- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... works from an on-site office location (not a remote position)Will perform admit, discharge chart review ...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
- Aequor (New York, NY)
- …York State Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, ... in a smooth transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such as triage, counseling,… more
- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job ... for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse ( RN ) license Clinical...tax-free stipend amount to be determined. Posted job title: RN Utilization Review .About HumanEdge Travel… more
- Community Health Plan of Washington (Eugene, OR)
- …organization. * Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or ... is available fully remote from Washington, Oregon, Idaho, Texas and Florida....behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements… more
- Henry Ford Health System (Detroit, MI)
- …Team Structure:Benefit from our new dyad Social Work/ RN Case Manager model and remote utilization review setup, allowing you to excel in your profession. ... fun and dynamic environment? Join our team as a Registered Nurse ( RN ) Case Manager!...level of care seamlessly. Perks of the Role: + Remote Flexibility:After 6 months, enjoy the option to work… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... here https://www.nursys.com/LQC/LQCTerms.aspx and send to me with QB - 4-5 years of Remote Utilization Management experience at Payors, inpatient or outpatient -… more
- Banner Health (AZ)
- …activities MINIMUM QUALIFICATIONS Completion of an Associate's degree in Nursing. Requires current Registered Nurse ( RN ) license in state worked. Five years ... manage issue escalations. Your work location would be entirely remote . Your work shifts would be primarily Monday-Friday, with...of clinical RN experience in prior authorization, utilization review , or case management, with one… more
- University of Washington (Seattle, WA)
- …artistic pursuits, and natural beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three years ... Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open... Management Specialist. This is a hybrid position (partially remote ; and partially on-site at Harborview). This position will… more
- Banner Health (Phoenix, AZ)
- …work, we invite you to bring your experience and skills to BPN. As a RN Utilization Management Care Reviewer, you will use your critical care experience as ... a RN and skills in collaboration to review ...in nursing or equivalent working knowledge. Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Beth Israel Lahey Health (Charlestown, MA)
- …care system considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) ... in healthy behavior. Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources, promotes quality and… more
- PruittHealth (Fort Oglethorpe, GA)
- ** REGISTERED NURSE - CLINICAL CARE COORDINATOR 7am-7pm** **JOB PURPOSE:** Responsible for the oversight of clinical care management and care oversight of an ... years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case management, home… more
- WellSpan Health (York, PA)
- Registered Nurse - Surgical ICU -...Hospital, York, PA Schedule: Full Time Sign-On Bonus Eligible Remote /Hybrid Regular Apply Now See More Events Full time/ ... Degree Nursing (BSN) Preferred Work Experience: + No experience. Required Licenses: + Licensed Registered Nurse Upon Hire Required or + Registered Nurse… more
- Kepro (Indianapolis, IN)
- …for health solutions in the public sector. Acentra seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/ RN ( Remote US) to join our growing ... review processes, functions as the initial resource to nurse reviewers regarding all review process questions...unrestricted Indiana Licensed Practical Nurse (LPN) OR Registered Nurse ( RN ) OR other… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …office after complete review of the EDRP application. Responsibilities This Registered Nurse -Ambulatory Care is in the Surgical Specialty Service at the ... 40 hours per week. Included but are not limited to: The Outpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full-Time Registered Nurse assigned to Infection Control within Specialty Care Service. This ... Registered Nurse will travel to all VA...projects and completes random walk-throughs of construction projects to inspect/ review practices. Implements and maintains a system for analyzing,… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …but are not limited to: The Nurse II Inpatient Mental Health (MH) Registered Nurse ( RN ) provides and leads the provision of competent, evidence-based ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The VA Midwest...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Alexandria, LA)
- …satisfaction throughout the continuum of care. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing a ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- Summary Welcome to Salem VA! Come Join Our TEAM as Referral Coordination Team Registered Nurse (RCT) that supports the medical center's mission to improve timely ... care. Knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management, RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... for utilization management functions. This includes but is not limited to review and authorization of services, utilization of medical policy, utilization… more
- Providence (Mission Hills, CA)
- …must empower them. **Required Qualifications:** + Associate's Degree - Nursing. + California Registered Nurse License upon hire. + 2 years - Experience working ... Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse… more
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