- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- Job Details The Utilization Management Nurse is responsible assure cost effective, quality utilization management in the acute level of care setting ... process flows Maintains collaborative and effective cross- functional training within the Utilization Management Department Utilization management … more
- Boston Childrens Hospital (Boston, MA)
- … Management ) preferred. Licensure/ Certifications: Current Massachusetts license as a Registered Nurse ( RN ) A certification as a Certified Case ... of payer denials. They identify and implement initiatives to manage utilization trends, collaborating with the hospital's discharge planning case managers,… more
- Mercury Group Staffing (Hamden, CT)
- About the job RN Utilization Management - $60/hr - Hamden, CT Job Title: RN Utilization Management (UM) Pay Rate: $60.00/hr Contract Weeks: 12 ... Guaranteed Hours : 40 Location: Hamden, CT Requirements: Minimum 6 months of Utilization Management (UM) experience RN License in CT Description: We are… more
- McLaren Health Care Corporation (Indianapolis, IN)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... MDwise, Inc. at https://www.mdwise.org/. Position Summary: This position is responsible for utilization management functions. This includes but is not limited to… more
- Blue Shield of California (El Dorado Hills, CA)
- …our Shared Services department including concurrent review, transplant and NICU/HROB. The Manager, Utilization Management Nurse Management will report to ... Job Description Your Role The Utilization Management team reviews inpatient stays...bachelor's Degree or equivalent experience Requires a current California RN License Requires at least 7 years of prior… more
- Montclair Hospital Medical Center (Montclair, CA)
- …work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license. 2. Grandfathered prior to April 1, 2015. Minimum ... community focused. Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care… more
- FROEDTERT HEALTH (Milwaukee, WI)
- …DESCRIPTION: Minimum of 3 years of acute care nursing experience is required; Prior utilization management or case management experience is required. A ... 5 years of acute care nursing experience is preferred. Utilization of Interqual, MCG care web QI or Indicia...is preferred. LICENSURE DESCRIPTION: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing… more
- Healthier Mississippi People (Jackson, MS)
- Job Type Full-time Description Job Summary: Accountable to perform utilization management services for designated patient case load, including prospective, ... and DSM-IV codes. Current working knowledge of discharge planning, utilization management , case management , performance...50%, constant-51% or more) Requirements Must be licensed as RN and have at least one (1) year acute… more
- American Traveler (Puyallup, WA)
- American Traveler is seeking an experienced RN for a Case Management position in an acute inpatient hospital setting requiring WA RN license, BSN, and recent ... management experience. Job Details *Work in the Case Management unit of an acute care hospital, *Serve an...days with immediate patient assignments while paired with another RN case manager, Job Requirements *Active WA RN… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …training needs. Function as Utilization Review/Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant ... Direct management and development of the case management team ( RN and licensed staff). Create...RN ) preferred. Proven leadership experience in acute care, utilization review, case management . Strong working knowledge… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date Posted: 04/29/2025...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Experienced Registered Nurse (Geisinger Wyoming Valley, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... represent typical elements considered necessary to successfully perform the job. The Registered Nurse assesses plans, organizes, performs, and evaluates nursing… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Registered Nurse - Regional Labor and Delivery Float Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $23,500 for eligible...performance of the job related to that position. The Registered Nurse assesses plans, organizes, performs, and… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Registered Nurse - Advanced Acute Care Surgical Telemetry Unit Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible...elements considered necessary to successfully perform the job. The Registered Nurse assesses plans, organizes, performs, and… more
- Geisinger (Danville, PA)
- Job Title: RN - Registered Nurse Per Diem - Advanced Acute Care Orthopaedics Location: Danville, Pennsylvania Job Category: Inpatient RN - Registered ... Geisinger is proud to offer a per diem Inpatient RN market leading pay rates and up to $7... Nurse Recruiter, at ###@geisinger.edu. Job Description The Registered Nurse assesses plans, organizes, performs, and… more
- Geisinger (Danville, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Medical Center, Danville) Location: Danville, Pennsylvania Job Category: Inpatient RN - ... and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Our Purpose &… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
- Geisinger (Danville, PA)
- Job Title: RN - Experienced Registered Nurse (Danville) Location: Danville, Pennsylvania Job Category: Inpatient RN - Registered Nurse , Nursing ... and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Our Purpose &… more
- Geisinger (Scranton, PA)
- Job Title: RN - Experienced Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania Our Purpose &… more
- Geisinger (Danville, PA)
- Job Title: RN - Registered Nurse Part Time-Advanced Acute Care Medical Location: Danville, Pennsylvania Job Category: Inpatient RN - Registered ... from Specialty Training Program-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
