- CHRISTUS Health (Wake Village, TX)
- Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator...utilization , payor practices, and documentation. Escalates to Physician Advisor or CMO when discrepancies are present. * Performs… more
- Ascension Health (Tulsa, OK)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday - Friday, 9am-5pm + **Hospital:** Ascension St. John Medical Center + **Location:**… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours...education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics._ **Responsibilities** Provide health care… more
- Fresenius Medical Center (Columbus, OH)
- …regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, ... Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make… more
- Outreach Development Corporation (Brentwood, NY)
- …Scope + Conduct and/or monitor all medication calls and health calls as scheduled + Registered Nurse must supervise the License Practical Nurse daily + Work ... and training. For more information, please visit www.opiny.org. Position: Nurse ( RN )-Residential The RN assesses...and conduct any follow up as required. + The Registered Nurse must complete a Supervisory Note… more
- HCA Healthcare (Houston, TX)
- …field required + Basic Cardiac Life Support + Registered Social Worker (RSW), or Registered Nurse , or Certified Care Manager (CMC) Opened in 1995, Texas ... care . Apply today for our Case Management Supervisor RN opportunity. **Job Summary and Qualifications** The Supervisor Case...you will need:** + Bachelor's degree Nursing preferred + Registered Nurse - Currently licensed as a… more
- Sutter Health (San Francisco, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN...in order to avoid unnecessary admissions, improper level of care utilization , and delays in transition. Reviews… more
- Outreach Development Corporation (Brentwood, NY)
- …Scope + Conduct and/or monitor all medication calls and health calls as scheduled + Registered Nurse must supervise the License Practical Nurse daily + Work ... and conduct any follow up as required. + The Registered Nurse must complete a Supervisory Note...client(s) to emergency and/or health facility. + The Program RN will attend Supervision with The Nurse … more
- HCA Healthcare (El Paso, TX)
- …and empowers their passion for patient care . Apply today for our Registered Nurse Case Manager Mkt Float Pool opportunity. **Job Summary and Qualifications** ... from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager Mkt Float Pool...and patient throughput while supporting a balance of optimal care and appropriate resource utilization . **Essential Functions:**… more
- Stanford Health Care (Palo Alto, CA)
- …role. **This is a hybrid Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ... health of the institution, navigating the complexities of patient care and resource utilization management, and education....other healthcare software. **Licenses and Certifications** + Nursing / RN - Registered Nurse -… more
- HCA Healthcare (El Paso, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse Case Manager Mkt Float Pool PRN you want in your current role? We ... and patient throughput while supporting a balance of optimal care and appropriate resource utilization . Essential Functions:...career path, we encourage you to apply for our Registered Nurse Case Manager Mkt Float Pool… more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... Care Management (ICM) team the Per Diem RN (Adv CN)-Unit A4 position supports utilization ...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …healthcare recruiter Greater than 5 years of professional practice experience as a registered nurse Should be proficient in computer applications like Microsoft ... experience for all stakeholders' and deliver compassionate nurses ready to provide care . The Nurse Recruiter develops strategic partnerships with internal… more
- UNC Health Care (Smithfield, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge… more
- Hackensack Meridian Health (Neptune, NJ)
- …management. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member...records as required by payer agencies and initiates physician advisor 's review as necessary for unwarranted admissions. + Performs… more
- UNC Health Care (Hendersonville, NC)
- …for discussion that week. Qualifications Required + Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact states. ... etc.) to ensure the patient's needs are met and care delivery is coordinated. The UM completes utilization...+ Two (2) years of experience working as a Registered Nurse . + Strong verbal and written… more
- UNC Health Care (Hendersonville, NC)
- …week. PARDEE Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... etc.) to ensure the patient's needs are met and care delivery is coordinated. The UM completes utilization...* Two (2) years of experience working as a Registered Nurse . * Strong verbal and written… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …This job opportunity announcement may be used to fill additional vacancies. The Nurse IV QSV Chief functions as an advisor , administrator, educator, consultant, ... Service, and Value (QSV). This position functions as an advisor , administrator, educator, consultant, and mentor. The QSV Chief...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This is a 1.0 FTE (80 hours per two week pay period), ... guidelines. This position identifies/resolves barriers which may hinder effective patient care . Performs utilization management in accordance with all policies,… more
