- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage ... with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN)...+ Certification in a specialty area preferred. + Three ( 3 ) - Five (5) years acute hospital experience. +… more
- Texas Health Resources (Arlington, TX)
- **RN/ Registered Nurse - Utilization Management, Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort Worth ... of medical necessity criteria preferred **Licenses and Certifications** + RN - Registered Nurse Current license to practice professional nursing in the… more
- Prime Healthcare (Weslaco, TX)
- …#registerednurse #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188814/ registered - nurse -case-manager utilization ... planning or nursing management;2. CCM or obtained within 6 months of hire. 3 . Experience and knowledge in basic to intermediate computer skills.4. Behavioral Violence… 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 ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...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 ...Medical Center . Scheduled hours are from 0700AM - 3 :30PM Mon - Fri with 30 minute unpaid lunch… more
- WellSpan Health (York, PA)
- …responsibility for leave of absence administration or management. Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered ... Utilization Management Nurse (RN) - Case...3 years Relevant experience. Required + Experience in utilization management, case management, or clinical nursing specialty. Preferred… more
- CVS Health (Austin, TX)
- …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 holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization Management Nurse… more
- Humana (Dublin, OH)
- …your skills to make an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse (RN) in the state of Ohio with no disciplinary ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...action. + 3 - 5 years of Medical Surgery, Heart, Lung… more
- CVS Health (Raleigh, NC)
- …verbal and written **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize...time zone of work being supported. **Preferred Qualifications** + 3 + years of clinical experience required + Managed Care… more
- CVS Health (Austin, TX)
- …RN licensure in state of residence + 3 + years of experience as a Registered Nurse + 1+ year(s) of Med/Surg experience + 1+ year(s) of experience with ... will be Monday through Friday, 8:00am to 5:00pm EST. As a Utilization Management Nurse Consultant you will utilize clinical experience and skills in a… more
- US Tech Solutions (Chicago, IL)
- …Plan Activities **Experience:** + 3 + years of experience as an RN + Registered Nurse in state of residence + Must have prior authorization utilization ... have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff… more
- CVS Health (Columbus, OH)
- …reside in EST zone + 3 + years of clinical experience as a Registered Nurse in a hospital setting including Medical/Surgical, Emergency room, Critical Care, ... include weekends, holidays and evening hours._ This is a full-time remote Utilization Management opportunity. + Utilizes clinical experience and skills in a… more
- CVS Health (Hartford, CT)
- …of residence + 3 + years of clinical hospital experience as a Registered Nurse in Medical/Surgical, Emergency room, Critical Care, ICU, or step-down unit ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external… more
- University of Washington (Seattle, WA)
- …in Nursing, or equivalent education and training + Active licensure to practice as a Registered Nurse in Washington State required by start date + Knowledge of ... Medical Center** has an outstanding opportunity for an **experienced Utilization Review Nurse (UM RN)** to join...monitoring the continuum of care **REQUIRED POSITION QUALIFICATIONS** + 3 years of work experience in utilization … more
- Louisiana Department of State Civil Service (Vidalia, LA)
- Registered Nurse 3 Print...development and stimulation of services of others, and the utilization of available resources in the most effective manner. ... (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4790819) Apply Registered Nurse 3 Salary $4,784.00 - $8,608.00 Monthly Location Vidalia, LA… more
- CVS Health (Harrisburg, PA)
- …verbal and written **Required Qualifications** - 3 + years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... deliver solutions to make health care more personal, convenient and affordable. ** Utilization Management is a 24/7 operation and work schedule may include weekends,… more
- US Tech Solutions (May, OK)
- …years of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review. . MUST HAVE 1 YEAR OF... management review. . MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. . MUST… more
- Signature Healthcare (Louisville, KY)
- …documentation to facility accurate billing. What you Need to make a Difference + Registered Nurse (RN) in good standing with required current state license. + ... communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health care… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …sign on bonus **Summary of Primary Function/General Purpose of Position** The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process ... required within 6 months of hire) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. * Ability to… more
- Houston Methodist (Sugar Land, 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