- Cognizant (Bismarck, ND)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... 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… more
- Humana (Bismarck, ND)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Humana (Bismarck, ND)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- Humana (Bismarck, ND)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CenterWell (Bismarck, ND)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Humana (Bismarck, ND)
- …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- Sharecare (Bismarck, ND)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Catholic Health Initiatives (Bismarck, ND)
- …experience **Required Licensure and Certifications** Bachelor's Degree in Nursing Required. Current Registered Nurse License in North Dakota or compact state. ... Responsibilities** **CHI St Alexius Health Bismarck is** **seeking a dedicated and experienced Clinical Manager to lead our NICU & Children's Unit. This is a vital… more
- Sanford Health (Mandan, ND)
- …facility preferred. Currently holds an unencumbered license in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational ... transition from referring facility onto Home Health/Hospice services. Performs clinical evaluations on patient charts to determine appropriate medical services… more
- Good Samaritan (Bismarck, ND)
- …facility preferred. Currently holds an unencumbered license in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational ... Ensures smooth transition from referring facility to location. Performs clinical evaluations on resident/client charts to determine appropriate medical services… more
- Datavant (Bismarck, ND)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Sanford Health (Bismarck, ND)
- …business need, prior to new Sanford education requirements. Three years' experience as a registered nurse (RN) in a clinical role preferred. Thorough ... skilled in the functions of the applicable technical software setting and process/ utilization improvement. Improves clinical patient care processes for quality… more
- Catholic Health Initiatives (Bismarck, ND)
- **Job Summary and Responsibilities** Empowering Recovery: Registered Nurse (RN) - Partial Hospitalization Program (PHP) **Are you a compassionate and skilled ... Registered Nurse passionate about behavioral health and...family members, community resources, and other healthcare professionals. *Conducts utilization review: Act as a liaison with insurance companies… more
- Highmark Health (Bismarck, ND)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more