• Christus Health (Johnson City, TX)
    …required or demonstrated success as a Registered Nurse in the Utilization Management Nurse II role for at least five years at ... apply button below after reading through the entire description.Summary:The Utilization Management Nurse III is...independent scope of practice to identify, evaluate, and provide utilization review services for patients and analyze… more
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  • Delray Medical Center (Delray Beach, FL)
    …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... i) and other duties as assigned. Qualifications Required qualifications include: An active Registered Nurse license with at least two years acute hospital or… more
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  • HumanEdge Travel Nursing and Allied Health (Hartford, CT)
    HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job ... for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse ( RN ) license Clinical...tax-free stipend amount to be determined. Posted job title: RN Utilization Review .About HumanEdge Travel… more
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  • Kaiser Permanente (Fontana, CA)
    Kaiser Permanente is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Fontana, California.Job Description & RequirementsSpecialty: ... utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review / management , discharge planning or case … more
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  • Other Executive (Highland Park, TX)
    …VP of Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development, implementation, and ... performance management of Utilization Review services...Accountant (CPA) preferred, Six Sigma Green Belt preferred. Valid Registered Nurse ( RN ) preferred Compensation… more
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  • Kaiser Permanente (Atlanta, GA)
    Kaiser Permanente is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Atlanta, Georgia.Job Description & RequirementsSpecialty: Case ... Degree Nursing. License, Certification, Registration Registered Professional Nurse License (Georgia) Licensed Registered Nurse...acute care setting.Minimum two (2) years of experience in utilization review , case management , and… more
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  • North Okaloosa Medical Center (Crestview, FL)
    …assist in the development, planning, coordination and administration of the activities of Utilization Review and Resource Management , including but not ... assist in the development, planning, coordination and administration of the activities of Utilization Review and Resource Management , including but not… more
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  • Mary Washington Healthcare (Vienna, MD)
    …if clinical presentation warrants status change; progresses patient as clinically indicated.Coordinates with Utilization Review (UR) Nurse to align payor and ... and verbal communication.Preferred:One (1) year supervisory experience strongly preferredUtilization review experienceLicense and/or CertificationsRequired:Valid RN License from… more
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  • Mary Washington Healthcare (Triangle, VA)
    …strongly preferredBed management experience strongly preferredUtilization review experienceLicense and/or CertificationsRequired:Valid RN License from ... required.AHA BLS Provider CPR required at hire Preferred:Certification in nursing, case management or utilization reviewAs an EOE/AA employer, the organization… more
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  • ShorePoint Health - Port Charlotte (Punta Gorda, FL)
    …us at ShorePoint Health, where we expect nothing less.Job Requirements: FL RN ( Registered Nurse ) licenseEducation: Associates Degree in NursingExperience: ... experience within a hospital setting preferred.Minimum 2 Years of RN Case Management within a Large Acute...resources and management of the continuum of care. Utilization review is conducted according to ShorePoint… more
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  • Lancaster General Health (Brownstown, PA)
    …practice permit must sit for their NCLEX within 60 days of starting in their RN role. A graduate registered nurse may only practice professional nursing ... is physically present in the area or unit where the graduate registered nurse is practicing. For Magnet designated RN positions, BSN or higher level nursing… more
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  • Saint Francis Health System (Tulsa, OK)
    Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
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  • Albany Medical Center Careers (Delmar, NY)
    …proactively with the Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use of resources to ... and develops strategies for variance reduction.Qualifications and Ideal Characteristics 1. Registered nurse with a current license.2. Associate's degree… more
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  • Saint Francis Health System (Tulsa, OK)
    Saint Francis Health System is seeking a Registered Nurse ( RN ) Telemetry for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... therefrom.Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6 months related… more
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  • Albany Medical Center Careers (Watervliet, NY)
    …of computer systems with skills applicable to utilization review process. RN - Registered Nurse - State Licensure and/or Compact State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to… more
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  • Christus Health (Diana, TX)
    …resources.EducationBachelor's Degree in Nursing, preferredLicenses, Registrations, or CertificationsCurrent Registered Nurse LicenseWork Type: Full TimeEEO is ... confidentiality, professionalism, and reliability. Identify, evaluate and provide case management services for patients, and analyze information supplied by… more
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  • Lancaster General Health (Brownstown, PA)
    …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... Prorated based on fte. Eligibility rules apply including 15+ months of RN experience. 2 year commitment. External applicants only.The role of the Centralized… more
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  • Blue Shield of California (Canoga Park, CA)
    …care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities ... the following information about this opportunity found below.The Care Management team will serve to support the mission of...maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care… more
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  • Blue Shield of California (Lakewood, CA)
    …care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities ... the following job description and make sure to attach relevant documents.The Care Management team will serve to support the mission of the department, which is… more
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  • Albany Medical Center (Watervliet, NY)
    …the field of Clinical Social Work or Nursing with experience in Case Management , Utilization Review and Discharge Planning.* BLS Certification.* Demonstrated ... principles of conflict resolution and promote consensus building.* Represents Case Management /Social Work at organizational committee meetings as directed* Serves as… more
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