- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse ( RN ) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: ... assigned.#LI-Hybrid License and current registration to practice as a Registered Professional Nurse in New York State...methodologies preferredVNS Health Job ID #R009771. Posted job title: Rn Utilization ReviewAbout VNS HealthVNS Health is… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... organizational standardization. Participates in identifying expanded use of and improvement management utilization of NGHS continuum. Participates in identifying… more
- LHC Group (Reno, NV)
- LHC Group is seeking a Registered Nurse ( RN ) Home Health Clinic for a nursing job in Reno, Nevada.Job Description & RequirementsSpecialty: ClinicDiscipline: ... commensurate with experience. Summary We are hiring a Patient Care Manager/Clinical Manager ( RN ) with Home Health experience. At St Mary's Home Health Care, a part… more
- VitalCore Health Strategies (Monroe, MI)
- …ADMINISTRATOR ( RN )MINIMUM REQUIREMENTSBachelor's degree in healthcare administration/related field. Licensed Registered Nurse . Minimum of two (2) years of ... Registered Nurse , HSA, Health Services Administrator, Nurse , RN , Corrections, HealthcareFull-TimeCompensation details:100000-110000 Yearly… more
- GHR Healthcare (Atlanta, GA)
- Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions that impact patient care? Join us as a ... Care Management Coordinator and play a key role in evaluating...refer cases that don't meet criteria to the Medical Director . Compliance & Advocacy: Ensure adherence to regulatory standards… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …the health of our communities. About the Role:Job SummaryThe Executive Director of Cardiology Services Invasive/Non Invasive is responsible and accountable for ... Operating Rooms, ECHO Vascular, Stress. Works in collaboration with the Director of Cardiology Services Non-Invasive to align imaging strategy to support… more
- Equiliem (Orange, CA)
- …the Medical Director 's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry into ... the Medical Director 's decision and documents follow-ups in the utilization management system. Completes required documentation for data entry into… more
- Pacer Staffing (Atlanta, GA)
- …state or territory of the United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a favorable Interim and ... direction and build group engagement. Technical Skills: Thorough knowledge of Case Management , Utilization Management , TRICARE policies and procedures, HIPAA… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, ... leadership. The Director oversees and leads medical management activities related to precertification utilization ...**Education, Certification and Licensure** + Master's degree preferred. + RN ( Registered Nurse ) with unrestricted… more
- Dignity Health (Bakersfield, CA)
- …or Arizona, with a clear and current CA RN license.** **Position Summary:** The Director of Utilization Management is the senior lead over the ... Director is also responsible for the oversight of utilization management auditing, both internal and external,...or equivalent experience required. - Clear and current CA Registered Nurse ( RN ) license. -… more
- CareFirst (Baltimore, MD)
- …location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the ... utilization management team and is responsible for the design, assessment,...addition to the required work experience. **Licenses/Certifications:** + Health Services\ RN - Registered Nurse -… more
- WellSpan Health (York, PA)
- …Utilization Management Review Committees. Co-chair's System Utilization Management Committee. + Works closely with Medical Director to identify trends ... Committee Meetings with payers. + Organizes and assists Medical Director with System Utilization Management ... Management Experience. Preferred Licenses: + Licensed Registered Nurse Preferred Knowledge, Skills, and Abilities:… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Corporate Director of Clinical ... individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/corporate- director -of-clinical- utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- UTMB Health (Galveston, TX)
- …and reports trends of inappropriate resource utilization to Director /Assistant Director of Utilization Management . + Maintains a documentation system ... school of professional nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full time wage earning… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …third party payers and communicate potential or identified concerns to the treatment team, Director of Utilization Management , and the Medical Director . ... and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and...Degree **Licenses and Certifications Preferred:** + NJ State Professional Registered Nurse License or NJ Licensed Social… more
- Monte Nido (Miami, FL)
- …+ Understanding of Medicare medical necessity criteria; consult with Admissions staff and Director of Utilization Management on all evaluations for Medicare ... providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote** **Monte Nido has been delivering… more
- Carle (Urbana, IL)
- …of multidisciplinary team members and the medical staff. + Collaborates with the System Director Utilization Management and Clinical Denial Management . + ... Director of Regional Care Management East/South...Bachelor's Degree in Nursing CERTIFICATION & LICENSURE REQUIREMENTS + Registered Professional Nurse ( RN ) License… more
- Stanford Health Care (Palo Alto, CA)
- …with the UM/CM Medical Director on strategic issues involving Utilization Management Department programs. + Collaborates with Physician Advisory Services ... Director team on complex cases. + Ensures Utilization Management staff maintains up-to-date knowledge, skills,...in nursing (MSN) + Current unrestricted license as a Registered Nurse issued by the state of… more
- AdventHealth (Daytona Beach, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... + Current and valid license to practice as a Registered Nurse + Minimum three years acute...acute care clinical nursing experience + Minimum two years Utilization Management experience + Excellent interpersonal communication… more
- Banner Health (Phoenix, AZ)
- …commitment to the latest health care advancements and excellent patient care. As the **Associate Director Registered Nurse RN Operating Room** , you will ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
