- Geisinger (Danville, PA)
- …experience: 3 years of RN work experience + Preferred Experience: Utilization Review / Utilization Management Work from Home Internet requirements: + ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
- Geisinger (Danville, PA)
- …re-admissions. + Assesses and recommends policies as they relate to readmissions and utilization review activities. + Reviews inpatient level of care and ... of 5 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Fresenius Medical Center (San Diego, CA)
- …Manager for patients with various shifts and work hours. **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an entry ... Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- UNC Health Care (Hendersonville, NC)
- …care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly ... based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- Banner Health (Loveland, CO)
- …the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in ... settings by including remote and hybrid opportunities. As a RN Case Manager, you will work closely with the...clinics you are assigned. This remote hybrid role requires onsite work in Northern Colorado. This is a Monday-Friday,… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... with 2 year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only. **_Penn Medicine Lancaster General Health is… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... year commitment. Eligibility rules apply, including 15 months or greater RN experience. External applicants only. **POSITION SUMMARY:** Assume responsibility and… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... 2 year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only. **POSITION SUMMARY:** Assume responsibility and… more
- Baystate Health (Greenfield, MA)
- …safety, and home to **Baystate Franklin Medical Center** is looking for a **Per Diem** ** Registered Nurse ( RN ), Case Manager** to join our Hospital Case ... Management Specialist (UMS)/Hospital Case Manager (HCM) is a Registered Nurse ( RN ) responsible for...adjusts to temporary increases in workload. Assists in maintaining Utilization Review /Appeals and Denials documents to reflect… more
- Lancaster General Health (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients and ... improvement activities with an emphasis on increasing continuity in the nurse to patient relationship, minimizing rework and redundancies; constantly seeks ways… more
- Lancaster General Health (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients and ... improvement activities with an emphasis on increasing continuity in the nurse to patient relationship, minimizing rework and redundancies; constantly seeks ways… more
- MTC (Calexico, CA)
- …use of appropriate sanitation methods. 6. Practice basic cost containment and utilization management for patient care and facility operations. 7. Maintain absolute ... of all medical records; observe applicable HIPAA rules. 8. Review medical files to determine all provided services are...summons and other legal writs. 24. Regular and predictable onsite attendance is required. 25. Promote the development of… more
- Lancaster General Health (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 ... Other duties as assigned. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** ** RN or Social Worker** is required for this role,...+ Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health… more
- UNC Health Care (Chapel Hill, NC)
- …is to improve the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a Utilization Manager/Clinical ... of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...setting. Performs telephonic and/or on site admission and concurrent review , and collaborates with onsite staff, physicians,… more
- UNC Health Care (Hendersonville, NC)
- … reviews in accordance with federal regulations and the health system's Utilization Review Plan. Responsibilities: * Uses approved criteria and conducts ... well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and...Required * Must be licensed to practice as a Registered Nurse in the state of North… more