- UHS (Bethlehem, PA)
- …Kingdom. www.uhs.com Qualifications Master Degree Required 5-8 year of experience Required of Utilization Review and Management Pennsylvania RN License or ... multi-disciplinary team while working in a state-of-the-art facility, including EPIC. The Utilization Review Director is responsible for overseeing the … 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 ... and must be worn. Qualifications, Knowledge & Ability: Current Registered Nurse ( RN ) license in...) license in the state of practice Experience in utilization review , acute hospital case management, or… more
- EvergreenHealth (Kirkland, WA)
- …provides intervention to facilitate patient care in an optimal timeline. Oversees utilization review process including education, support, and training of team ... for equipment, and arrange for additional services in the community. Utilization Management/Case Management Nurses provide clinical information to our payers and… more
- Medical Solutions (Omaha, NE)
- …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,… more
- Freeman Health System (Joplin, MO)
- …quality healthcare solutions. Schedule: Part-Time 30 hours per week What You'll Do The Utilization Review Coordinator provides utilization review to ... with regards to admission status and continued stay. Requirements Current Missouri Registered Nurse license or current Registered Nurse license from… more
- Alameda Health System (Oakland, CA)
- SUMMARY: The System Utilization Management [SUM] Utilization Review RN is responsible for ensuring the appropriate use of healthcare resources while ... and changes in healthcare delivery as it pertains to utilization review (eg, medical necessity, level of...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… 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 ... information that relates to insurance reimbursement in appropriate reviews. The UR Nurse utilizes advanced clinical skills to facilitate the provision of care… more
- Mad River Community Hospital (Arcata, CA)
- …Specialty Case Manager RN Job ID 16149898 Job Title RN - Utilization Review RN Weekly Pay $2205.3 Shift Details Shift Days 3x12 Scheduled Hours 36 ... Job Order Details Start Date 03/05/2025 End Date 06/04/2025 Duration 13 Week(s) Client Details City Arcata State CA Zip Code 95518 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
- 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 ... for Medical Director review as needed. We're Hiring for: General UM ( RN ): Mon-Fri, 8 AM-5:30 PM. Occasional evenings/weekends based on need. Pediatric Shift Care… more
- Valley Health System (Paramus, NJ)
- …years'" cents experience in clinical nursing, minimum of 3 years in case management/ utilization . SPECIAL SKILLS: Registered Nurse , Licensed in State of New ... POSITION SUMMARY: Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on… more
- Boston Childrens Hospital (Boston, MA)
- … Utilization Management) preferred. Licensure/ Certifications: Current Massachusetts license as a Registered Nurse ( RN ) A certification as a Certified ... Job Posting Description Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission to assess for… more
- Kaiser Permanente (Los Angeles, CA)
- …graduates to take RN license exam. License, Certification, Registration Registered Nurse License (California) Basic Life Support Additional Requirements: ... the general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management. Working… more
- American Traveler (Salem, MA)
- American Traveler is hiring an experienced RN Case Manager with strong case management and discharge planning skills for a dayshift inpatient role. Job Details *Work ... EPIC as the electronic medical record system, Job Requirements *Active Massachusetts RN license required at time of consideration; MA conditional licenses are not… more
- Kaiser Permanente (Sacramento, CA)
- …Experience Minimum three (3) years of home care nursing experience or quality utilization review experience. Education Bachelors degree in nursing or related ... or General Education Development (GED) required. License, Certification, Registration Registered Nurse License (California) Additional Requirements: Current… 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
- Northwell Health (Riverhead, NY)
- …case management and clinical pathways, variance analysis and trending, quality management/ utilization review and home care/discharge planning, preferred. Keeps ... of care according to regulatory standards. * Performs concurrent utilization management Conducts chart review for appropriateness...in Nursing, required. Current license to practice as a Registered Professional Nurse in New York State.… more
- Software Placement Group (White Plains, NY)
- …Position Qualifications: BSN required or in progress for those hired after 1/1/18. Active Registered Nurse ( RN ) license in NYS. PRI Certification or obtained ... Registered Nurse Care Manager The role...members. Document activities as per department requirements and perform utilization review activities per department policy. Contribute… 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
