- 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 & RequirementsSpecialty: ... national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention… more
- TalentBurst, Inc (Irving, TX)
- …to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst ... TalentBurst, Inc is seeking a travel nurse RN Utilization Review for a...in order to determine appropriate level of care * Resource/ Utilization Management appropriateness: Assess assigned patient population… more
- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- …to the facility for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse (RN) license Clinical nursing experience Experience in care ... Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel...or utilization management (2+ years) BLS certification Computer… 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 ... reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the ...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
- North Mississippi Health Services (Amory, MS)
- North Mississippi Health Services is seeking a Registered Nurse (RN) Case Management for a nursing job in Gilmore Amory, Mississippi.Job Description & ... Licenses/Certifications Licenses/Certification Details Time Frame Required/ Preferred RN - Registered Nurse - State Licensure and/or Compact State… 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
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... therefrom.Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6 months related… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... office location via secure virtual link to patient rooms.#RNSINDJob Summary: The Registered Nurse I (Virtual) assesses, plans, implements and evaluates nursing… more
- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- CHRISTUS Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- MUSC (Charleston, SC)
- …from an accredited school of nursing and three years work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case ... in regards to education requirement. Required Licensure, Certifications, Registrations: Licensure as a registered nurse by the state of South Carolina or compact… 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
- MUSC (Charleston, SC)
- …Licensure, Certifications, Registrations: Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact ... Management and Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the Nurse ...as a clinical expert related to discharge planning, resource utilization , and case management .Entity Medical University Hospital… more
- MUSC (Charleston, SC)
- …Licensure, Certifications, Registrations: Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact ... Management and Care Transitions. Under guidance of the Nurse Case Manager Team Leader, the Nurse ...as a clinical expert related to discharge planning, resource utilization , and case management . Minimum Training 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
- The University of Vermont Health Network (Elizabethtown, NY)
- …Required:* Minimum 2-year college degree in nursing field. BSN preferred.* Must be a Registered Nurse (RN), licensed in good standing in NYS. Must obtain BSN ... rules, and regulations, clinical practice guidelines, and quality issues related to utilization management with application for appeals and denials management… more
- Advocate Aurora Health (Adell, WI)
- …with status report on a regular basis.Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected ... caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress,… more
- University of New Mexico - Hospitals (Edgewood, NM)
- …the weight of materials is negligible. Working conditions: Essential: * Minor Hazard - physical risks, dirt, dust, fumes, noise Department: Registered Nurse ... patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease … more
- Pathways Vermont (Burlington, VT)
- …Supervise three Shift Supervisors, a Services Team Lead, and an Advanced Practice Registered Nurse (APRN). Meet weekly for individual supervision, to review role ... residents receive excellent services, including: Individualized Service Plans Monitoring utilization of services, including duration, medication, incidents, external connections,… 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...three years preferred **Licenses and Certifications** + RN - Registered Nurse Current license to practice professional… more
