- Cambia Health Solutions, Inc (Renton, WA)
- …degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse ( RN ) license (must have a current unrestricted ... Clinical Learning and Development Specialist or Senior DOEWork from home within Oregon,...you an RN who has experience with utilization and care management ? Do you enjoy… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …certifications: Current Georgia License to practice in a clinical profession (ie Registered Nurse , Pharmacist, Therapist, etc.) if individual has a clinical ... the health of our communities. About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant, educator, and evaluator to maintain and… more
- Comhar Inc. (Philadelphia, PA)
- …psychiatry, psychologist, professional counselor, marriage and family therapist, certified registered nurse practitioner with a mental health certification ... individuals in areas such as conflict resolution, problem-solving and anger- management .Educate individuals on evidenced based practices.Demonstrated cultural sensitivity and… more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of ... is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN )...Specialist is responsible for collaborating with the UM RN and other members of the interdisciplinary team (ie… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist...quality improvement activities. Communicates to UM Manager and supervising RN , barriers to completing assignments or daily work in… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Sanford Health (Bemidji, MN)
- …for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered registered nurse ( RN ) license with the State Board of ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
- Veterans Affairs, Veterans Health Administration (Vancouver, WA)
- …with a small-town charm, this is the place to call home. The VISN 20 Utilization Management Nurse Specialist collaborates with interdisciplinary team ... (UM) Programs in VISN 20. The VISN 20 Utilization Management Nurse Specialist...System (BMS) in VISN 20. These programs require a Registered Nurse 's expertise in applying sophisticated knowledge… more
- Robert Half Office Team (Monterey Park, CA)
- Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and ... on case findings. Functions & Job Responsibilities * The Utilization Management Nurse Specialist... RN license. . Three (3) years of utilization management experience in a managed care… more
- AdventHealth (Orlando, FL)
- …inpatients and 125,000 outpatients each year **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Bon Secours Mercy Health (Richmond, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... * Weekly check-in with Nursing Professional Development Coordinator or Clinical Nurse Specialist * Ongoing educational opportunities, including quarterly… more
- AdventHealth (Hinsdale, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- AdventHealth (Hinsdale, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes… more
- CVS Health (New York, NY)
- …a unique hybrid position that will support the an external provider team as a Float Registered Nurse . This position will help to help cover for the team if and ... Through broad knowledge of clinical care the Home Health Utilization RN evaluates, predicts, and facilitates the...and/or sub-acute rehabilitation preferred. Education Associate degree minimum as registered nurse Pay Range The typical pay… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60005472 Date: May 15, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. For ... Requisition No: 797758 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60005472... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60957239 Date: Apr 24, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. ... Requisition No: 815370 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS -...knowledgeable of and utilize the principles of Total Quality Management . The employee in this position spends a minimum… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST OPS - 60955422 Date: May 3, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS -...Nurse Practice Committee. Knowledge, skills and abilities, including utilization of equipment, required for the position: Ability to… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager near Palm Springs, California, to provide care to ... Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval...80 hours per two week period. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) + Association of Rehabilitation… more
