- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization..., active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Christus Health (San Antonio, TX)
- …Medicare GMLOS by managing per Milliman/Interqual Care Guidelines. Resource/ Utilization Management/appropriateness: Assess assigned patient population for medical ... Proactively refers cases to physician adviser for P2P, medical necessity review , and denail avoidance. Demonstrates and maintains current knowledge of regulatory… more
- Luke Staffing (Glendale, CO)
- …**Will consider Part Time and Full Time Applicants** **POSITION OVERVIEW:** The Registered Nurse ( RN ) will provide on-site professional nursing services ... ** REGISTERED NURSE ** **SITE OF SERVICE:** Department...of Veterans Affairs' Eastern Colorado Healthcare System (ECHCS). The RN will serve in the Office of Community Care… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health… more
- Katmai (Usaf Academy, CO)
- …the Commission on Collegiate Nursing Education (CCNE). + Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado ... RESPONSIBILITIES** None. **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from a college or… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full -time ** Registered Nurse ( RN ) Health Educator** supporting **Naval Medical Center San Diego, CA ... management/prevention. Lead position requires at least 4 years experience Licensure:** Current, full , active, and unrestricted RN license from any state. Life… more
- Alameda Health System (Oakland, CA)
- …each individual in the classification. Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. ... reviews and determine program improvements. Develop and implement utilization review policies and procedures in accordance...Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California.… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent follow-up as necessary * VARIANCE ... * Minor Hazard - physical risks, dirt, dust, fumes, noise * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- Swedish Health Services (Renton, WA)
- …beyond three years is contingent upon attaining the BSN degree Upon hire: Washington Registered Nurse License 3 years Registered nursing experience in an ... RN - Emergency Department @ Swedish First Hill Full time Night Shift Fantastic benefits and compensation package...focus on what really matters - our patients. The nurse case manager coordinates the care and service of… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager? Here is your opportunity to work...include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review … more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- UnitedHealthcare (Kaunakakai, HI)
- …experience * Experience with or exposure to discharge planning * Experience with utilization review , concurrent review and/or risk management * Experience ... may be interested in. Required Qualifications: * Current, unrestricted RN license in the state of Hawaii * 2+...arranging community resources * Experience as a Public Health Nurse * Field-based work experience * Background in managing… more
- Stanford Health Care (Palo Alto, CA)
- …Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the ... and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and respond...under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse… more
- Stanford Health Care (Palo Alto, CA)
- …from an accredited college or university. + Nurse Practitioners, Clinical Nurse Specialists, Certified Registered Nurse Anesthetist: Master's or ... licensed advanced practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse Anesthetist).… more
- Stanford Health Care (Palo Alto, CA)
- …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or ... and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond...practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered Nurse… more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient… more
- University Health (San Antonio, TX)
- …full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... you will need for this opportunity Simply read the full description below to get a complete picture of...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (Hondo, TX)
- … full -time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. Must ... POSITION SUMMARY/RESPONSIBILITIES Make sure to read the full description below, and please apply immediately if...of the State of Texas to practice as a registered nurse is required. National certification in… more
- Battelle Memorial Institute (Tampa, FL)
- …years' nursing experience + Current, full , active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... Analytics (HRA) business line is seeking a highly motivated, full -time ** Nurse Case Manager** to join our...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
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