- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- Summary The Registered Nurse - Utilization Case Manager position in Technology, Innovation & Development is located at John Cochran Medical Center at VA ... Saint Louis Health Care System. The RN is responsible for providing competent, evidence-based care to...discharge / disposition planning for inpatient settings. Responsibilities The Registered Nurse - Utilization Case… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... months + Licensure : Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO Core Duties: + Coordinate patient… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
- New York State Civil Service (Sonyea, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Registered Nurse 3 ( Utilization ) 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 ( RN ) is responsible for UM reviews for patients who receive hospital care. Responsibilities An ... UM Registered Nurse is responsible for UM reviews...performance measures. Uses emergency and bed management software and utilization data to manage admission recommendations and identify barriers… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Utilization Management (UM) Consultant is a registered professional nurse , qualified by education and experience to work directly with ... and enters information into a national database. The UM RN has a thorough knowledge of the patient's medical...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** FT Days + **Hospital:**...care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within… more
- Ascension Health (Baltimore, MD)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Maryland Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes Hospital + **Location:**… 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 ... **Position Summary:** Responsible for Utilization and Care Management services to the Emergency...needs in EMR for continued communication with ICM UM RN and Care Management staff 7. Assesses if follow… more
- Beth Israel Lahey Health (Plymouth, MA)
- …job that may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced degree in healthcare ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- Ascension Health (Pensacola, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Florida Board of Nursing ... **Details** **Department: Utilization Review** **Schedule: M-F 0800-1630 with rotating Holidays**...hire dateor job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from… more
- Avera (Sioux Falls, SD)
- …cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active ... the Clinical Appeals Specialist to ensure tracking and trending of all Utilization Review related denials/appeals are appropriately documented. + Assists with the… more
- Prime Healthcare (Weslaco, TX)
- …Criteria preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210205/ registered - nurse -case-manager utilization ... -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityKnapp Medical Center LocationUS-TX-Weslaco ID2025-210205 CategoryClinical Professional Position TypeFull Time ShiftDays Job TypeNon-Exempt more
- Banner Health (AZ)
- …better pay, better benefits, better opportunities and a better community. As a ** Registered Nurse RN Utilization Management Care Reviewer,** ... to ensure safe and proper coordination upon discharge from facilities. **The Registered Nurse RN Utilization Management Care Reviewer position is… more
- AdventHealth (Orlando, FL)
- …environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... admission, treatment, and appropriate level of care. The UM RN leverages the algorithmic logic of the XSOLIS Cortex...and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse , Revenue Integrity & Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... by Forbes as a Best Employer. Position Summary: The RN Utilization Management I will perform ...word and excel. Licensure Requirements: Current licensure as a Registered Nurse ( RN ) as issued… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Ongoing mentorship and leadership programs + And more! **Description** The **Registry Utilization Review Nurse ** (PRN) is responsible for conducting medical ... with the attending physician and/or physician advisor. + The UR RN (PRN) will perform utilization review by completing a timely and comprehensive review of all… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to review… more
- BJC HealthCare (St. Louis, MO)
- …(commercial, behavioral health, inpatient, ect) **Requirements:** + 2 years of staff nurse experience performing care for hospitalized patients. + 2 years of ... utilization review (UR) experience reviewing hospital admissions for medical...in St. Louis. + Have both Missouri and Illinois RN licenses. + If candidate only has one … more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders...State Licensure Current RN license as issued by the State Board of… more