- New York State Civil Service (Albany, NY)
- …HELP No 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 degree in… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Utilization Management (UM) Registered Nurse ...BSN with 2 years of professional nursing equivalent to Nurse I, Level 3 ; OR an MSN with ... for patients who receive hospital care. Responsibilities An UM Registered Nurse is responsible for UM reviews...one year of specialized nursing experience equivalent to Nurse I, Level 3 ; OR a Master's… more
- Ascension Health (Tulsa, OK)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... at time of hire. **Additional Preferences** + Minimum of 3 years of RN experience + Utilization Review experience preferred **Why Join Our Team** Ascension St.… more
- McLaren Health Care (Pontiac, MI)
- …12. Performs other duties as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in nursing from accredited educational ... **Position Summary:** Responsible for Utilization and Care Management services to the Emergency...formedical necessity/patient status to support level of care requested. 3 . Interviews patients, families, and other care providers to… more
- Prime Healthcare (Weslaco, TX)
- …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/ registered - nurse -case-manager utilization ... planning or nursing management;2. CCM or obtained within 6 months of hire. 3 . Experience and knowledge in basic to intermediate computer skills.4. Behavioral Violence… more
- Beth Israel Lahey Health (Plymouth, MA)
- …years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding ... making a difference in people's lives.** 32 hpw; 8-hr shifts (7a- 3 :30p flex); rotating weekends and holidays **Job Description:** **Duties/Responsibilities:** +… more
- WellSpan Health (York, PA)
- …responsibility for leave of absence administration or management. Preferred **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered ... + 3 years Relevant experience. Required + Experience in utilization management, case management, or clinical nursing specialty. Preferred and + Working… more
- US Tech Solutions (Chicago, IL)
- …Plan Activities **Experience:** + 3 + years of experience as an RN + Registered Nurse in state of residence + Must have prior authorization utilization ... have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff… more
- CVS Health (Raleigh, NC)
- …management function. **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external… more
- AmeriHealth Caritas (Washington, DC)
- …Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred. + A Registered Nurse (RN) license in the District of Columbia in good standing ... direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient...is required. + 3 + years of diverse clinical experience in an Intensive… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …as a Registered Nurse 1, Registered Nurse 2, or Registered Nurse 3 , depending on the level of experience of the selected applicant (s). ... Registered Nurse 1, 2, or 3 Print...activities to improve patient care. Assist with hospital wide Utilization Review activities to assure, by review of medical… more
- AmeriHealth Caritas (Philadelphia, PA)
- …between 8:30a EST and 5:00p EST.** ; + Current, active, and unrestricted Registered Nurse licensure in Pennsylvania. + Associate Degree in Nursing. Bachelor ... years of experience providing direct patient care;as a Registered Nurse working with medically fragile pediatric...pediatric patients in a clinical setting. + Minimum of 3 years of Utilization Management experience, preferably… more
- US Tech Solutions (May, OK)
- …years of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review. . MUST HAVE 1 YEAR OF... management review. . MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. . MUST… more
- Signature Healthcare (Louisville, KY)
- …documentation to facility accurate billing. What you Need to make a Difference + Registered Nurse (RN) in good standing with required current state license. + ... communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health care… 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
- Bassett Healthcare (Cooperstown, NY)
- …requirement. Experience: New graduate or less than one year of experience as a Registered Nurse , required License/ Certification: NYS licensure as Registered ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is...relevant patient health data accurately, with no more than 3 -5 exceptions, as measured by random supervisory chart review… more
- Commonwealth of Pennsylvania (PA)
- Registered Nurse Supervisor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4944307) Apply Registered Nurse Supervisor Salary ... and help lead our team as an ambitious, confident Registered Nurse Supervisor! Watch this video (https://www.flickr.com/photos/panationalguard/40381884892/in/album-72157689769595704/)… more
- Louisiana Department of State Civil Service (Reserve, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4947231) Apply REGISTERED NURSE SUPERVISOR A Salary ... of physical and mental capacity. Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted...needs, to identify potential barriers to optimal health, resource utilization , and methods for minimizing barriers. + Assist the… more
- Louisiana Department of State Civil Service (Reserve, LA)
- REGISTERED NURSE SUPERVISOR B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4947288) Apply REGISTERED NURSE SUPERVISOR B Salary ... of physical and mental capacity. Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license… more