **Shift:** Day Shift **Description:** Reporting to the Director, Case Management, Case Management, this position is...an accredited school is required. 2. State of California Registered Nurse ( RN ) is required.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm potential ... evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case...a timely process. Registered Nurses (RNs) with utilization review experience, case management… more
- Actalent (Oklahoma City, OK)
- Description: Utilization Review Nurse perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and ... nurse , clinical, healthcare, Case management, Utilization management, Utilization review , Insurance...* Active Oklahoma RN license required. * Case Manager, Discharge Planner, UR experience. * Utilization… more
- Ventura County (Ventura, CA)
- … Registered Nurse III - Hospital Case Management/ Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply ... Registered Nurse III - Hospital Case Management/ Utilization Review Salary $119,061.54...supervision commensurate with their experience. APPROXIMATE SALARY: Per Diem Registered Nurse III (PD RN … more
- Cedars-Sinai (Los Angeles, CA)
- …Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 Hour Days **Department** ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager...an accredited nursing program Bachelor's Degree Nursing preferred **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** ... case that surpasses expected LOS, expected cost, or over/under- utilization of resources. + Performs verbal/fax clinical review...+ Current license to practice as a Registered Nurse in the State of Utah,… more
- Universal Health Services (Conway, SC)
- Responsibilities Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...REQUIREMENTS : One to three years of experience in utilization review , case management, or… more
- Munson Healthcare (Traverse City, MI)
- …team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes ... 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan....+ Minimum of three years clinical experience required. Previous utilization review and/or case management… more
- Prime Healthcare (Ontario, CA)
- …strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case ... A minimum of seven (7) years' experience in Clinical Utilization Review or Case Management...with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA)… more
