- The University of Vermont Health Network (Colchester, VT)
- POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and ... well as those of various managed care insurance plans.MINIMUM REQUIREMENTSState of Vermont Registered Nurse ( RN ) license required. The University of Vermont… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge planning experience preferred.3. Three years of broad ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data… more
- TRS Healthcare (Olney, MD)
- TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Olney, Maryland.Job Description & RequirementsSpecialty: ... tax-free stipend amount to be determined. Posted job title: Utilization Review Registered NurseAbout TRS...needs. Based in Northwest Arkansas, TRS Healthcare is an RN -founded, woman-owned, remote-operated company with team members in all… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and are honored to be a part of this incredible work.What Will You Do?As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing...staff assignments and promoting staff development.* Responsible for the utilization and continued review of patient care… more
- Rio Vista Behavioral Health (El Paso, TX)
- …professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the ... their benefit/resources utilization .Responsibilities:ESSENTIAL FUNCTIONS:Facilitate intake, admission and utilization review process for incoming patients.Perform insurance… more
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... of Social Work program. Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Current and valid license… more
- Marwood Nursing and Rehab (Port Huron, MI)
- …for you and the life you want to live.*Position Summary:*The Registered Nurse delivers quality nursing care through the utilization of the nursing process. ... via written and verbal communication.. Participates in the resident care review process and assists in establishing resident goals, problem resolutions, approaches… more
- Adventist Health (Portland, OR)
- Adventist Health is seeking a Registered Nurse ( RN ) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: ... in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in the state of… more
- Sutter Health (Alameda, CA)
- …community.Job Description:EDUCATION:Graduate of an accredited school of nursing.CERTIFICATION & LICENSURE: RN - Registered Nurse of CaliforniaBLS-Basic Life ... and assists in meeting financial targets by effectively managing utilization , productivity, personnel and supplies. Participates as necessary in referral… more
- Children's Mercy Kansas City (Kansas City, MO)
- …in Nursing, is required within 4 years of hire + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire. RNs ... the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated...Required Upon Hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
- Beth Israel Lahey Health (Boston, MA)
- …States of America) Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts +… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Ventura County (Ventura, CA)
- … Nurse III - Hospital Case Management/ Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply Per ... Registered Nurse III - Hospital Case Management/ Utilization Review Salary $119,061.54 - $151,803.47 Annually...supervision commensurate with their experience. APPROXIMATE SALARY: Per Diem Registered Nurse III (PD RN … more
- Beth Israel Lahey Health (Burlington, MA)
- …40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review… more
- Billings Clinic (Billings, MT)
- …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN . This...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review FT Days - 2305004256 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
- HCA Healthcare (Largo, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital ... in our organization. We are looking for an enthusiastic Utilization Review RN to help...related health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations… more
