- CareFirst (Baltimore, MD)
- …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization ...Upon Hire Required or + LPN - Licensed Practical Nurse - State Licensure Upon Hire Required + CNS-Clinical… more
- VNS Health (Manhattan, NY)
- …in development of plans to address improvement needs as appropriate. * For Utilization Management Only: * Issues Determinations, Notices of Action, and other ... communications required by state or federal regulations are saved in the Utilization Management System. * Reviews, evaluates and determines the appropriateness… more
- CVS Health (Tallahassee, FL)
- …schedules may include weekends and holidays and evening rotations. This is a full-time remote Utilization Management Nurse Consultant opportunity. As a ... Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate,...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Columbus, OH)
- …more personal, convenient and affordable. **Position Summary** **This is a fulltime remote Utilization Management opportunity.** **The schedule is Monday ... Holiday, Weekend, and late rotations. **Required Qualifications** + Active current and unrestricted Registered Nurse in the state of residence + Willing and able… more
- LifePoint Health (Las Cruces, NM)
- …**Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) Case Manager - UM - PRN ( Remote )* **Location:** *New Mexico-Las ... resources in the development of care, discharge planning and Utilization Review. * Utilization Management ...is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or… more
- Mayo Clinic (Rochester, MN)
- …and inclusion, and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Beth Israel Lahey Health (Charlestown, MA)
- …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... to the BILHPN provider's risk populations. The Care Manager, RN provides care management services to the...behavior. Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources,… more
- Geisinger (Danville, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Advanced Cardiac ... Job Summary Please note this is NOT a remote position. Geisinger is proud to offer an Inpatient RN a $ 40 minimum hiring rate with increased rates for… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible candidates! $35.88 minimum hiring rate with increased rates for… more
- Geisinger (Wilkes-Barre, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Job Summary Geisinger is proud to offer a full time Inpatient RN up to $26,000 hiring incentive for eligible candidates! $37.04 minimum hiring rate with increased… more
- Dartmouth Health (Lebanon, NH)
- …assess their readiness for changing health behaviors. Required Licensure/Certifications - Licensed Registered Nurse with New Hampshire eligibility. - Basic Life ... Overview Works as a key member of the DH Care Management team, and in partnership with non-DH hospitals, by rounding on DH patients at non-system hospitals to… more
- AmeriHealth Caritas (Florence, SC)
- ** REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization...is required and must hold a current and unrestricted ** Registered Nurse ( RN )** license in… more
- CVS Health (Austin, TX)
- …convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any ... team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you...Required Qualifications: + Must have active current and unrestricted RN licensure in state of residence + 2+ years… more
- CVS Health (Phoenix, AZ)
- …convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in ... of the department.** **No travel is required.** As a Utilization Management Nurse Consultant, you...the coordination and administration of the utilization /benefit management function. **Required Qualifications** + RN with… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …made active again for possible consideration during the open period. Responsibilities The Registered Nurse Transition to Practice Program is designed for the ... post graduate RN nurse who has completed an entry...opportunities to perform procedures that are performed by RNs. Registered Nurse Transition to Practice (RNTTP) Program… more
- Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
- Summary Join the Fredericksburg, Virginia HCC Mental Health Team! The Registered Nurse Manager functions as a clinical expert and is responsible and accountable ... duties include but are not limited to of the Registered Nurse Manager: The Registered ...experience (5) years Mental Health nursing experience 2-3 years Nurse Management experience VA offers a comprehensive… more
- Humana (Enid, OK)
- …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN , Intern will utilize Humana's Medicaid training ... the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will...experience a plus. + Previous experience in prior authorization, utilization management + Experience working with MCG… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Registered Nurse (Infection Control) position is located in the Nursing ... week. Included but are not limited to: The Infection Prevention and Control Registered Nurse is accountable to the Associate Director Patient Care Services/Chief… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …management , and customer satisfaction throughout the continuum of care. Responsibilities Registered Nurse ( RN ) is responsible for providing competent, ... Team! Salem VA Medical Center is looking for a Registered Nurse for our Community Living Center...and taking corrective action when notified by the CLC management team, charge nurse , or designee of… more
- Veterans Affairs, Veterans Health Administration (Flint, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse ( RN ) assigned to a Patient Aligned Care Team (PACT) stationed at ... Responsibilities The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) will provide...Primary Care Experience Patient Aligned Care Team (PACT) Experience Registered Nurse Care Management Experience… more