- Tenet Health (Delray Beach, FL)
- …(unless required * if Magnet Hospital) Experience: Required qualifications include an active Registered Nurse license with at least two years acute hospital or ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… more
- HireMaster (Lincoln, NE)
- …vision, beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as ... 12. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved… more
- Medical Solutions (Omaha, NE)
- A facility in Bel Air, MD is seeking its next amazing RN ( Registered Nurse ) to work in Case Management ( Utilization Review ). Read on if this sounds like ... your perfect fit! Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you where you want to go - personally and professionally. Wherever you may roam, travel… more
- JobAdX (Smyrna, TN)
- …and auditing activities.Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.Manages clinic financials ... including efficient utilization of supplies or equipment and regular profits and loss review .Responsible for all required network reporting and on-site state or… more
- NCH Healthcare System (Jacksonville, FL)
- …improvement activities relevant to identified opportunities. . Actively collaborates with utilization review team to facilitate and meet organizational and ... BSN preferred.. Minimum of 1 years Discharge planning, case management, managed care, or Registered Nurse experience in a medical setting. . Licensed as a … more
- JobAdX (Dubois, PA)
- …updating all FMS manuals.Accountable for completion of the Annual Standing Order Review and ICD coding.Checks correspondence whether electronic, paper or voice mail, ... as required supporting billing and collection activities.Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to… more
- Vivian (Milledgeville, GA)
- Atrium Health Navicent is seeking a Registered Nurse (RN) Med Surg for a nursing job in Milledgeville, Georgia.Job Description & RequirementsSpecialty: Med ... meeting rosters, Atrium Health Navicent Job ID #R165574. Posted job title: Registered Nurse - BSN - FT NightAbout Atrium Health NavicentHeadquartered… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager… more
- Health eCareers (St. Charles, MO)
- …and provides guidance and mentorship to colleagues.Performs other duties as assigned.Qualifications: Registered Nurse (RN) with an active, unencumbered license ... medical staff.Essential Functions and Responsibilities:Medical Staff Performance & Peer Review Process ManagementDevelops, implements, and oversees the Professional Practice… more
- JobAdX (Hiram, GA)
- …and in people's lives.Job Summary:Fulltime 7p-7aSign On Bonus EligibleThe RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and ... patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through the Wellstar Shared… more
- HireMaster (Greenville, SC)
- …care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. Navigates the team through complex compliance, regulatory ... N or Nursing Diploma.Required Certifications, Registrations, LicensesLicensed to practice as a Registered Nurse in South CarolinaAccredited Case Manager (ACM) or… more
- Health eCareers (Manassas, VA)
- …work experience in following disciplines: Medical Staff Quality/Performance Improvement/Peer Review , Utilization /Case Management, Quality Management , or Risk ... for providing accurate, efficient and cost effective coordination of clinical review and performance improvement support services for the performance improvement and… more
- Contra Costa County, CA (Martinez, CA)
- …organization (ie HMO), two (2) years of which must have included experience as a Utilization Review Nurse , Discharge Planner, or Case Management Nurse , ... employment: a current, valid, and unrestricted license as a Registered Nurse issued by the California Board...years of full-time experience do you have as a Utilization Review Nurse , Discharge Planner,… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - ... Registered Nurse , Nursing and Nursing Support Schedule:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit (TPP)… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - ... Registered Nurse , Nursing and Nursing Support Schedule:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit reimbursement… more
- Mindlance (Philadelphia, PA)
- …in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred. An Active PA Registered Nurse (RN) license in good standing or compact state licensure ... Care (LTAC) settings. Proficiency in Electronic Medical Record Systems and Utilization Review Systems (eg, JIVA) to efficiently document and assess patient… more
- Broward Health (Fort Lauderdale, FL)
- …Point Shift: Shift 1 FTE: 1.000000 Summary: Performs and monitors integrated, concurrent utilization review and case referrals on patients, consistent with the ... approved Utilization Review Plans. Works with medical and...Two Years Credentials: Essential: * Basic Life Support * Registered Nurse Level II Background Required Grant… more
- State of Pennsylvania (Harrisburg, PA)
- …seeking a dependable and compassionate individual to grow their leadership skills as a Registered Nurse Supervisor. In this role, you will help lead our nursing ... at the Selinsgrove Center! DESCRIPTION OF WORK As a Registered Nurse Supervisor, you will be responsible...services. You can expect to participate in the development, review , training and implementation of center policies and procedures.… more
- Life Care Center of Kirkland (Kirkland, WA)
- …nursing) Currently licensed/ registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment One ... clinical experience in post acute care setting preferred Prior case management, utilization review , and discharge planning experience preferred Certified Case… more
- Geisinger (Bellefonte, PA)
- …Schedule: Days Work Type: Full time Department: Community Medicine Licensed Practical Nurse Team Date Posted: 07/18/2025 Job ID: R-75160 Job Summary Geisinger is ... 2-year diploma Medical Assistant program preferred. Certified Medical Assistant (CMA) or Registered Medical Assist (RMA) required. Certified by one of the listed… more
