- Premera Blue Cross (Mountlake Terrace, WA)
- …regulatory requirements, and ensures these requirements are accurately followed and Utilization Management (UM) decision determinations and timeliness standards ... work experience **(Required)** + Current State Licensure as a registered nurse where licensing is required by...Three (3) years of clinical experience ( **Required)** + Utilization Management experience (Preferred) + Experience working… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …regulatory requirements, and ensures these requirements are accurately followed and Utilization Management (UM) decision determinations and timeliness standards ... work experience (REQUIRED) + Current State Licensure as a registered nurse (REQUIRED) + Three (3) years...+ Three (3) years of clinical experience (REQUIRED) + Utilization Management experience + Experience working in… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …of Texas or compact license + 3+ years Nursing experience + 1+ years Utilization Management and Appeals experience + Excellent verbal, written and computer ... **Overview** BroadPath is seeking a highly motivated and results-driven **UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical… more
- University Health (San Antonio, TX)
- …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....full time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance… more
- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... directions. + Understand and respond to multiple personalities and work/ management styles. + Resource management / utilization ...in a research related degree **Licenses and Certifications** + CA- RN ( Registered Nurse ) . +… more
- Alameda Health System (Oakland, CA)
- …in Nursing preferred. Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable. Required Licenses/CertificationsTPM: ACLS, TNCC, ... MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1...department). Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Commonwealth Care Alliance (Boston, MA)
- …is responsible for providing primary care, palliative care and community intensive care management to a specific panel of high risk and complex people.? This ... Operations and in direct partnership with Care Delivery Business Ops and Clinical Management teams, the Supervisor partners in ensuring the delivery of primary care,… more
- Hackensack Meridian Health (Brick, NJ)
- …and serve as a leader of positive change. The **Care Management , Care Coordinator , Utilization Management ** is a member of the healthcare team and ... treatment. Accountable for a designated patient caseload; the Care Coordinator , Utilization Management plans effectively...**Licenses and Certifications Required** : + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Saint Francis Health System (Tulsa, OK)
- …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of internal… more
- Prime Healthcare (Pampa, TX)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230407/ coordinator pi prmc- utilization ... In collaboration with the manager/director of Performance Improvement, the coordinator is responsible for assisting in the coordination, integration, and… more
- Charter Care Health Partners (Providence, RI)
- Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management , reviewing intake assessments, verifying clinical ... of experience in behavioral health, preferably in intake or utilization review roles. License: RI RN License...intake or utilization review roles. License: RI RN License required. Skills and Qualifications: + Strong clinical… more
- University of Virginia (Charlottesville, VA)
- As an experienced Registered Nurse , the RN Transfer Coordinator is responsible for the intake and logistics of facilitating outside hospital patient ... the bedside in these areas is preferred. + License/Certification: Practice as a Registered Nurse in the Commonwealth of Virginia is required. **PHYSICAL… more
- Banner Health (Tucson, AZ)
- …culture, arts and attractions, golf and original Southwest-inspired dining. As an Outpatient RN coordinator , you will coordinate, plan, and direct the daily ... director. CORE FUNCTIONS 1. Coordinates oversight of quality, risk management , safety and nursing standards and is a role...care setting within the past 12 months as a Registered Nurse in the specialty area. PREFERRED… more
- Banner Health (Phoenix, AZ)
- …working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. PREFERRED QUALIFICATIONS Bachelor's degree preferred. ... with lead/supervisor experience for this opportunity to develop Clinical Coordinator Role/Program expectations within the department, opportunity for tuition… more
- Good Samaritan (Inver Grove Heights, MN)
- …schedule with a weekend on-call rotation shared with the other supervisory staff. MN Registered Nurse , RN required. Prior MDS experience preferred. $15,000 ... rehabilitation services. This full-time 40 hours per week MDS Coordinator will be a part of our management...Assistance, Annual Increases, PTO + more! **Job Summary** The RN Case Manager, Long Term Care (LTC) assesses, implements,… more
- Banner Health (Phoenix, AZ)
- …hospitals nationwide have achieved this designation four times. As a Registered Nurse RN Transplant Coordinator , your role involves assisting patients in ... ED, Dialysis, Oncology or Telemetry. Must have a working knowledge of care management , resource/ utilization management , and hospital and community resources.… more
- Geisinger (Danville, PA)
- …Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life ... Job Summary Geisinger is proud to offer a full time Clinical Team Coordinator up to $24,000 hiring incentive for eligible candidates! Unit Location: GP2 Job Duties… more
- University of Virginia (Charlottesville, VA)
- …to provide relationship-based care within a collaborative multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, ... Experience: 2 years of relevant experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. American Heart Association… more
- Hartford HealthCare (Mansfield Center, CT)
- …Care* **Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less… more
- Trinity Health (Springfield, MA)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... **Shift:** Day Shift **Description:** At **Mercy Medical Center** our ** RN Inpatient Care Coordinators** are responsible for coordinating patient...(AHA/ARC). Certification in Case Management (ACM, CCM) required within one year of employment… more
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