- Capital Health (Trenton, NJ)
- …Three years of clinical nursing or two years quality management, utilization review or discharge planning experience. Other Credentials: Registered Nurse ... review and determination. Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis. Performs… more
- SolutionHealth (Manchester, NH)
- Come work at the best place to give and receive care! Job Description: RN Utilization Review This position has onsite requirements Who We Are: Elliot Health ... the direction of the Director of Care Coordination, the Utilization Review RN (UR ...Love Us: Health, dental, prescription, and vision coverage for full-time & part- time employees Short-term, long-term disability,… more
- DHR Health (Edinburg, TX)
- …compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: The Utilization Review Supervisor coordinates, supervises and is accountable ... as projects and initiatives that can help the department's financial goals. The Utilization Review Supervisor develops programs for their staff in required… more
- Corvel (Fort Worth, TX)
- The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and ... worker's compensation claims preferred EDUCATION & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of… more
- AW Health Care (St. Louis, MO)
- …AD&D, Additional Life Insurance) Job Summary: We are seeking a compassionate and skilled Registered Nurse ( RN ) to provide intermittent in-home nursing care ... Job Type Full-time Description Looking for More Time ...review and performance improvement as assigned. Participates in utilization review of medical records as assigned.… more
- PACS (Long Beach, CA)
- …Qualification Education and/or Experience Bachelor's Degree in Nursing or Social Work. Registered Nurse ( RN ) license preferred. Licensed (LVN or ... needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and… more
- Prisma Health (Columbia, SC)
- …in Nursing. Bachelor's degree in Nursing preferred. Experience - One (1) year experience as a registered nurse . In Lieu Of In lieu of one (1) year of ... limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality,...registered nurse experience, will accept successful completion… more
- Luminis Health (Lanham, MD)
- …to hiring, evaluating performance, issuing final disciplinary actions under the review of Human Resources, and recommending discharge in collaboration with members ... environmental changes. *Assists others in prioritizing patient care. 2. 2. Nurse -Patient Family Relationships *Expertly provides direct patient care to patients and… more
- NorthShore (Skokie, IL)
- …among other factors. Position Highlights: Position: RN Patient Care Navigator Location: Skokie, IL Full Time /Part Time : Full time , 40 hours per ... clinical nursing experience preferred Minimum two (2) years of utilization review , discharge planning, case management or...promote efficient utilization of resources Benefits (for full and part time positions): premium pay… more
- Kaiser Permanente (Washington, DC)
- …PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... reporting on patient progression towards the established discharge plan. Review and document discharge plan in accordance with KP...from the secondary work state(s) are required post hire. Registered Nurse License (Virginia) within 6 months… more
- Wellstar Health System (Roswell, GA)
- …Wellstar North Fulton Hospital has an opportunity for a Registered Nurse ( RN ) in MedSurg - Cardiac Telemetry. Full-Time Night Shift The RN Clinical ... Required Bachelor's Degree Nursing Preferred Required Minimum License(s) and Certification(s): Reg Nurse (Single State) 1.00 Upon Hire Required RN - Multi-state… more
- Vensure Employer Services (Dallas, TX)
- … experience required. Experience in acute care or ICU case management highly preferred. Registered Nurse ( RN ) or Licensed Clinical Social Worker (LCSW) in ... effective and efficient patient care coordination, ensuring appropriate resource utilization , and guiding patients and families through the healthcare continuum.… more
- UHS (Las Vegas, NV)
- …minimum three years experience in varied clinical settings. Two years experience in Utilization Review , Utilization Management or Case Management preferred. ... education and training center Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug...License/Certification: Has a current license to practice as a Registered Nurse in the State of Nevada.… more
- Methodist Health System (Omaha, NE)
- …or Intensive Care Unit (ICU) experience. License/Certifications Required: Current valid Nebraska Registered Nurse ( RN ) License, valid compact multistate ... or handling excreta from patients who have received hazardous medications. 9. Review , delegate and evaluate plans for appropriate utilization of staff… more
- Wellstar Health System (Marietta, GA)
- …a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse Critical Care is a proactive member of an interdisciplinary ... purpose (eg, bedside shift report; interdisciplinary rounds; just in time and planned patient teaching; keeping the patient and...certifications are required upon hire unless otherwise stated. Reg Nurse (Single State) or RN - Multi-state… more
- UnitedHealth Group (Oxford, PA)
- …Manager (CCM) Case management experience Experience in discharge planning Experience in utilization review , concurrent review or risk management Experience ... health care industry forward. As a Field Case Manager RN with UnitedHealth Group, you'll support a diverse member...will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws… more
- Corvel (Madison, WI)
- CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Wisconsin. Work from ... attorneys, and advisors/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful. Strong interpersonal, … more
- Atlantic Health System (Morristown, NJ)
- Job Description Atlantic Health System is seeking a dynamic Registered Nurse to join the energetic and innovative team of healthcare professionals as a Inpatient ... patient/family assessment and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities… more
- Pennsylvania Medicine (Lancaster, PA)
- …requirements being one of the following: RN : Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. Bachelor's degree in ... you living your life's work? LOCATION: Lancaster PA HOURS: Full-time , day shift position between the hours of 7:30...Nursing. Bachelor's degree in Nursing BSN . Knowledge of utilization review or managed care. Care management… more
- HCA Healthcare (Tallahassee, FL)
- …FL RN license required within 90 days of hire Advanced Practice Registered Nurse license is acceptable for position if current and compliant Certification ... Health Assistance Fund that offers free employee-only coverage to full-time and part- time colleagues based on income....in Case Management, Nursing, or Utilization Review , preferred Three years of nursing… more
