- University Health (Pleasanton, TX)
- …(as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC)… more
- Mercy (Dexter, MO)
- …BSN preferred. Licensure: Current license in applicable State of practice for Registered Nurse . Experience: Minimum three years nursing experience. Previous ... staff members in the Med Surg and Outpatient Departments. Insures efficient utilization of available resources and meets productivity and/or financial goals. Meets… more
- University Health (Hondo, TX)
- …minimum three years of clinical nursing experience is required. Data entry, referral management , utilization management experience is required. Case ... with OB patients preferred. Experience working with EPIC EMR desirable. LICENSURE/CERTIFICATION Current licensure in the State of Texas as an RN or LVN is required. more
- University Health (Boerne, TX)
- …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....full time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance… more
- University Health (Pleasanton, TX)
- …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager ... Three years recent, full-time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience is… more
- Whidbey General Hospital (Coupeville, WA)
- …care culture and provide caring and decisive leadership to their management team. Responsibilities include developing departmental policies and procedures consistent ... policies. The Director will also be responsible and accountable for overall management , planning, coordinating and directing of the Surgery and Post Anesthesia Care… 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 ... coverage while working remotely. Primary Responsibilities * Performs clinical utilization reviews using evidenced based guidelines, policies and nationally...* Current Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) with state… more
- CVS Health (Raleigh, NC)
- …holidays and evening hours._ **Must reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical experience and ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...Requirement to reside in EST or CST zone. + Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- …all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... /benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN … more
- Actalent (Minnetonka, MN)
- Utilization Management Nurse Job...+ Proficiency in prior authorization processes. + Active, unrestricted RN license in the state of MN or WI. ... Description As a Utilization Management Nurse for Post Acute care, you will be responsible...necessity of post-acute stays. Essential Skills + Expertise in utilization management and utilization review.… more
- Brighton Health Plan Solutions, LLC (NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests ... regulatory and accreditation requirements. * Duties as assigned. Essential Qualifications * Current Registered Nurse ( RN ) with state licensure. Must retain… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... internal partners (eg, Provider Relations, Quality) to resolve escalations and address utilization management issues. + Represent UM nursing team in internal… more
- CVS Health (Columbus, OH)
- …a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, ... initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners...etc. and clinical documentation systems. + 1+ Year of Utilization Review Management and/or Medical Management… more
- CVS Health (Salem, OR)
- …we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical skills to ... hospital clinical practice. + Must have active and unrestricted RN ( _Registered Nurse_ ) Licensure in the state...Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in… more
- CVS Health (Lansing, MI)
- … solutions that promote high-quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant, where you'll ... a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- Katmai (Fort Carson, CO)
- …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- Summary The Patient Flow - Utilization Management Coordinator Registered Nurse ( RN ) considers all characteristics of the individual, in order to ... to: The primary purpose of the Patient Flow - Utilization Management Coordinator RN position...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management ** for a temporary contract position in support ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- CVS Health (Columbus, OH)
- …and type on the computer. **Preferred Qualifications** Utilization Management experience preferred **Education** Diploma RN acceptable; Associate degree/BSN ... quality expectations as established by UMNC. **Required Qualifications** + Registered Nurse + 3+ years of experience...in acute or post-acute setting, and 1+ years of Utilization Management / Care Management … more
Related Job Searches:
Management,
Nurse,
Nurse RN,
RN,
RN Utilization,
Utilization,
Utilization Management,
Utilization Management Nurse,
Utilization Management RN