• RN , Utilization Management

    Humana (Columbus, OH)
    …health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health ... Management experience. The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
    Humana (04/25/24)
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  • Utilization Management Clinician…

    CVS Health (Salt Lake City, UT)
    …worker, LPC, LCSW, LMFT, LMHC, Behavioral /mental health services or if Registered Nurse , Associates degree required, BSN preferred Pay Range The typical pay ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...LCSW, LMFT, LMHC, etc) or active and good standing RN license.- 3+ years of behavioral health… more
    CVS Health (04/13/24)
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  • Utilization Management Coordinator…

    Universal Health Services (Sacramento, CA)
    …suffering from emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN ) is responsible for the managing, ... work, mental health, or a related field or RN with prior Utilization Management and Behavioral Health experience. Experience: A minimum of one (1) year… more
    Universal Health Services (04/06/24)
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  • Senior Accreditation Utilization

    Humana (Columbus, OH)
    …**Preferred Qualifications** + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health. + Detailed ... years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Experience compiling NCQA File...and Reporting + Working knowledge using Power BI + Registered Nurse or Behavioral Health… more
    Humana (04/10/24)
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  • Utilization Management Case Manager

    Universal Health Services (Dearborn, MI)
    Responsibilities Utilization Management Case Manager Beaumont Behavioral Health (a UHS Facility) A growing 144-bed behavioral health facility - Beaumont ... For more information, please visit our website: https://beaumontbh.com/ PositionSummary The Utilization Management Case Manager is primarily responsible for… more
    Universal Health Services (04/10/24)
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  • Utilization Coordinator

    Universal Health Services (Conway, SC)
    …Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred.… more
    Universal Health Services (04/22/24)
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  • Supervisor, Behavioral Health

    Centene Corporation (Tallahassee, FL)
    …it is fully integrated with the physical health provider network. + Partner with Utilization Management staff to monitor behavioral health utilization ... to identify and address potential behavioral health under -or over- utilization . + Oversee subcontracts related to behavioral health services + Assist in… more
    Centene Corporation (04/25/24)
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  • Utilization Management Coordinator…

    Universal Health Services (Philadelphia, PA)
    Management (UM) Coordinator to join our team. Utilization Management (UM) Coordinator Position Fairmount Behavioral Health System is seeking a ... Responsibilities Fairmount Behavioral Health System is Hosting a Job Fair...Utilization Management (UM) Coordinator to reviews patient medical records to… more
    Universal Health Services (04/25/24)
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  • Registered Nurse RN

    Trinity Health (Hartford, CT)
    …needs, and complexity of care. + **Licensure** : Current Licensure as a Registered Nurse RN in Connecticut. + **Certification** : BLS/ ... time **Shift:** Day Shift **Description:** At **Johnson Memorial Hospital** the ** Behavioral Health** unit provides behavioral health services benefiting from… more
    Trinity Health (03/15/24)
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  • Registered Nurse RN

    Lancaster General Health (Lancaster, PA)
    …of RN experience. External applicants only. **_We are seeking an experienced RN to join the Behavioral Health team in our Emergency Department._** Each ... 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… more
    Lancaster General Health (02/27/24)
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  • Registered Nurse RN Ortho Med…

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Ortho Med Surg you want in your current role? We invest in what ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...**Job Summary and Qualifications** + **We are seeking a Registered Nurse for Methodist Texsan Ortho Unit… more
    HCA Healthcare (04/13/24)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …year, nurses at **Chippenham Hospital** have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... benefits may vary by location._** We are seeking a ** Registered Nurse RN Case Manager**...experience in a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW… more
    HCA Healthcare (04/05/24)
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  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** Do you have the career opportunities as a(an) Case Manager Registered Nurse RN you want in your current role? We invest in ... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management ...we encourage you to apply for our Case Manager Registered Nurse RN opening. We… more
    HCA Healthcare (04/11/24)
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  • Registered Nurse ( RN ) - $50…

    Universal Health Services (Petersburg, VA)
    Responsibilities Registered Nurse ( RN ), $50 per hour (includes shift differential, benefits excluding PTO and ELB), $10,000 Sign-on Bonus Poplar Springs ... Position Requirements: Licensure/Certification/Registration: + Licensed to practice as a Registered Nurse ( RN ) in the...registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a… more
    Universal Health Services (03/29/24)
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  • Registered Nurse RN Resource…

    Banner Health (Mesa, AZ)
    …people the tools they need to perform at their best. As a Medical/Surgical Float Registered Nurse RN you will provide patient care throughout the facility ... culture. Clinical Care Operations is the hub of patient management for the campus, including: bed assignment, unit staffing...care setting within the past 12 months as a Registered Nurse in the specialty area. Banner… more
    Banner Health (04/21/24)
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  • Registered Nurse RN Ortho Med…

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Ortho Med Surg you want in your current role? We invest in what ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...opportunity.** **Job Summary and Qualifications** **We are seeking a Registered Nurse for Methodist Texsan Ortho Unit… more
    HCA Healthcare (03/11/24)
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  • Case Manager Registered Nurse

    HCA Healthcare (Hopewell, VA)
    …at TriCities Hospital have the opportunity to make a real impact. As a(an) Case Manager Registered Nurse RN PRN you can be a part of change. **Benefits** ... outcomes for your patients as a (an) Case Manager Registered Nurse RN PRN. We... RN years demonstrated leadership experience + Commercial Utilization Management and/or Case Management more
    HCA Healthcare (04/19/24)
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  • Registered Nurse RN Med Surg…

    Banner Health (Sun City, AZ)
    …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... assignments where you are able to work as an RN with an LPN and PCA with patient ratios...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
    Banner Health (03/24/24)
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  • Registered Nurse Case Manager…

    Prime Healthcare (Weslaco, TX)
    …#patientrentry #patienttreatmentplan Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156984/ registered - nurse -case-manager utilization - ... Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Responsible for the quality and resource management of all patients that are admitted to the… more
    Prime Healthcare (04/05/24)
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  • RN - Registered Nurse

    Bon Secours Mercy Health (Mechanicsville, VA)
    …ONE YEAR OF RN EXPERIENCE!** Summary of Primary Function The Obstetrics (OB) Registered Nurse ( RN ) addresses the care provided to healthcare consumers in ... as well as all people parenting newborns. The competent and proficient OB RN provides, coordinates, plans, and evaluates nursing care, and supervises licensed and… more
    Bon Secours Mercy Health (02/24/24)
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