- Optum (Portland, ME)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... a large medical center, a rural community practice or home care, you will find it here. Join our...an educational resource to all Health System staff regarding utilization review Assumes roles in assessment physical,… more
- Team Select Home Care (Phoenix, AZ)
- …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 ... and start your next chapter with Team Select! A Registered Nurse ( RN ) administers skilled...EMS Plan and the Compliance Plan Participates in clinical record/ utilization review of medical records and quality… more
- Atlantic Health System (Basking Ridge, NJ)
- …Atlantic Visiting Nurse , part of Atlantic Health System, is seeking a full-time hospice Registered Nurse to work 4PM to 2AM / 4 days per week in the ... Reports to: Assistant Manager Job Qualifications/Experience: Required Current NJ RN License BSN NJ driver's license in good standing....by the New Jersey Department of Health. Atlantic Visiting Nurse - Home Health services are available… more
- HCA Healthcare (Denver, CO)
- …Rose Surgical Center have the opportunity to make a real impact. As an Operating Room Registered Nurse PT you can be a part of change. Benefits Rose Surgical ... of nursing and improve positive outcomes for your patients as an Operating Room Registered Nurse PT. We want your knowledge and expertise! Job Summary and… more
- EXL Service (Albuquerque, NM)
- …right patient at the right time. Utilization Management & Complex Case Manager, Registered Nurse This is a remote, telephonic position in the United States. ... the care they need? Join our team as a Utilization Management & Complex Case Management Nurse ,...in a clinical setting 2+ years' experience performing the utilization review for a health plan or… more
- Veterans Health Administration (Martinsburg, WV)
- Summary The Community Living Center (CLC) Registered Nurse is responsible for providing evidence based care to residents with oversight of Licensed vocational ... nurses and nursing assistants. The Registered Nurse will assist in directing the...Set (MDS) Coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. Communicates and collaborates as an… more
- Stride Community Health Center (Aurora, CO)
- …Experience: Required: Active BLS certification Required: High school diploma Active, unrestricted Colorado Registered Nurse ( RN ) license. At least 2 years of ... own-STRIDE is the place for you. General Purpose: The RN Care Coordinator (RNCC) meets comprehensive health and assessing...necessary to update goals and plan of care. Comprehensive review of patient health record, external health records, health… more
- Pennsylvania Medicine (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 ... demonstrates safe practice within the organizational professional practice model. The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to… more
- Veterans Health Administration (Chesapeake, VA)
- …Come Join Our Team! North Battlefield VA Health Care System is seeking a Registered Nurse Manger in Mental Health Community Outpatient Clinic. Responsible and ... who owe allegiance to the US Videos Duties The Registered Nurse Inpatient Nurse Manager...clinical expertise to improve quality of care and resource utilization at the expert level with improved outcomes beyond… more
- Ventura County, CA (Ventura, CA)
- …worked in a unit other than their home unit. PAYROLL TITLES AND APPROXIMATE SALARIES: Registered Nurse II: $52.07 - $62.27 per hour Per Diem Registered ... - Ventura County Medical Center and Santa Paula Hospital Registered Nurse II and Per Diem ...in-services and staff development programs; May participate in quality assurance/ utilization review or other non-direct patient care… more
- TulaRay (Harrisburg, PA)
- …the field of medical assistance (MA), health care services, human services, long term care, utilization review , or knowledge of home care Knowledge of and ... Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State...health setting, drug and alcohol setting, managed care, quality management/ utilization review or other related clinical experience;… more
- Veterans Health Administration (Brownsville, TX)
- …of the Texas Valley Coastal Bend VA Health Care System. Videos Duties As the Registered Nurse , you will use professional standards of care and practice to ... in research activities to improve care. Identify and assess resource utilization and safety issues, taking appropriate action. Pay: Competitive salary, regular… more
- Tenet Health (West Palm Beach, FL)
- …reporting of data for other departments. Qualifications EDUCATION Graduate of Registered Nurse Program EXPERIENCE 2 years acute care RN experience LICENSE ... Job Description Summary Responsible for utilization review and discharge planning of...grown tremendously in size, scope and capability, building a home in new markets over time, and curating those… more
- UofL Health (Louisville, KY)
- …health of the communities we serve through compassionate, innovative, patient-centered care. The Utilization Review RN performs activities which support the ... each and every day. Job Description: We are Hiring Utilization Review RNs at Peace Hospital Location:...(required for positions at Peace Hospital) Licensure: *Active Kentucky Registered Nurse License or compact license with… more
- Veterans Health Administration (Nashville, TN)
- …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 ... from the agency First consideration will go to current TVHS employees Videos Duties RN Pay Scale NG57 Note to VA Employees: Grades and steps will be unaffected… more
- Hope At Home Health Care (Romulus, MI)
- …only)! We currently have a position available for an experienced Home Health Care Registered Nurse ! An RN with ICU, PICC Line, Wound Care, and Infusion ... within the Tri-County area (Oakland, Macomb & Wayne). A Registered Nurse administers skilled nursing care to...review and performance improvement as assigned. Participates in utilization review of medical records as assigned.… more
- Providence Medford Medical Center (Medford, OR)
- …End Date 12/02/2025 Duration 13 Week(s) Job Description Job Title: Case Manager RN Profession: Registered Nurse Specialty: Case Management Duration: 13 ... Specialty Case Manager Job ID 33156747 Job Title Registered Nurse - Case Manager @ Providence...therapy and social services. The role does not involve utilization review , although knowledge of this aspect… more
- CHPW (Seattle, WA)
- …organization. Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or ... behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements...relevant experience. Have a current, unrestricted license as an RN or LPN. Have at least two years clinical… more
- UnitedHealth Group (Puyallup, WA)
- … registered clinical license required in state of hire - Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... (as indicated) according to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot be approved for… more
- Advocate Aurora Health (Burlington, WI)
- …further in the departmental job standards. Licensure, Registration and/or Certification Required: Registered Nurse license issued by the state in which the ... agency, accreditation, state and federal requirements. Responsible for continuous review of all aspects of every patient of her/his...APN into the Electronic Health Record. Supervises and performs Home Health Aide and licensed practical nurse … more
