- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Utilization Management ** for a temporary contract position in support of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Katmai (Fort Carson, CO)
- …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA… more
- CVS Health (Sacramento, CA)
- …we do it all with heart, each and every day. Position Summary The Utilization Management Clinical Nurse Consultant utilizes clinical skills to coordinate, ... clinical practice. Must have active and unrestricted RN ( Registered Nurse ) Licensure in the state...Arizona Time Zone. Preferred Qualifications : Previous experience with utilization management . Previous clinical experience in Emergency… more
- CVS Health (Des Moines, IA)
- …for members. This position does require a weekend schedule. Required Qualifications Registered Nurse Must have active current and unrestricted RN licensure ... obtain addition Nursing Licenses as business needs require Preferred Qualifications Utilization Management experience preferred Education Diploma RN acceptable;… more
- Alameda Health System (Oakland, CA)
- …plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic ... hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care....Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California.… more
- Christus Health (Dallas, TX)
- …role as detailed below, do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and ... preventive care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case...full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued ... admissions and extended stays, identifying opportunities for process improvements to enhance utilization management . Serves as a key contact for facility staff… more
- Christus Health (Euless, TX)
- …thinking skills. Demonstrated clinical competency. Working knowledge of discharge planning, utilization management , case management , performance improvement, ... or demonstrated success in CHRISTUS RN Care Manager I position. Case management and Utilization Review experience preferred. Licenses, Registrations, or… more
- Christus Health (New Summerfield, 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
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse (RN) Case Manager** in support of the 1st Special Operations Medical Group at Hurlburt ... algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Katmai (Usaf Academy, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... and employ safe work habits. + Utilize available information management systems in daily practice for patient care and...**Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse (RN) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine Palms, ... algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management /appropriateness: Assess assigned patient population for ... This position provides expertise and leadership to insure effective resource management for patient care delivery (Conditions of Participation COP 482.30). Case… more
- Christus Health (Euless, TX)
- …care plans. The RN Navigator will manage the length of service, promote efficient utilization of resources, and ensure that a well-organized and safe plan of care is ... all regulatory requirements, organizational policies, and best practices in case management . Promotes a positive work environment by displaying a caring, sensitive… more
- ERP International (Macdill AFB, FL)
- …seeking a ** Registered ** ** Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Tidelands Health (Murrells Inlet, SC)
- …through participation in the Nursing Process and under the supervision of the Registered Nurse . The NT demonstrates skill in oral and written communication ... Team Tidelands and help people live better lives through better health!** ** Nurse Technician III** Are you passionate about quality and committed to excellence?… more
- Luke Staffing (Glendale, CO)
- ** REGISTERED NURSE ** **SITE OF SERVICE:** Department of Veterans Affairs, Eastern Colorado Healthcare System (ECHCS), 4100 E. Mississippi Ave, Glendale, CO 80246 ... **Will consider Part Time and Full Time Applicants** **POSITION OVERVIEW:** The Registered Nurse (RN) will provide on-site professional nursing services to… more
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