- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in ... of the plan and continually evaluates the impact of implementation. Incorporates applicable utilization review tasks to ensure patients receive the right care,… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- UNC Health Care (Hendersonville, NC)
- …care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly ... based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications...certification. Required *Must be licensed to practice as a Registered Nurse in the state of North… more
- Lancaster General Health (Lancaster, PA)
- …weekend day every 6 weeks. Shift to be determined. **1 year of Registered Nurse NICU experience is required.** **POSITION SUMMARY:** Assume responsibility and ... as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner… more
- Lancaster General Health (Lancaster, PA)
- …for patients of all ages. Provides patient care under the direction of the Registered Nurse and within the auspices of the licensure. Patient care includes ... and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients and… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... with 2 year commitment. Eligiblity rules apply, including 15+ months of RN experience. External applicants only. **_Penn Medicine Lancaster General Health is seeking… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... FTE), with 2 year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only. A 20-bed surgical unit that serves a patient… more
- Lancaster General Health (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients about ... improvement activities with an emphasis on increasing continuity in the nurse to patient relationship, minimizing rework and redundancies; constantly seeks ways… more
- Lancaster General Health (Lancaster, PA)
- …requirements being one of the following: ** RN :** - Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. - Bachelor's degree ... Other duties as assigned. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** ** RN or Social Worker** is required for this role,...+ Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care… more
- Adecco US, Inc. (Dallas, TX)
- We are seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX! This Nurse should have a ... an acute care hospital setting, minimum of 2 years Utilization Management/ Review in an acute care setting,...and being a team player is a must! The Utilization Management Nurse will provide precertification of… more
- MTC (Calexico, CA)
- …use of appropriate sanitation methods. 6. Practice basic cost containment and utilization management for patient care and facility operations. 7. Maintain absolute ... of all medical records; observe applicable HIPAA rules. 8. Review medical files to determine all provided services are...summons and other legal writs. 24. Regular and predictable onsite attendance is required. 25. Promote the development of… more
- UNC Health Care (Chapel Hill, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... improve the health and well-being of the unique communities we serve. Utilization Manager Psych Team completes clinical reviews for all areas: Inpatient, Observation… more
- Children's Mercy Kansas City (Kansas City, MO)
- …in Nursing, is required within 4 years of hire + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire. RNs ... the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated...Required Upon Hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- Universal Health Services (Palmdale, CA)
- …www.swhealthcaresystem.com . Job Summary: The Southwest Healthcare is seeking a Registered Nurse Clinical Documentation Improvement Specialist for our Palmdale, ... Critical Care or Medical/Surgical preferred. Certifications/Licenses: + Current license as a Registered Nurse in the State of California required. + Current… more
- The Cigna Group (Philadelphia, PA)
- …**Supervisory Responsibilities** : + None **Qualifications** : + Current Licensure as a registered nurse , in the state of residency. in good standing. + ... management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience...computer knowledge- able to type 35WPM + Knowledge of utilization review requirements and procedures + Knowledge… more
- CVS Health (Hickory, NC)
- …ongoing support and guidance to help them achieve their goals. This Health Coach Consultant RN role is an onsite position based in Hickory, North Carolina at a ... upon hire. Position Summary We are looking for an Onsite Health Coach to join our team and deliver...management . Assesses members using clinical tools and information/data review , conducts comprehensive evaluation of member's needs and benefit… more
- The Cigna Group (Mobile, AL)
- …skills + Typing and computer knowledge- able to type 35WPM + Knowledge of utilization review requirements and procedures + Knowledge of current health care ... and metrics for customers and communicates to provider + Review STAR summary gap report (daily) by payor +...include primary care physician and specialist appointment scheduling + Nurse notifies PCP daily of admissions and discharges +… more
- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform... at a hospital setting. **Required Skills:** + Active Registered Nurse license For this US-based position,… more