- 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, 8:30am-5:00pm + **Hospital:** Ascension St. John Medical Center +… 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
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... or order entry for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care , medical necessity, and… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... or order entry for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care , medical necessity, and… more
- RWJBarnabas Health (Rahway, NJ)
- Per Diem Registered Nurse ( RN ), Case...stay, assist in the development of the plan of care ; ensure that the plan is implemented in a timely ... RWJUH Rahway Hospital, 865 Stone Street, Rahway, NJ 07065 RN Case Manager will be responsible for all aspects...all Orientation Program Certifications and Licenses Required: + Active Registered Nurse License in the state of… more
- Fresenius Medical Center (Breese, IL)
- Outpatient Dialysis Clinic Clinical Manager ( RN ) **PURPOSE AND SCOPE:** Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the ... regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal,… more
- Fresenius Medical Center (San Antonio, TX)
- …departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. * ... * Provides technical guidance. * Performs other related duties as assigned. PATIENT CARE : * Coordinates all aspects of patient care with the appropriate… more
- Outreach Development Corporation (Brooklyn, NY)
- Outreach is seeking an experienced Registered Nurse ( RN ) to work in our Brooklyn outpatient program. The RN assesses health related needs of; monitors ... nurse on site and serves as the health care coordinator. Job Scope: + Conduct and/or monitor all...Director in collaboration with Program Director Qualifications + NYS Registered Nurse ( RN ) + Previous… 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
- Stanford Health Care (Palo Alto, CA)
- …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible ... health of the institution, navigating the complexities of patient care and resource utilization management, and education....systems and other healthcare software. **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
- Beth Israel Lahey Health (Boston, MA)
- …of the care team, focusing on the delivery of efficient, high-quality care . This position ensures the appropriate utilization of clinical resources with a ... eligible jobs and amounts at any time. **Job Description:** **Essential** **Functions:** The RN Case Manager collaborates with the health care team to develop… more
- University of Miami (Miami, FL)
- …and 1 year of management. Certification and Licensing: + Valid Florida Registered Nurse License, BLS certification from the American Heart Association ... . This position functions as Manager of the Case Managers and Utilization Review for all inpatient UMHC facilities under the direction of the… more
- UNC Health Care (Hillsborough, NC)
- … Utilization Manager position is for a Utilization Manager/Clinical Denials Nurse . RN Utilization Manager is responsible for clinical reviews for ... for delivery of Federally mandated notices to patients. The RN Utilization Manager will also utilize clinical,...date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North… 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
- Trinity Health (Silver Spring, MD)
- …Managers. Manages the activities of RN Case Managers for in inpatient care coordination and utilization review. Oversees interactions of staff with outside ... 8am - 4:30pm + Reporting to the Director of Care Management + The RN Manager is...will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree… 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
- 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
- Billings Clinic (Billings, MT)
- …preferred License and Certification Healthcare Provider and ACLS CPR certifications Current Registered Nurse license in the state of Montana Billings Clinic ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings Clinic (Billings Clinic… 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