- The Grove At Valhalla Rehabilitation And Nursing Center (Valhalla, NY)
- …needed6. Participate in annual competency reviewsEducation and Experiences:Must hold a current Registered Nurse License/Licensed Practical Nurse in good ... join our ever-growing team.We are seeking qualified candidates who have experience as an RN and are committed to help our patients and facilities receive the support… more
- 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 ... to prevent or decrease ACDs as appropriate.. + Initiate denial and appeal process in accordance with policy. Refers...we encourage you to apply for our Case Manager Registered Nurse RN opening. We… more
- Glens Falls Hospital (Glens Falls, NY)
- …care, utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New York State *Skills ... 30 hours per week, can be foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- POSITION TITLE: Mobile Assessment Registered Nurse REPORTS TO (TITLE): Director of Assessment and Referral DESCRIPTION OF POSITION: Responsible for providing ... Requirements: Knowledge and Experience: + Current California State license as a Registered Nurse . + Current CPR (Cardiopulmonary Resuscitation) certification (or… more
- Universal Health Services (Edinburg, TX)
- …be in accordance with the curriculum of the AHA, for Healthcare Provider's Program. 3. Registered Nurse currently licensed in the State of Texas, or part of a ... Responsibilities POSITION SUMMARY: RN Case Manager responsible to manage resource utilization... will also be responsible to help with the denial management process. May be occasions when it will… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …Requirements Knowledge and Experience: + Current California state licensure as a Registered Nurse . + Inpatient experience preferred + Familiarity with continuum ... nursing staff throughout the shift in conjunction with the Nurse Manager, House Charge or CNO as appropriate. +...treatment team meetings, shift reports and other hand-offs. The RN provides continual oversight of all patients and unit… more
- University of Miami (Miami, FL)
- …and 1 year of management. Certification and Licensing: + Valid Florida Registered Nurse License, BLS certification from the American Heart Association ... Manager assignments, coordination of monthly schedules, daily report management, denial management, creates action plans for continuous improvement, maintains and… more
- UC Health (Cincinnati, OH)
- …Hours: Full time Shift: First The UR Supervisor, functioning as a professional registered nurse , is responsible and accountable for directing and insuring ... of Revenue Cycle. The Supervisor is competent in all areas of the Denial /Charge Audit Department. The Supervisor collaborates with the System Director of Revenue… more
- HCA Healthcare (Brentwood, TN)
- …and escalate as appropriate. What qualifications you will need: Currently licensed as a Registered Nurse ( RN ) in the state(s) of practice and/or has ... you have the career opportunities as a Clinical Appeals Nurse RN you want with your current...Compose clinical appeal letters to send to payers for denial reconsiderations utilizing documentation, contract language, or voice recordings… 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 II Job Category:...on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of… more
- Catholic Health Initiatives (Omaha, NE)
- …as assigned by the manager. **Qualifications** **Required:** + Minimumthree (3)yearsclinical experience as Registered Nurse ( RN ) required. + RN license ... **Overview** The Denials RN is responsible and accountable for receiving, processing... performs a root cause analysis of the concurrent denial , formulates and implements a plan for addressing the… more
- Actalent (Ontario, CA)
- …requirements. This position complies with the scope of services defined by the Registered Nurse RN state licensure requirements. This position integrates ... Details: case management,acute care, Registered Nurse Additional Skills & Qualifications: Registered Nurse - RN Experience Level: Entry Level About… more
- Actalent (San Diego, CA)
- …requirements. This position complies with the scope of services defined by the Registered Nurse RN state licensure requirements. This position integrates ... of services including: Utilization Management supporting medical necessity and denial prevention, Transition Management promoting appropriate length of stay,... Rn license Additional Skills & Qualifications: + Registered Nurse - RN NEED… more
- HCA Healthcare (Nashville, TN)
- …qualifications you will need:** + Licensed Practical / Vocational Nurse (LPN / LVN) + Registered Nurse ( RN ) + Associate Degree + No Travel Required + 1 ... and inclusion thrive? Submit your application for our Compliance RN opening with Parallon today and find out what...you to apply! **Job Summary and Qualifications** The Compliance Nurse is responsible for providing clinical input or interpretation… more
- Universal Health Services (Madera, CA)
- …QUALIFICATIONS Education : Graduate of accredited School of Nursing; Current licensure as a Registered nurse thorough the State of California. + Minimum two (2) ... We are currently seeking a forward thinking and compassionate RN - Outpatient CLINIC (PHP/IOP) to be part of...Must possess licensure in the State of CA as Registered Nurse Additional Requirements: Thorough knowledge of… more
- UPMC (Harrisburg, PA)
- _Are you a Registered Nurse ( RN ) seeking a new opportunity? Are you a Professional Care Manager looking for your next chapter?_ _UPMC has a Sr. Professional ... in CANOPY system. + Takes leadership role in concurrent denial process. Works with Care Management Director, Physician Advisor,...hire + UPMC approved Care Management certification preferred + Registered Nurse ( RN ) + Act… more
- Banner Health (Mesa, 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 ... getting the absolute best results for patients. As an RN Physician Practice you would be responsible for triaging...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Covenant Health (Hobbs, NM)
- …Degree - Nursing + New Mexico Registered Nurse License + Care Manager RN Auditor, Care Manager Clinical Audit and Denial , Care Manager RN Clinical ... best people, we must empower them.** **Providence is calling a Care Manager RN , Case Management who will:** + Comprehensively plan for case management services for… more
- UPMC (Harrisburg, PA)
- …with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + **UPMC is an Equal Opportunity ... criteria preferred. **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility… more
- UPMC (Harrisburg, PA)
- …required with 4-6 weeks of hire. + UPMC approved Care Management certification preferred. + Registered Nurse ( RN ) + Act 31 Child Abuse Reporting with renewal ... criteria preferred. **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility… more
