- Detroit Medical Center (Detroit, MI)
- Detroit Medical Center is seeking a Registered Nurse ( RN ) Utilization Review for a nursing job in Detroit, Michigan.Job Description & ... for case management scope of services including: Utilization Management services supporting medical necessity and...Detroit Medical Center Job ID #4369-2406002204-0. Posted job title: RN Utilization Review FT DaysAbout Detroit Medical… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
- Dana-Farber Cancer Institute (Boston, MA)
- …of which must be in Nursing.Licensed as a Registered Nurse in the Commonwealth of Massachusetts.Hematology-Oncology experience required. Management experience ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
- Dana-Farber Cancer Institute (South Boston, MA)
- …degree required, one of which must be in Nursing. Licensed as a Registered Nurse in the Commonwealth of Massachusetts. Hematology-Oncology experience required. ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
- Beth Israel Lahey Health (Needham, MA)
- …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... high-level proficiency in navigating the Electronic Medical Record and applications related to utilization management . Compliance with the Code of Ethics and… more
- Beth Israel Lahey Health (Burlington, MA)
- …other related duties as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three years of recent ... high-level proficiency in navigating the Electronic Medical Record and applications related to utilization management . Compliance with the Code of Ethics and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …mitigation strategies. Your Day to Day: + With minimal oversight, leads CMS utilization management related compliance activities including: + Identify and ... theory What You Bring: + Active and Unrestricted Massachusetts Registered Nurse license required + Bachelor's degree...+ 3-5 years' experience working with CMS Part C utilization management organization determination compliance … more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay… more
- Texas Health Resources (Arlington, TX)
- ** RN / Registered Nurse - Utilization Management , Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort ... an acute hospital setting required and + 1 Year Utilization Management required and + Experience in...the last three years preferred **Licenses and Certifications** + RN - Registered Nurse Current… more
- Trinity Health (Hartford, CT)
- …**What you will do:** + Provide patient Centered Leadership while ensuring effective utilization management , compliance with Medicare requirements, and the ... Degree Preferred + **Licensure** : Current Licensure as a registered nurse ( RN ) in Connecticut...criteria, JCAHO and CMS requirements for discharge planning and utilization management **Position Highlights and Benefits** +… 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:** Full Time,...Registration: + Licensed Registered Nurse credentialed from the Kansas Board… more
- University of Virginia (Charlottesville, VA)
- Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with ... RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management ** in support of the30th Medical Group at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Ascension Health (Saginaw, MI)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... Registration: + Required Credential(s):* Registered Nurse credentialed from the Michigan Board of Nursing obtained prior to hire date or job transfer date.… more
- Catholic Health Initiatives (Houston, TX)
- … Functions and regulatory compliance for the director and department members. Registered Nurse ( RN ) is required for this position** **Responsibilities** ... Management a. Serves as a clinical resource for utilization management , compliance for the...and responsibility. **Qualifications** Required Education and Experience *Bachelor's Degree * Registered Nurse ( RN ) *Five (5)… more
- RWJBarnabas Health (Livingston, NJ)
- Case Manager Registered Nurse ( RN ), Case...setting + Minimum of one year experience in Case Management / Utilization Management or Home Care ... Ctr, 94 Old Short Hills Road, Livingston, NJ 07039 Job Summary: The Case Manager Registered Nurse develops safe discharge plans in order to reduce length of stay… more
- Banner Health (AZ)
- …as a Registered Nurse and your knowledge of Case Managment and Utilization Management to review clinical records to ensure patients are in the correct ... contracted review agencies, other facilities/services, physician's offices. MINIMUM QUALIFICATIONS Requires Registered Nurse ( RN ) licensure in the state… more
- AdventHealth (Hinsdale, IL)
- …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… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
Related Job Searches:
Compliance,
Compliance Management,
Management,
RN,
RN Compliance,
RN Management,
RN Utilization,
Utilization,
Utilization Management,
Utilization Management RN