- CHRISTUS Health (Tenneryville, TX)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- CHRISTUS Health (Tenneryville, TX)
- …operations for assigned areas; at CHRISTUS GSMC - Longview. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Hollywood Park, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Christus Health (Jasper, TX)
- …services and staff for a department; ensures quality and full compliance with relevant policies and standards. Responsibilities: * Implementing and monitoring ... in matters related to nursing service and strategies Standard I: Financial Management * Recognizes the impact of reimbursement on revenue * Understands the… more
- CHRISTUS Health (Tyler, TX)
- …services and staff for a department; ensures quality and full compliance with relevant policies and standards. Responsibilities: Implementing and monitoring programs ... in matters related to nursing service and strategies Standard I: Financial Management Recognizes the impact of reimbursement on revenue Understands the relationship… more
- CHRISTUS Health (Tenneryville, TX)
- …years of healthcare management experience C. Licenses, Registrations, or Certifications . RN License in state of employment or compact Work Type: Full Time EEO ... service line and staff for a facility; ensures quality and full compliance with relevant policies and standards. Responsibilities: * Implementing and monitoring… more
- The Cigna Group (Bloomfield, CT)
- …duties as assigned. Qualifications + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... include, but not limited to: + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to… more
- University of Virginia (Charlottesville, VA)
- Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with ... RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission… more
- Ascension Health (Destin, FL)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... specifics._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +...Registration: + Licensed Registered Nurse credentialed from the Florida Board… more
- Ascension Health (Tulsa, OK)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday...Registration: + Registered Nurse credentialed from the Oklahoma Board… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that... registered nurse holds a current temporary practice… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Utilization Review Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision of ... least restrictive environment. + Coordinate the hospital activities concerned with case management and discharge planning. + Ensure compliance with quality… more
- Catholic Health Initiatives (Houston, TX)
- … Functions and regulatory compliance for the director and department members. Registered Nurse ( RN ) is required for this position** **Responsibilities** ... Management ** a. Serves as a clinical resource for utilization management , compliance for the...and responsibility. **Qualifications** **Required Education and Experience** *Bachelor's Degree * Registered Nurse ( RN ) *Five (5)… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Lancaster General Health (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... current temporary practice permit. Supervision means that a licensed registered nurse is physically present in the... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- Banner Health (AZ)
- …If you're looking to leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent ... with RAC Auditors and other organizations. MINIMUM QUALIFICATIONS Requires Registered Nurse ( RN ) licensure in...the charging/billing process is required. A working knowledge of utilization management and patient services is required.… more
- RWJBarnabas Health (Newark, NJ)
- Registered Nurse ( RN ) ...in advance for potential conflicts or issues. Patient Care Management : Monitors the quality of service and utilization ... you need. Required Certifications and Licenses: + Active NJ RN License or Multistate RN License with...the American Heart Association (AHA) + Active New Jersey Registered Nurse License or Multistate Compact License… more
- AdventHealth (Orlando, FL)
- …documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes ... valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/...+ Health-related master's degree or MSN + Prior Care Management / Utilization Management experience +… more
- HCA Healthcare (Houston, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse RN Manager Emergency Room position and ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...in your career! We are interviewing candidates for our Registered Nurse RN Manager Emergency… more
- AdventHealth (Orlando, FL)
- …and exceptional health and benefits offerings **The role you'll contribute:** The Home Care Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Care Manager | Central...care patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
