- Katmai (Fort Carson, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... licensed in Colorado, be able to practice using a nurse compact state license or have a license from...checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- ERP International (Anchorage, AK)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) o Association of Rehabilitation Nurses:… more
- ERP International (Hurlburt Field, FL)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified… more
- ERP International (Twentynine Palms, CA)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) o Association of Rehabilitation Nurses:… more
- Katmai (Usaf Academy, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... those required of any military or government civil service nurse of similar experience and in similar duty assignments....and employ safe work habits. + Utilize available information management systems in daily practice for patient care and… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Stanford Health Care (Palo Alto, CA)
- …and development of their APPs. The Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered ... professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified… more
- Stanford Health Care (Palo Alto, CA)
- …(5) years of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered ... Brief Overview** Provides the opportunity to develop and practice management and leadership skills. Includes direction and education for...- Valid state license to practice as a Clinical Nurse Specialist within the United States of… more
- Stanford Health Care (Palo Alto, CA)
- …professional growth and development of their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified ... (1) year of experience as a licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered … more
- Stanford Health Care (Newark, CA)
- … Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist) + Management experience Preferred **Required Knowledge, Skills and ... meet agreed-upon goals, objectives, and target dates. + Performs management functions by interviewing and hiring staff members; providing... Nurse Practitioner or + CNS - Clinical Nurse Specialist or + CRNA - Certified… more
- Katmai (Usaf Academy, CO)
- …with military and civilian healthcare providers and staff and uses Utilization Management (UM) systems support to identify high-risk/high-cost patients ... **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions....States or jurisdiction, be able to practice using a nurse compact state license or Enhanced Nurse … more
- Battelle Memorial Institute (Tampa, FL)
- …operations and high-quality patient care. **Responsibilities** + Assist with the management and treatment of outpatient behavioral health activities + Under the ... supervision of a licensed psychiatrist, social worker, psychiatric nurse or psychologist, responsible for providing a wide range...the individual's specialty must be as a mental health technician/ specialist . + At least three years' experience as a… more
- Cordis (Chicago, IL)
- …the people behind the people who keep saving lives.** The **Clinical Closure Sales Specialist ** is focused on the support of the Cordis closure business within a ... or annual basis. + Focused on driving depth and increasing Cordis product utilization in existing accounts through the cultivation of new physician users and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- Penn Medicine (Lancaster, PA)
- …Medicine Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate ... we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions...**Minimum Required Qualifications:** + Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing +… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued ... **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for...extended stays, identifying opportunities for process improvements to enhance utilization management . + Serves as a key… more
- TEKsystems (Los Angeles, CA)
- …Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. ... LVN or RN license (California) + 2+ years of experience in Utilization Management (UM) + Hands-on experience with HMO/Medicare claims, audits, and denials +… more
- UNC Health Care (Kinston, NC)
- …applied clinical experience as a Registered Nurse required. + 2 years utilization review, care management , or compliance experience preferred. + Minimum 1 ... support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67036112 - SUNLAND - Out Patient Clinc Date: Dec 31, 2025 The State Personnel System is an E-Verify employer. For more information ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67036112 - SUNLAND -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
