- Providence (Mission Hills, CA)
- **Description** ** RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full - time and will work 8-hour, ... empower them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License. + 2 years Experience working in a… more
- Henry Ford Health System (Warren, MI)
- …screening criteria and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse required. + Minimum 3-5 years of clinical ... Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse with a valid, unrestricted State of Michigan License.… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... making a difference in people's lives.** This position is full time, 40 hours per week, with weekend and...improve outcomes. 8. Assists with preparation and presentation of utilization review monitoring/trending reports for review… more
- Emory Healthcare/Emory University (Decatur, GA)
- …**Description** We're seeking a **Clinical Utilization Review Nurse Preceptor ( Registered Nurse / RN )** . This individual will be responsible for ... training, mentoring, and coaching for the Utilization Review Department and must be an expert in the utilization review functions and able to cover any… more
- Beth Israel Lahey Health (Plymouth, MA)
- …you're not just taking a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management ... Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager, you will:** + Directs staff performance… 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...Specialist - Utilization Management **Location** US:PA: Hershey | Nursing | Full Time **Req ID**… 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...EDUCATION, TRAINING, and EXPERIENCE Requires two (2) years of full -time professional registered nurse experience,… more
- AdventHealth (Tampa, FL)
- …and other diseases. **The role you'll contribute:** The Utilization Management nurse uses clinical expertise to review patient records in the emergency ... providers in emergency department setting. Utilize critical thinking and expertise in utilization review regarding medical necessity, patient status, level of… more
- Trinity Health (Langhorne, PA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** St. Mary... Nurse to join our team in Utilization Review ! The UM Registered ... + Bachelor's degree in nursing required. + Active PA RN License required. + CCM or Accredited Case Manager...Accredited Case Manager certification preferred. + Previous experience in Utilization review highly preferred. + Demonstrates ability… more
- Penn Medicine (Lancaster, PA)
- …of Science in Nursing (BSN) or higher level nursing degree. + 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
- Penn Medicine (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
- HCA Healthcare (Richmond, VA)
- …set us apart from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** ... for patient care. Apply today for our Case Manager Registered Nurse RN PRN opportunity....Required Five + years of recent clinical experience as RN years demonstrated leadership experience + Commercial Utilization… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Vighter Medical Group (Glendale, CO)
- …Location Glendale, CO - Glendale, CO Position Type Full Time Education Level Registered Nurse ( RN ) Salary Range $41.00 - $45.00 Hourly Travel Percentage ... Registered Nurse ( RN ) Glendale, CO...of Community Care (OCC)in Glendale, Colorado.As aCase Manager / Utilization Review Nurse , you'll play a… 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… more
- HCA Healthcare (Tomball, TX)
- …career path, we encourage you to apply for our Registered Nurse RN Case Manager PRN opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Case Manager...utilization ** **What qualifications you will need:** + **Current Registered Nurse License in the State of… more
- HCA Healthcare (Margate, FL)
- …growth, we encourage you to apply for our Registered Nurse RN case Mgr opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more
- AdventHealth (Orlando, FL)
- …nursing experience [Required] + Registered Nurse ( RN ) [Required] **Preferred qualifications:** + Prior Care Management/ Utilization Management ... team. All while understanding that together we are even better. **Schedule/Shift:** Full -Time/Days; Monday - Friday, 8:30 AM 5:00 PM; 4 Single Weekend shifts… more
- HCA Healthcare (Aventura, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Registered Nurse Case Mgr RN PRN with HCA Florida Aventura ... in our organization. We are looking for an enthusiastic Registered Nurse Case Mgr RN ...critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred… more