- CHRISTUS Health (Lake Charles, LA)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... within the scope of labor laws. Discovers opportunities to improve resource utilization . Implements changes in role consistent with scope of practice. Anticipates… more
- Blue Shield of CA (Los Angeles, CA)
- Your RoleReporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue ... Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization … more
- Legend Biotech USA, Inc. (Fort Worth, TX)
- …Conducts peer-to-peer in-person and virtual educational programs through 1:1 APP/ Nurse and group presentations; Meet with identified customers in each ... planning to align with regional and company goals Develops relationships with key nurse opinion leaders. Recognize changes and emerging trends within an account to… more
- The National Coalition of Healthcare Recruiters (Santa Clara, CA)
- …Degree in Nursing or a related healthcare field requiredCertifications|Licensures: Registered Nurse License requiredCertified Case Manager (CCM) ... miles South from Mountain View (Only QUALIFIED Healthcare Professionals accepted)Case Manager- RN - Coordination of Care Services DirectorSan Francisco | Oakland |… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** ** Utilization Manager** for a full-time position in support of the **Naval Health ... requirements of this position, it must be directly related to referral/ utilization management. License:** Active, unrestricted RN license Board Certification:**… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours...care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …resources are used while maintaining quality of care. Responsibilities The Registered Nurse ( RN ) - Utilization Management (UM) is responsible for ... The Jesse Brown VA Medical Center has a full-time Registered Nurse - Utilization Management...to clinical and administrative staff for UM issues. This RN delivers fundamental knowledge-based care to assigned clients while… more
- Access Dubuque (Dubuque, IA)
- Registered Nurse ( RN ) |...guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes ... social and public policy to promote social justice. The registered nurse at MercyOne is a collaborative...Care RN - Onsite, Unit Based MercyOne Registered Nurse Hillcrest Family Services Registered… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... workload in a fast-paced, rapidly changing regulatory environment. The Utilization Management RN works collaboratively with a.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- Bon Secours Mercy Health (Newport News, VA)
- …**_**Sign on bonus eligible**_** **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. **Working Conditions** Periods...Med-Surg - Maryview Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is… more
- Trinity Health (Dubuque, IA)
- …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... social and public policy to promote social justice. The registered nurse at MercyOne is a collaborative...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession… more
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
- Pipeline Health System, LLC (Toast, NC)
- …Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse ( RN ) position supports the Mission of Pipeline Health ... and compassionate care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination of effective… more
- McLaren Health Care (Bay City, MI)
- …+ Nursing degree from an accredited educational institution + State of Michigan licensure as a Registered Nurse ( RN ) + Two years of recent clinical or ... Summary:** In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the appropriate admission status based on the… more
- Humana (Louisville, KY)
- …weekends and holidays. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the state of Kentucky with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...and members, to determine appropriateness of services. The UM RN will use clinical knowledge, communication skills, and independent… more
- Bon Secours Mercy Health (Springfield, OH)
- …, to help our nurses grow, professionally and personally. **Tier 3 - System Flex Team traveler Registered Nurse ( RN )** A Tier 3 - System Flex Team Traveler ... Registered Nurse ( RN ) is expected...Registered Nurse ( RN ) is expected to be assigned...* Inter-professional collaboration and leadership + * Understanding and utilization of office and clinical technologies + * Compassionate,… more
- Humana (Tallahassee, FL)
- …medical necessity. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in Florida with no disciplinary action. ... a part of our caring community and help us put health first** Utilization Management Nurse - Weekend Front End Review utilizes clinical nursing skills to support… more
- Bon Secours Mercy Health (Newport News, VA)
- …operational excellence. **Summary of Primary Function/General Purpose of Position** The Stepdown Registered Nurse ( RN ) delivers patient care utilizing the ... safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Progressive… more
- Bon Secours Mercy Health (Newport News, VA)
- …for the $20,000.00 sign on bonus** **Summary of Primary Function** The Obstetrics (OB) Registered Nurse ( RN ) addresses the care provided to healthcare ... the safety and privacy of all persons. Understanding and utilization of office and clinical technologies. Ability to communicate...where associates want to work and help communities thrive. ** Registered Nurse ( RN ) - Obstetrics… more
