- Lifepoint Health (Louisburg, NC)
- Description Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a ... as an employee but as a person. As a registered nurse (RN) joining our team, you're...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate… more
- Medical Solutions (Omaha, NE)
- Ready to Plant Roots? This Permanent Case Management ( Utilization Review )/RN ( Registered Nurse ) Position in White Plains, NY Has Your Name on It! A ... top-tier facility is looking for a dedicated Case Management ( Utilization Review )/RN ( Registered Nurse ) to join their team. If you've been craving the… more
- Medical Solutions (Omaha, NE)
- A facility in Santa Ana, CA is seeking its next amazing RN ( Registered Nurse ) to work in Case Management ( Utilization Review ). Read on if this sounds ... like your perfect fit! Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go - personally and professionally. Wherever you may roam, travel… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Registered Nurse , Nursing and Nursing Support Schedule:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit (TPP)… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... Registered Nurse , Nursing and Nursing Support Schedule:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit reimbursement… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …judgment, and meaningful collaboration. Lead with Clinical Insight. Whether you're an experienced utilization review nurse , a sharp case manager, or a ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape better… more
- Berkshire Hathaway Homestate Companies (Omaha, NE)
- …in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker's treatment ... attorneys. Act as a medical resource in regards to utilization review to Claims Support Nurse...and Education: Bachelor of Science Nursing degree (BSN), or Registered Nursing degree (RN) from four-year college or university,… more
- Riverside County, CA (Moreno Valley, CA)
- …Health System-Medical Center is seeking an Assistant Director of Case Management and Utilization Review to join our UR Case Management Department located in ... nurse or supervisory experience working as a registered nurse in an accredited acute care...acute care hospital. Professional experience in case management and utilization review in a hospital is preferred.… more
- Veterans Health Administration (Houston, TX)
- Summary The Registered Nurse Quality & Patient Safety Nurse Manager - Utilization Management functions as a clinical expert and is responsible and ... and US Citizens. Videos Duties Major Duties (To include but not limited to): The Registered Nurse Quality & Patient Safety Nurse Manager is the designated… more
- Esse Health (St. Louis, MO)
- …for keeping patients healthier. Esse Health is currently seeking a full-time Care Manager - Registered Nurse . The RN Care Manager is an integral member of the ... activities comply with all applicable federal and state regulations. Preferred Qualifications: Registered Nurse with active licenses in Missouri and Illinois… more
- Valley Health System (Paramus, NJ)
- …5 years experience in clinical nursing, minimum of 3 years in case management/ utilization . SPECIAL SKILLS: Registered Nurse , Licensed in State of New ... POSITION SUMMARY: Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on… more
- Compu-Vision Consulting, Inc. (Canton, GA)
- …groups, communities, and populations." Furthermore, the scope of practice of the registered nurse and the corresponding standards and competencies are dependent ... of collaboration, communication, coordination, integration, and empowerment. Northside Hospital Staff Registered Nurse positions are based on a sequential… more
- US Tech Solutions (Schenectady, NY)
- …Do you have experience with Prior Authorization? Do you have experience with Utilization Review ? Do you have an Active Registered Nurse License? About US ... Activities Experience: 3+ years of experience as an RN Registered Nurse in state of residence Must...exp and Medicare/Medicaid knowledge. MUST HAVE UM experience, inpatient utilization management review . MUST HAVE 1 YEAR… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse (RN) with a Texas license; relevant certification (CCM, ACM, ... review , and transitions to prevent readmissions. Liaise with medical staff, utilization review , social services, payors, and community providers. Track and… more
- WVU Medicine (Martinsburg, WV)
- …patient care outcomes. Performs the duties and responsibilities within the scope of a Registered Nurse (RN) - Level I, as defined within the job description. ... Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced … more
- Team Select Home Care (West Palm Beach, FL)
- …more heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence to families by ... and start your next chapter with Team Select! A Registered Nurse (RN) administers skilled nursing care...EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- …the position such as those listed above is also qualifying. Preferred Qualifications Active Registered Nurse (RN) license to practice in the state of California. ... Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed to… more
- Sutter Health (Burlingame, CA)
- …EDUCATION: Graduate of an accredited school of nursing CERTIFICATION & LICENSURE: RN- Registered Nurse of California Upon Hire CCM certification preferred TYPICAL ... and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… more
- Northwestern Memorial Healthcare (Mchenry, IL)
- …and all other regulatory and accreditation standards. A clinically competent, registered , professional nurse who prescribes, delegates and coordinates nursing ... Required: Bachelor of Science in Nursing (BSN) Current State of Illinois Registered Professional Nurse American Heart Association Basic Life Support (BLS)… more
- Veterans Health Administration (Phoenix, AZ)
- …but not limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
