- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, ... coordination, implementation, and reporting of complex clinical data. The Utilization Management Specialist is responsible... RN licensure in MN + 3-5 years utilization review or case management experience in… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CareFirst (Baltimore, MD)
- …5 years Clinical nursing experience, 2 years Care Management . **Licenses/Certifications** RN - Registered Nurse - State Licensure And/or Compact ... **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective,… 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 ... 0 **Position Summary:** In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the appropriate admission status based… more
- AdventHealth (Celebration, FL)
- …and results at the right time. **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in partnership ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- AdventHealth (Orlando, FL)
- …well as a comprehensive urology program **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- AdventHealth (Kissimmee, FL)
- …Dialysis, Laboratory, and Imaging services. **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Roper St. Francis (Summerville, SC)
- …those credentials. **RCIS Licensure / Certifications** - Must maintain active Registered Cardiovascular Invasive Specialist Registration with the SC Board ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- LifePoint Health (Johnstown, PA)
- * Registered Nurse ( RN ), Case Manager*...in the care of hospitalized patients. Our team of RN Case Managers, Social Workers, Utilization Review staff, ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the ... . Requisition No: 835476 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438 - Sunland - Day… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60005472 Date: Sep 8, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 797758 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60005472... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida… more
- Hackensack Meridian Health (Neptune, NJ)
- …healthcare and serve as a leader of positive change. The Clinical Documentation Specialist Registered Nurse facilitates improvement in the overall quality, ... experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60957239 Date: Oct 1, 2024 The State Personnel System is an E-Verify employer. For more information click on our ... Requisition No: 815370 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS -...knowledgeable of and utilize the principles of Total Quality Management . The employee in this position spends a minimum… more
- AdventHealth (Winter Garden, FL)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Nursing (BSN) + ACM/CCM Certification + Experience in Care Management / Utilization Management This facility… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST OPS - 60955422 Date: Sep 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS -...Nurse Practice Committee. Knowledge, skills and abilities, including utilization of equipment, required for the position: Ability to… more
- St. Mary's Healthcare (Amsterdam, NY)
- …of nursing required. Licensure / Certification / Registration: Required Credential(s): * Registered Nurse credentialed from the New York Board of Nursing. ... by drafting appeals, negotiating with payers, or following up with payer utilization review departments in attempts of obtaining authorizations and claim payment. *… more
- Northwell Health (New York, NY)
- …Degree in Nursing (BSN) required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... patients to the facility. Job Responsibility + Promotes optimum utilization of hospital beds; conducts rounds and meets with...of technical experience and 0-2 years of leadership / management experience, required. + 5 years RN … more
- Rady Children's Hospital San Diego (San Diego, CA)
- Please note, this position requires registered nursing bedside experience. JOB SUMMARY: The Value Analysis Specialist plays a crucial role in optimizing ... cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires a dedicated professional who can evaluate,… more
- Sanford Health (West Fargo, ND)
- …three years of recent clinical nursing experience required. Experience in case management , utilization management , and/or coding preferred. Currently holds ... credit added to wage ** **Job Summary** The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare… more