- CVS Health (Harrisburg, PA)
- …setting required for either BH or RN -1+ years of utilization review/ utilization management required (ie concurrent review, pre-certifications) for ... to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and...MSW, LCSW, Behavioral /mental health services or Registered Nurse with Behavioral Health… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The ... Review experience, someone who can talk to providers. **Credentials** + Required: Registered Nurse in state of practice + Preferred: Psychiatric/Mental Health… more
- AmeriHealth Caritas (LA)
- **Role Overview:** Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical ... to 2 weekends per year **Education & Experience** + Registered Nurse candidates: Associate Degree in Nursing...and American Society of Addiction Medicine (ASAM) criterion + Utilization management experience within a managed care… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …consistent and quality health care services. Examples may include: Utilization Management , Quality, Behavioral Health, Pharmacy, Registered Dietitian and ... clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- UnityPoint Health (Cedar Rapids, IA)
- …ID: 174223 Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient ... patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to...health care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health… more
- CVS Health (Oklahoma City, OK)
- …+ Unrestricted OK state independent Behavioral Health clinicianlicense or a Registered Nurse ( RN ) with psychiatric specialty,certification, or ... and utilization management . **Required** **Qualifications** :...Health licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse ( RN ) with unrestricted… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... benefit coverage while working remotely. Primary Responsibilities * Performs behavioral health clinical utilization reviews using evidenced...* Current Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) with state… more
- Molina Healthcare (Reno, NV)
- …experience. * At least 1 year of health care management /leadership experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... in some or all of the following functions: care management , utilization management , behavioral... Management staff in a managed care organization Registered Nurse ( RN ). License must… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …eligible**_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... patient outcomes are met. + Participates in the safe management of the milieu, intervening effectively with patients who...of professional experience practicing as a Registered Nurse ( RN ) + Recent Behavioral … more
- Molina Healthcare (Vancouver, WA)
- …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... * Assists in implementing health management , care management , utilization management , behavioral...r equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Hospital** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse ( RN ) functions as a care provider of a ... where associates want to work and help communities thrive. ** Registered Nurse ( RN ) -** Psychiatric...of Science Nursing (preferred) **Work Experience** 1 year of RN experience (required) Recent Behavioral Health experience… more
- Geisinger (Lewistown, PA)
- Job Summary Geisinger is proud to offer a part time Inpatient RN a $41 minimum hiring rate with increased rates for experienced individuals and up to $7 shift ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets… more
- CVS Health (Oklahoma City, OK)
- …to identify and address patient needs (eg care team, social work, behavioral health, utilization management , Hard-to-Reach, Central Telehealth, etc.). ... follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and...**What are we looking for?** **Required Qualifications** + Active RN or Behavioral Health (BH) license in… more
- HCA Healthcare (Richmond, VA)
- …year, nurses at Johnston-Willis Hospital have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... and improve positive outcomes for your patients as a ** Registered Nurse RN Case Manager**...experience in a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis… more
- HCA Healthcare (Brownsville, TX)
- …nurses at Valley Regional Medical Center have the opportunity to make a real impact. As a(an) Registered Nurse RN Case Manager you can be a part of change. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...improve positive outcomes for your patients as a (an) Registered Nurse RN Case Manager.… more
- HCA Healthcare (Tamarac, FL)
- …**Introduction** Do you want to join an organization that invests in you as a(an) Registered Nurse RN Case Mgr PRN? At HCA Florida Woodmont Hospital, ... make a difference. We are looking for a dedicated Registered Nurse RN Case Mgr...2 years of critical care experience Certification in case management or utilization review preferred + InterQual… more
- HCA Healthcare (Tomball, TX)
- **Description** **Introduction** Do you have the career opportunities as a Registered Nurse RN Case Manager PRN you want in your current role? We invest in ... utilization ** **What qualifications you will need:** + **Current Registered Nurse License in the State of...career path, we encourage you to apply for our Registered Nurse RN Case Manager… more
- HCA Healthcare (Manchester, NH)
- …**Introduction** Do you have the PRN career opportunities as a(an) PRN House Supervisor RN Registered Nurse you want with your current employer? We ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...you want to work as a(an) PRN House Supervisor RN Registered Nurse where your… more
- HCA Healthcare (Atlantis, FL)
- …**Introduction** Do you want to join an organization that invests in you as a(an) registered Nurse RN Case Mgr? At HCA Florida JFK Hospital, you ... make a difference. We are looking for a dedicated registered Nurse RN Case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
- HCA Healthcare (Margate, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN case Mgr you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Registered Nurse RN case Mgr...years of critical care experience + Certification in case management or utilization review preferred + InterQual… more
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