- The University of Kansas Health System (Kansas City, KS)
- Position Title Access Case Manager - Utilization Review (Evergreen) Sudler Position Summary / Career Interest: **Part Time Weekend Shift Available** The Access ... clinical experience in health care setting Required Licensure and Certification Licensed Registered Nurse (LRN) - Single State - State Board of Nursing … more
- J Edward Staffing LLC (Aurora, CO)
- NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado Military Health System Compensation: $1,600 - ... months RN experience in direct patient care *12 consecutive months in Utilization Management, Utilization Review , or Case Management ? Preferred… 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
- Baptist Health Care (Gulf Breeze, FL)
- Job Description The Utilization Review Nurse acts as a patient and organizational advocate. An autonomous role that coordinates, negotiates, procures ... of resources across the continuum of care. The Utilization Review Nurse assists the...years broad based nursing experience Required Licenses and Certifications Registered Nurse Licensed State of Florida or… 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
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant certification ... (CCM, ACM, CCM- RN ) preferred. Proven leadership experience in acute care, utilization review , case management. Strong working knowledge of hospital billing,… more
- Optum (Portland, ME)
- …changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization review Assumes roles in assessment ... of those we serve. As a statewide health care system in Maine, we work to personalize and streamline...meaning behind: Caring. Connecting. Growing together.? The Care Manager, RN provides leadership in the coordination of patient-centered care… 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
- Optum (Delano, MN)
- …Must have strong analytical, critical thinking and organizational skills Knowledge of Utilization Review , Medicare Requirements processes as well as State and ... behind Caring. Connecting. Growing together . The Case Manager RN is responsible and accountable for coordination of patient...Federal regulations pertaining to Utilization Review and Discharge Planning The salary… more
- Christian Care Ministry (Orlando, FL)
- …services Abstracts review -related data/information accurately and timely in appropriate review systems by the appropriate means. Provides accurate and timely ... a diverse workload by performing prospective, concurrent, and retrospective utilization management/ review -related functions while adhering to the organization's… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21,000 hiring incentive for eligible candidates!...entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and… 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
- NavitsPartners (Boston, MA)
- Job Title: Travel - Registered Nurse ( RN ) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday ... - $2,890 Position Overview: We are seeking an experienced Registered Nurse ( RN ) specializing in...case management role Demonstrated experience in discharge planning and utilization review within the past 4 years… more
- Team Select Home Care (Phoenix, AZ)
- …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 ... 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
- Life Care Center of Scottsdale (Scottsdale, AZ)
- …nursing) Currently licensed/ registered in applicable State. Must maintain an active Registered Nurse ( RN ) license in good standing throughout employment ... Position Summary The RN Case Manager is responsible for the coordination...in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred… more
- Wellstar Health System (Marietta, GA)
- …The unit is open 24 hours/day. WellStar Kennestone Hospital has an opportunity for a Registered Nurse ( RN ) - Fx/Ortho/Spine Surgery Full Time - Day Shift ... Overview The RN Clinical Nurse is a proactive member...that the individual upholds the voice of the patient, system policies and procedures while supporting service excellence goals.… more
- Advocate Aurora Health (Oak Lawn, IL)
- …progression of care and transitions. Documents discharge planning interventions and utilization review activity per department and medical center standards ... information is developed further in the departmental job standards. License/Registration/Certification: Registered Nurse License issued by the state in which… more
- Northpoint Recovery Holdings, LLC (Omaha, NE)
- Job Title: Registered Nurse ( RN )- PRN Reports To: Director of Nursing Location: Northpoint Omaha (Adult Inpatient) Schedule: Must be willing to work Nights ... As a key member of the Northpoint team, the Registered Nurse ( RN ) will provide...compliance activities of the facility Provide medical updates to utilization review and representatives of managed care… more
- Wellstar Health System (Alpharetta, GA)
- … - Multi-state Compact Additional License(s) and Certification(s): Current/active license as a registered nurse in the State of Georgia RequiredMust have a ... healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member...that the individual upholds the voice of the patient, system policies and procedures while supporting service excellence goals.… more
- UnitedHealth Group (Puyallup, WA)
- … registered clinical license required in state of hire - Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot...help people live healthier lives and make the health system work better for everyone. We believe everyone-of every… more
