- 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 behavioral ... services. Discover more about us at www.amerihealthcaritas.com. Join a mission-driven Utilization Management team where your clinical expertise helps shape better… more
- Surgery Partners (Bryan, TX)
- Job Summary: We are seeking a Part-Time Utilization Review Nurse to join our dedicated healthcare team. In this role, you will play a critical part in ensuring ... is made available and must be worn. Qualifications, Knowledge & Ability: Current Registered Nurse (RN) license in the state of practice Experience in utilization … more
- Valley Health System (Paramus, NJ)
- …cents experience in clinical nursing, minimum of 3 years in case management/ utilization . SPECIAL SKILLS: Registered Nurse , Licensed in State of New Jersey, ... POSITION SUMMARY: Performs concurrent utilization review activities on all patients within the...caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS… more
- EvergreenHealth (Kirkland, WA)
- …for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and ... hospital admissions for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity and coordination of care for patients… more
- Medical Solutions (Omaha, NE)
- A facility in Santa Barbara, 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
- HEALTH FIRST CAREERS (Melbourne, FL)
- Job Requirements POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity reviews on all payer admissions to determine appropriate admission ... information that relates to insurance reimbursement in appropriate reviews. The UR Nurse utilizes advanced clinical skills to facilitate the provision of care… more
- One Medical (New York, NY)
- …teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures ... Education, licenses, and experiences required for this role: Completed an accredited NP or PA program with a national certification In the past 5 years, practiced as an Advanced Practitioner for at least: 2 years in an outpatient primary care setting, OR 1… more
- One Medical (Washington, DC)
- …teammates via daily huddles, as well as with virtual clinical teams Utilization of your specific clinical training and opportunities to perform in-office procedures ... One Medical providers also demonstrate: A passion for human-centered primary care The ability to successfully communicate with and provide care to individuals of all backgrounds The ability to effectively use technology to deliver high quality care Clinical… more
- Public Health Trust of Dade Co (Miami, FL)
- …plan of the organization including roles, timelines, milestones and resource utilization . People Leadership: The Nurse Manager improves employee engagement ... Miami, FL | Full-Time 2 West Summary The Nurse Manager provides leadership, clinical practice and staff...on patients to assess for appropriate care, and the utilization of the iRounding tool for patient satisfaction. Monitors… more
- Public Health Trust of Dade Co (Miami, FL)
- …plan of the organization including roles, timelines, milestones and resource utilization . People Leadership: The Nurse Manager improves employee engagement ... Nurse Manager, Miami Transplant Institute, Kidney Program, Full...on patients to assess for appropriate care, and the utilization of the iRounding tool for patient satisfaction. Monitors… more
- Geisinger (Wilkes Barre, PA)
- Job Title: LPN - Graduate Inpatient Licensed Practical Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… 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: Rotation Work Type:...handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. Actively participates as a… more
- Geisinger (Wilkes Barre, PA)
- Job Title: LPN- Experienced Inpatient Licensed Practical Nurse (Geisinger South Wilkes Barre, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
- Geisinger (Scranton, PA)
- Job Title: LPN - Experienced Inpatient Licensed Practical Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: LPN - ... Licensed Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
- Reef Systems (Montgomery, AL)
- …Staff (ProStaff) meetings. Identify and notify the Government MTF case manager, Utilization Management (UM) nurse or Primary Care Management (PCM) team, ... Licensed Practical Nurse (LPN) - Maxwell AFB, AL Reef Systems...Systems has an immediate need for a Licensed Practical Nurse (LPN) to support the Air Force medical Service… 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: Rotation Work Type:...handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence based practice. Actively participates as a… more
- Geisinger (Danville, PA)
- Job Title: LPN - Licensed Practical Nurse Surgical Technologist - Level 1 Trauma Operating Room Location: Danville, Pennsylvania Job Category: LPN - Licensed ... Practical Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN- Registered Nurse - Regional Labor and Delivery Float Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered Nurse , Nursing ... and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. Actively participates as a team member… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN- Experienced Registered Nurse (Geisinger South Wilkes Barre, Wilkes Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. Actively participates as a… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN- Registered Nurse - Advanced Acute Care Cardiovascular Unit Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered Nurse , ... and handling of equipment. Participates in unit-based decision-making regarding the utilization of evidence- based practice. Actively participates as a team member… more
