- Ascension Health (Tulsa, OK)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management...Registration: + Registered Nurse credentialed from the Oklahoma Board… more
- Ascension Health (Manhattan, KS)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department:** Utilization Management + **Schedule:** FT Days;...Registration: + Licensed Registered Nurse credentialed from the Kansas Board… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- AmeriHealth Caritas (Washington, DC)
- …Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred. + A Registered Nurse ( RN ) license in the District of Columbia in ... Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services,… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case Management (per diem)Req #:0000191479 Category:Nursing Status:Per Diem Shift:Day Facility:Cooperman Barnabas ... NJ 07039 Job Title: Case Manager Registered Nurse ( RN ), Case Management (per...setting + Minimum of one year experience in Case Management / Utilization Management or Home Care… more
- Catholic Health Initiatives (College Station, TX)
- …order to be considered for the Manager, Care Management postion.** + **Must be a Registered Nurse ( RN )** + **Must have have a minimum of Five (5) years ... Management a. Serves as a clinical resource for utilization management , compliance for the...and 3 years leadership experience Required License and Certification: Registered Nurse ( RN ) Required Minimum… more
- Ascension Health (Baltimore, MD)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday,...Registration: + Registered Nurse credentialed from the Maryland Board… more
- AdventHealth (La Grange, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- Penn Medicine (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- Mayo Clinic (Rochester, MN)
- …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an ... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… more
- Avera (Sioux Center, IA)
- …to provide quality care and services within a caring Christian culture. ** Registered Nurse ** **Job Summary** + The RN assists the Resource Nurse in ... Nurse ** **Summary** + The LPN assists the registered nurse in the management ...and fellow employees. + Coordinates acknowledging orders with the RN and following through with them. Records and documents… more
- Ochsner Health (New Orleans, LA)
- …discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway PRN To perform ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… more
- AdventHealth (Maitland, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- AdventHealth (Ormond Beach, FL)
- ** Registered Nurse RN Care...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management ... South Volusia County (S. Daytona to Edgewater) **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse … more
- Trinity Health (Mishawaka, IN)
- …for quality care. This is NOT a remote position.** **_About the job:_** The licensed Registered Nurse ( RN ) plans & provides professional nursing services & ... in one of the following: Certified Acute Care Virtual Registered Nurse (CAVRN), Acute/critical care nursing (CCRN),...Nurse (CEN), Cardiac Medicine (CMC), Certified Med Surg RN (CMSRN), Certified Neuroscience RN (CNRN), Certified… more
- Avera (Scotland, SD)
- …to join our team! We offer quality care close to home. **Position Highlights** **Seeking a Registered Nurse ( RN ) to join our team on the Med Surg Floor ... professional level of behavior in her/his role as an RN . The American Nurses Associations (ANA) scope and standards...**CERTIFICATION, LICENSURE, and/or REGISTRATIONS:** + Current licensure as a Registered Nurse in the State of South… more
- AdventHealth (Sebring, FL)
- …Home Health visits in the Highlands County area. The role you'll contribute: The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management...of professional nursing + 1 year of relevant clinical RN experience + Registered Nurse … more
- CommuniCare Health Services Corporate (Cincinnati, OH)
- Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... successful candidate for the position must have a valid RN license in Ohio, as well as previous Long...Responsibilities of the position will include: + Evaluate facility compliance to federal regulations and targets for utilization… more
- AdventHealth (Hinsdale, IL)
- …. BSN . Health-related Master's degree or MSN . Prior Care Management / Utilization Management experience **LICENSURE, CERTIFICATION OR REGISTRATION ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...REQUIRED:** . State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION… more
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