- Daiichi Sankyo, Inc. (Philadelphia, PA)
- …to travel up to 90% within geography and to required meetings. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State ... strong, long-term relationships with clinical personnelEnsures appropriate and compliant utilization of product and disease state education as it...Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …initiatives as well as customer service programs. The Utilization Management/Float Registered Nurse ( RN ) is responsible for providing competent, ... Miami VA medical Center is looking for recruit for Registered Nurse - Utilization Management...the Associate Director of Patient Care Services (ADPCS). The Utilization Management/Float ( RN ) follows procedures per established… more
- Penn State Health (Hershey, PA)
- …orders that prohibit or outlaw discrimination._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management ... setting required. + Currently licensed to practice as a Registered Nurse by state of employment or... by state of employment or holds a multistate RN license through the interstate Nurse Licensure… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management** for a temporary contract position in support of ... experience Licensure:** Current, full, active, and unrestricted license to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC… more
- New York State Civil Service (Malone, NY)
- NY HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 3 - Utilization Temp/Hourly Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning.Substitution: a bachelor's degree in… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior ... Registered Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually Location Ventura and Santa Paula, CA Job Type Full-Time Regular… more
- Trinity Health (Langhorne, PA)
- …Center, a member of Trinity Health Mid-Atlantic, is seeking an experienced Registered Nurse to join our team in Utilization Review! The UM Registered ... and acceptable clinical outcomes, through integration and implementation of utilization management. **Minimum Requirements:** + Bachelor's degree in nursing… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
- Cognizant (Annapolis, MD)
- …to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with managed ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …job that may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced degree in healthcare ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Actalent (Atlanta, GA)
- Utilization Review - Registered Nurse Job...and Benefits - Appeals, and Risk Management. Essential Skills + Registered Nurse ( RN ) with a valid ... GA or Compact. + 1+ years of experience in Utilization Management (UM). + 1+ years of experience in...+ Experience with MCG or Interqual is preferred. + Utilization review experience is a plus. Job Type &… more
- AdventHealth (Tampa, FL)
- …as heart failure, cancer and other diseases. **The role you'll contribute:** The Utilization Management nurse uses clinical expertise to review patient records ... in emergency department setting. Utilize critical thinking and expertise in utilization review regarding medical necessity, patient status, level of care, and… more
- Prime Healthcare (Weslaco, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233537/ registered - nurse -case-manager ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS....illness. Qualifications Education and Work Experience Required qualifications: 1. RN License, BSW or other Bachelor degree in a… more
- Access Dubuque (Dubuque, IA)
- … Practitioner - Dubuque, IA UnityPoint Health Finley Hospital RN - Rehab Registered Nurse MercyOne Utilization Management Nurse Cottingham & Butler/ ... Join the MercyOne Family! We are looking to hire a Registered Nurse ( RN ). As a Registered Nurse at MercyOne,… more
- Trinity Health (Troy, NY)
- …and perceiving our world and that these differences often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - ... St. Peter's Hospital--Full-TIme TRACK weekends** If you are looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference,… more
- Guthrie (Sayre, PA)
- Up To $25,000 Sign On Bonus For Qualified RNs! Summary The Registered Nurse ( RN ) Utilization Management (UM) in collaboration with Care Coordination, ... coding, medical record or chart auditing, and experience in utilization management processes preferred. Knowledge of computer applications (such...of patient status. + Collaborate and set standards with registered nurse ( RN ) case managers… more
- Access Dubuque (Dubuque, IA)
- …20250908 End Date 20251217 Featured Job TH Ad TH Comments **Similar Jobs** ER Medical Surgical RN - Registered Nurse MercyOne CVU RN - Cardiovascular ... Registered Nurse MercyOne Acute Care RN - Medical Unit Registered Nurse...- Rehab Registered Nurse MercyOne Registered Nurse (PRN) Rehab MercyOne Utilization… more
- Access Dubuque (Dubuque, IA)
- …SISCO Registered Nurse (PRN) Rehab MercyOne RN - Rehab Registered Nurse MercyOne Utilization Management Nurse Cottingham & Butler/ SISCO ... Complete all other assigned projects and duties. **Skills we are looking for :** + Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) with an active… more
- Hartford HealthCare (Norwich, CT)
- …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... moment* matters. **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Inpatient (per diem)*… more
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