- University Health (San Antonio, TX)
- … full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager… more
- TrackFive (Colorado Springs, CO)
- …accreditation bodies (TJC & HFAP) preferred. Case Management experience including utilization review and discharge planning preferre About Patterns LLCPatterns ... Experience, TJC and CMS Experience **Onsite ONLY** Position Highlights: Position: Quality RN Job Type: Full-Time Location: On-Site Responsibilities: Monitors and… more
- MindMatch (Aiken, TX)
- …managerial problems/issues, demonstrates professional accountability for competency and growth. The Registered Nurse Clinical Supervisor assists the DON in some ... Nurses on clinic days, and on the floor. The Registered Nurse Clinical Supervisor is expected to...Current certification in gerontological nursing or will obtain in one year after employment. Work Type: Full Time… more
- Valley Health System (Paramus, NJ)
- …/ LOS management. Accountable for directing the day-to-day operations for Concurrent Utilization Review processes for Medicare, Medicaid, Managed Care and ... Day (United States of America) Benefits Medical/Prescription, Dental & Vision Discount Program ( Full Time /Part Time Employees) Group Term Life Insurance and… more
- Optum (Portland, ME)
- …Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory ... etc.; serves as an educational resource to all Health System staff regarding utilization review Assumes roles in assessment physical, psychosocial, & economic… more
- TrackFive (Pittsburgh, PA)
- …nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and ... Possession of a current license to practice as a registered nurse issued by the Pennsylvania State...needs of the healthcare industry and its associated verticals. Full-time , part- time , temp-to-hire, contractual, or urgent hiring,… more
- TrackFive (Green Bay, WI)
- …The PositionID: 54332466 Shift: Nights, Full Time Description: General title: Registered Nurse - Acute CareSchedule: Full-time , 72 hours per pay ... Every 4th weekendWeekend shift differential availableHoliday rotation: Paid HolidaysPosition Registered Nurse position provides quality, professional, general… more
- TrackFive (Hilo, HI)
- …the key talent needs of the healthcare industry and its associated verticals. Full-time , part- time , temp-to-hire, contractual, or urgent hiring, whatever is your ... is working with Infojini Healthcare to find a qualified Home Health RN in Kaneohe, Hawaii, 96744!Pay Information$2,022 per weekAbout The PositionID: 55635694 Shift:… more
- Appcast (Manhattan, NY)
- …as the strategic and operational leader for departments that include Access, Utilization Review , Denials and Appeals, Care Coordination, Discharge Planning, ... teamDirecting departmental operations, staffing, budget planning, and performance metricsLeading utilization review , discharge planning, and transitional care… more
- Optum (New Berlin, WI)
- …Must have strong analytical, critical thinking and organizational skills Knowledge of Utilization Review , Medicare Requirements processes as well as State and ... for more than a century. Explore opportunities across the full spectrum of care as you help us improve...Federal regulations pertaining to Utilization Review and Discharge Planning The salary… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing &...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 - ... Registered Nurse , Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing & Nursing Support Team Date… more
- Life Care Center of Kirkland (Kirkland, WA)
- …nursing) Currently licensed/ registered in applicable State. Must maintain an active Registered Nurse ( RN ) license in good standing throughout employment ... Director& a New Wage Scale! Come check us out. RN Care Manager/Resident Care Manager to work Full-time...in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred… more
- Team Select Home Care (Salem, NH)
- *PRN, Part Time , Full Time *Flexible Hours *Weekly...and more purpose? Join Team Select Home Care as a Registered Nurse ( RN ), where you'll bring ... 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
- CenCal Health (Santa Barbara, CA)
- … Coordinator - Adult Utilization Management (HPNC - Adult UM) is a Registered Nurse assigned to the Utilization Management unit. This position reports ... Location Main Office - Santa Barbara, CA Position Type Full Time Education Level Bachelor's Degree Travel...practices. Education and Experience Required: Current, active, unrestricted California Registered Nurse ( RN ) and/or … more
- UNC HEALTH (Raleigh, NC)
- …care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... employment date. Licensure/Certification Requirements: *Licensed to practice as a Registered Nurse in the state of North...UNC REX Healthcare Organization Unit: Rex GynOnc Work Type: Full Time Standard Hours Per Week: 40.00… more
- UHS (Temecula, CA)
- …required , acute care experience preferred. REQUIRED LICENSURE/CERTIFICATIONS Current license as a Registered Nurse ( RN ) or Licensed Clinical Social Worker ... Five (5) to Seven (7) years of clinical experience in Case Management/ Utilization Review required . Minimum three (3) years leadership experience in Case… more
- TrackFive (Grand Rapids, MI)
- …history are not eligible for the same processing timeline.The Registered Nurse delivers quality nursing care through the utilization of the nursing ... the key talent needs of the healthcare industry and its associated verticals. Full-time , part- time , temp-to-hire, contractual, or urgent hiring, whatever is your… more
- UnitedHealth Group (Lacey, WA)
- … registered clinical license required in state of hire - Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist ... we are changing health care one patient at a time . Moreover, have a genuine passion and energy to...to CMS criteria When H&C Transitions is delegated for utilization management, review referral requests that cannot… more
- CenterWell Primary Care (Buffalo Grove, IL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... documentation requirements. Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...accredited School of Nursing. Current state license as a Registered Nurse . Proof of current CPR. Valid… more
