- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Centene Corporation (Jefferson City, MO)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …coordinates and is accountable for the daily work of employees who provide utilization management , clinical and medical necessity claim related services and ... PT, NP, PA, or Dietician) with a minimum of three years of utilization management /quality improvement experience or equivalent required. + Must possess a… more
- Centene Corporation (Austin, TX)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization … more
- Amergis (Rancho Cordova, CA)
- Salary: $1760 / Week Supervisor Utilization Management PriorAuthorization Anticipated Duration: ASAP - 3 monthcontract Location Address: Rancho Cordova CA ... management experiencerequired Amergis Healthcare Staffing is seeking a Supervisor Utilization Management Prior Authorization responsible… more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
- Providence (Everett, WA)
- **Description** The Supervisor for Utilization Management provides a key role in leading, facilitating and managing the hospital utilization ... a row._ **Required Qualifications:** + Bachelor's Degree in Nursing. + Washington Registered Nurse License upon hire + Previous healthcare administration and/or… more
- Dignity Health (Bakersfield, CA)
- …This role will require Admin on-call on weekends/holidays.** **Position Summary:** The Supervisor of Utilization Management Inpatient Clinical will oversee ... clinical inpatient UM staff, ensuring they effectively perform utilization management (UM) reviews for inpatient cases....required. - Graduate of an accredited school of nursing: Registered Nursing. - Clear and current CA RN… more
- AmeriHealth Caritas (Washington, DC)
- …the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... in a fast-paced environment. The Clinical Care Reviewer - Utilization Management will also be counted upon...required; Bachelor's Degree in Nursing (BSN) preferred. + A Registered Nurse ( RN ) license in… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... ( RN ) - Med-Surg - Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
- Bon Secours Mercy Health (Greenville, SC)
- …and operational excellence. FT Nights **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
- Community Health Systems (Antioch, TN)
- As a Supervisor of the Transfer Center at Access Center...patient care and data privacy. **Licenses and Certifications** + RN - Registered Nurse - ... reimbursement, and student loan assistance for eligible roles **Job Summary** The Supervisor , Transfer Center is responsible for leading daily activities of the… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …a sign on bonus **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- … RN Supervisor to join their ever-growing team.The RN Supervisor assumes primary nursing responsibilities for the management of resident and staff ... activities. The RN Supervisor utilizes nursing practice and management skills...nursing care is delivered which is outcome focused through utilization of the nursing process. Identify needs and provide… more
- Bon Secours Mercy Health (Greenville, SC)
- …**Summary of Primary Function/General Purpose of Position** The Emergency Department (ED) Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... to create an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Emergency Room (ER)** **Job Summary:** The… more
- Bon Secours Mercy Health (Springfield, OH)
- …recognized for clinical and operational excellence. **Mercy Health - Springfield Regional Medical Center - Registered Nurse ( RN ) - ICU ( Critical Care )** ... **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the care of the patient in collaboration… more
- Louisiana Department of State Civil Service (Reserve, LA)
- REGISTERED NURSE SUPERVISOR B Print...amount we are allowed to pay a new hire. RN Supervisor B SPECIAL ENTRANCE RATE: $2919.20 BI-WEEKLY ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4947288) Apply REGISTERED NURSE SUPERVISOR B Salary $5,860.00 - $10,546.00 Monthly Location… more
- AdventHealth (La Grange, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... The RN Care Manager is under the general supervision of the Care Management Supervisor or Manager or Director of Nursing and is responsible for patient… more
- Bon Secours Mercy Health (Urbana, OH)
- …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... and operational excellence. **Summary of Primary Function/General Purpose of Position** The Registered Nurse Medical/Surgical functions as a care provider of a… more
- Bassett Healthcare (Cooperstown, NY)
- …experience as a Registered Nurse , if experience is not relevant, Registered Nurse II must complete RN residency program, required License/ ... Certification: Current NYS license as a Registered Nurse , required BLS certification will be...terminate or be suspended at any time. Bonus Amount: RN (excluding management ) sign-on bonuses are awarded… more