- OU Health (Oklahoma City, OK)
- Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob Description:General Description: Under direction, the ... to promote cost-effective outcomes.Assists in developing and implementing the Utilization Plan, departmental goals, and departmental policies and procedures.Evaluates… more
- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years...amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're… more
- The University of Vermont Health Network (Berlin, VT)
- …an onsite presence at Central Vermont Medical Center in Berlin, VT.POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical ... 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
- APN Consulting, Inc (VA)
- …the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities ... Job Title: Care Review Clinician I Location: Remote Duration: 6 Months...utilization management, and/or case management. Required Licensure/Certification: Active, unrestricted State Nursing ( RN , LVN, LPN) license in good… more
- A-Line Staffing Solutions (Cleveland, OH)
- …Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, ... BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, Appeals,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as… more
- A-Line Staffing Solutions (Grand Rapids, MI)
- A-Line Staffing is now hiring a Behavioral Health Registered Nurse in Grand Rapids, MI! The Position would be working for a great company and has career growth ... assignments and promoting staff development. * Responsible for the utilization and continued review of patient care...first 90 days If you think this Behavioral Health RN position is a good fit for you, please… more
- Rhino Med Services (Winder, GA)
- Lawrenceville, Georgia - Registered Nurse ( RN ) - Clinical Care CoordinatorJoin our dynamic team at Rhino Medical Services, where you'll be a crucial part of ... psychosocial assessmentWill be actively involved in Discharge Planning and Utilization Review in a progressive acute care...difference in the lives of patients in need.PandoLogic. Keywords: Registered Nurse ( RN ), Location: Winder,… more
- ICONMA (Apple Valley, CA)
- …of Acute care CM experience - can consider travelers with 1.5 years. . Experience with Utilization Review and Discharge Planning. . Experience with InterQual.
- Med Pro Staffing (Washington, DC)
- …Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a travel assignment with one ... up to $1,000Duties ResponsibilitiesThe role of the case management nurse ( RN ) is to coordinate continuity of..., Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review , Case Manager RN *Weekly… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... health of our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nurse leader with primary responsibility… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:7 Days on 7 Days OffNortheast Georgia Health System is rooted in a foundation of improving the health ... on a designated shift including the effective and efficient allocation, utilization , and management of the financial, human, and material resources. Demonstrates… more
- A-Line Staffing Solutions (Harrisburg, PA)
- …with Medical Assistance regulations. Nurse Auditor Hybrid / Remote Requirements Registered Nurse issued by the Pennsylvania State Board of Nursing or ... setting behavioral health setting drug and alcohol setting managed care quality management/ utilization review or other related clinical experience Or equivalent… more
- TulaRay (Frackville, PA)
- …nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports and ... Correctional Registered Nurse Correctional nurse ...nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
- Signet Health (Clinton, MD)
- …package including generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day shifts for ... agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage… more
- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... documents the review . Refers cases for second level reviews when medical...reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in the state of… more
