- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship, _development,_ and leadership programs + And more **Description** The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will ... be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN Preceptor...authorization, compliance and regulatory standards, and case management systems. + The UR RN Preceptor… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management ... II + Six (6) months of experience in Utilization Management Per Diem RN III ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem Registered Nurse II/III - Utilization Management VCMC… more
- Ascension Health (Wichita, KS)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +...Registration: + Licensed Registered Nurse credentialed from the Kansas Board… more
- Molina Healthcare (Milwaukee, WI)
- …and monitoring clinical and non-clinical team activities to facilitate integrated, proactive utilization management , ensuring compliance with regulatory and ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other utilization management … more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental knowledge-based care to assigned clients while ... Major Duties (To include but not limited to): The Registered Nurse Utilization Management...process, clinical documentation requirements, current standards of care and compliance guidelines. Knowledge and ability to apply principles of… more
- Ascension Health (Baltimore, MD)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday,...Registration: + Registered Nurse credentialed from the Maryland Board… more
- AdventHealth (La Grange, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- Penn Medicine (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- Mayo Clinic (Rochester, MN)
- …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… more
- Avera (Sioux Center, IA)
- …to provide quality care and services within a caring Christian culture. ** Registered Nurse ** **Job Summary** + The RN assists the Resource Nurse in ... Nurse ** **Summary** + The LPN assists the registered nurse in the management ...and fellow employees. + Coordinates acknowledging orders with the RN and following through with them. Records and documents… more
- Rochester Regional Health (Rochester, NY)
- …Schedule: Straight Shift- Nights. Every other weekend/holidays. Sign-On Bonus: $15,000 SUMMARY: As a Registered Nurse ( RN ), you're the engine and the heart ... on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit...- Basic Life Support - American Heart Association (AHA), RN - Registered Nurse -… more
- Ochsner Health (New Orleans, LA)
- …discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway PRN To perform ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related masters degree or MSN + Prior Care Management / Utilization Management experience +… more
- AdventHealth (Ormond Beach, FL)
- ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... South Volusia County (S. Daytona to Edgewater) **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
- AdventHealth (Hinsdale, IL)
- …Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) Preferred ... documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- Avera (Scotland, SD)
- …join our team! We offer quality care close to home. **Position Highlights** **Seeking a Registered Nurse ( RN ) to join our team at Landmann-Jungman Memorial ... professional level of behavior in her/his role as an RN . The American Nurses Associations (ANA) scope and standards...**CERTIFICATION, LICENSURE, and/or REGISTRATIONS:** + Current licensure as a Registered Nurse in the State of South… more
- AdventHealth (Sebring, FL)
- …Home Health visits in the Highlands County area. The role you'll contribute: The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...of professional nursing + 1 year of relevant clinical RN experience + Registered Nurse … more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... successful candidate for the position must have a valid RN license in Ohio, as well as previous Long...Responsibilities of the position will include: + Evaluate facility compliance to federal regulations and targets for utilization… more
- Horizon Services, Inc. (Albuquerque, NM)
- …collective experiences enrich each other's growth. This position, which must be held by a Registered Nurse ( RN ), serves as the clinical and operational lead ... Respect, Diversity, and Quality to provide residential treatment, withdrawal management , and sobering programs to support the well-being of...Medical Center. What else is required? + New Mexico Registered Nurse ( RN ) + 3+… more