- CHRISTUS Health (Tenneryville, TX)
- …within the scope of labor laws. Discovers opportunities to improve resource utilization . Implements changes in role consistent with scope of practice. Anticipates ... Science Degree in Nursing required for Magnet facilities, otherwise preferred. Experience 2 years of clinical patient care experience in a relevant setting. Previous… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- Summary The Emergency Department Utilization Management (ED-UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within ... level degree in Nursing may have opportunity to become registered as a nurse with a state...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary Position shared between Utilization Management (UM) and Accreditation. UM uses evidence-based...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Utilization Review Registered Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse (RN) ... and compassionate care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination of effective… 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 Case ... and regulatory compliance. Education/Experience Requirements Required: + Minimum of two ( 2 ) years utilization review/case management experience or social work… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... years in the supervision* of nursing staff engaged in utilization review activities. -AND- 2 . Current certification...in a state other than California must provide their Registered Nurse License Number from that state… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review ...certification is required. + Experience: Requires a minimum of 2 years of clinical and utilization review… more
- CVS Health (Trenton, NJ)
- …unrestricted RN licensure in state of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute or post-acute setting ... and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization...+ 2 + years of experience working with MS office applications… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the appropriate state,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs...review. * Working knowledge of URAC and NCQA. * 2 + years' experience in a UM team within managed… more
- CVS Health (Boston, MA)
- …in state of residence + 3+ years of clinical hospital experience as a Registered Nurse in Medical/Surgical, Emergency room, Critical Care, ICU, or stepdown unit ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...of clinical experience in acute or post-acute setting + 2 + years of proficiency with computer skills which includes… more
- Travelers Insurance Company (Buffalo, NY)
- …parameters within their assigned state preferred. **What is a Must Have?** + Registered Nurse ; Licensed Practical Nurse or Licensed Vocational ... Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided… more
- CVS Health (Trenton, NJ)
- …both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...state of residence - Must possess 2 + years of clinical experience in acute or post-acute… more
- Katmai (Usaf Academy, CO)
- …**QUALIFICATIONS** + Bachelor of Science in Nursing (BSN) is required. + Minimum of two ( 2 ) years of prior experience in Utilization Management. + Must possess a ... current, active, full, and unrestricted Registered Nurses (RN) licensed in Colorado, be able to...licensed in Colorado, be able to practice using a nurse compact state license or have a license from… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse , an experienced clinician, functions at the Competent to Proficient ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...School of Nursing **WORK EXPERIENCE** + Two years of registered nurse experience in a healthcare environment… more
- McLaren Health Care (Mount Clemens, MI)
- **Position: Registered Nurse Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 48 **Schedule:** 7a-7:30p **Position Summary:** The Registered ... Nurse delivers quality nursing care through the utilization of the nursing process. Works collaboratively with other...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- Ventura County (Ventura, CA)
- Registered Nurse I/II and Nurse Extern -...each hour worked for all VCMC/SPH Nursing Units + Float Nurse Premium Pay - $ 2 .50 per hour per hour ... Regular and Per Diem Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4219899) Apply Registered Nurse I/II and Nurse Extern - Regular… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:**...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... Staff nurses starting at $36 per hour! **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 48...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
