- Humana (Richmond, VA)
- …our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the ... of the appropriate courses of action. The Utilization Management Registered Nurse 2 uses clinical knowledge, communication skills, and independent… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse (RN)** ** Utilization Manager** for a full-time position in support of the **Naval Health ... collection. Analyzes data and prepares reports to describe resource utilization patterns. Briefs applicable data/slides to provider staff, executive staff,… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …Service, VA St. Louis Health Care System (VASTLHCS), St. Louis, Missouri. The Registered Nurse Case Manager ( Utilization Management) demonstrates leadership, ... Nurse Total Rewards The primary purpose of this Registered Nurse Case Manager (RNCM) is to...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… 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 state of… more
- McLaren Health Care (Detroit, MI)
- …implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in nursing from accredited ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...from the physician to optimize hospital reimbursement when appropriate. 2 . Works collaboratively with ICM service lines to expedite… more
- Cedars-Sinai (Los Angeles, CA)
- …thereafter as a condition of continued employment. **Req ID** : 5044 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem ... one of America's Best Hospitals! **What You Will Do in This Role:** The Utilization Review Case Manager validates the patient's placement to be at the most… more
- Sutter Health (Burlingame, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN- Registered Nurse of California Upon Hire CCM certification preferred ... **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients...**TYPICAL EXPERIENCE:** 2 years recent relevant experience. **SKILLS AND KNOWLEDGE:** A… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Utilization Review Registered Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse (RN) ... and compassionate care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination of effective… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... years in the supervision* of nursing staff engaged in utilization review activities. -AND- 2 . Current certification...in a state other than California must provide their Registered Nurse License Number from that state… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review ...certification is required. + Experience: Requires a minimum of 2 years of clinical and utilization review… more
- Humana (Des Moines, IA)
- **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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in Illinois, Minnesota or… more
- Humana (Columbus, OH)
- **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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in KY, IN, MI,… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience… more
- LA Care Health Plan (Los Angeles, CA)
- …Proven ability to lead successful performance improvement projects. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted ... Utilization Management Clinical Quality Nurse Reviewer...nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get… more
- Katmai (Usaf Academy, CO)
- …**QUALIFICATIONS** + Bachelor of Science in Nursing (BSN) is required. + Minimum of two ( 2 ) years of prior experience in Utilization Management. + Must possess a ... current, active, full, and unrestricted Registered Nurses (RN) licensed in Colorado, be able to...licensed in Colorado, be able to practice using a nurse compact state license or have a license from… more
- Humana (Cincinnati, OH)
- …part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, ... or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and...Qualifications - What it takes to Succeed** + Licensed Registered Nurse (RN) in the state of… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse , an experienced clinician, functions at the Competent to Proficient ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...School of Nursing **WORK EXPERIENCE** + Two years of registered nurse experience in a healthcare environment… more
- McLaren Health Care (Mount Clemens, MI)
- **Position: Registered Nurse Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 72 **Schedule:** 7a-7:30p **Position Summary:** The Registered ... Nurse delivers quality nursing care through the utilization of the nursing process. Works collaboratively with other...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... Staff nurses starting at $36 per hour! **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 72...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- Ventura County (Ventura, CA)
- Registered Nurse I/II and Nurse Extern -...each hour worked for all VCMC/SPH Nursing Units + Float Nurse Premium Pay - $ 2 .50 per hour per hour ... Regular and Per Diem Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4219899) Apply Registered Nurse I/II and Nurse Extern - Regular… more