- Cleveland Clinic (Cleveland, OH)
- Utilization Management (UM) RN Reviewer Join...school of professional nursing + Current state licensure as a Registered Nurse ( RN ) + Basic Life ... the most respected healthcare organizations in the world. Utilization Management RN Reviewers perform UM activities including admission review , concurrent … more
- AmeriHealth Caritas (Charleston, SC)
- …**Responsibilities:** Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical ... all information necessary to perform a thorough medical necessity review . It is within the BH UM Reviewer...rotating weekend per year (based on business needs).** + RN Requirements: Associate Degree in Nursing. Bachelor Degree preferred.… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management...Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP) + Certified Informatics… more
- Ascension Health (Tulsa, OK)
- …planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, Day Shift,...and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board… more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Review ( RN ) - Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote *… more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** This job is a registered Nurse with a diverse medical background, who is able to determine the ... Contents are subject to change at Ochsner's discretion. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required - 1… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have ... in our Hingham, MA office. The Team The Clinical Utilization Reviewer is part of a highly...+ Behavioral Health professional with an active Massachusetts license: Registered Nurse , LICSW, LMHC + 3-5 years… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …us transform healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for our Medicare ... of work: 8:30a - 4:30p EST. The TeamThe Clinical Utilization Reviewer is part of a highly...Active licensure in Massachusetts is required, appropriate to position ( RN ) + Licensure in additional states a plus. +… more
- Crouse Hospital (Syracuse, NY)
- …outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data and client ... requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities:...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Utilization Management (UM) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and creative ... not creditable as related degrees. Preferred Experience: Master's prepared Registered Nurse 3 years of Utilization... Registered Nurse 3 years of Utilization Management/Chart Review / Utilization Review… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary Registered Nurse ( RN ) Utilization Management (UM) delivers knowledge-based care to clients while developing technical skills. Assesses, plans, ... The Nurse Utilization Management (UM) Registered Nurse ( RN ) is responsible...care Bachelor of Science in Nursing Case Management Experience Utilization Management/ Review experience Physical Requirements: Heavy lifting… more
- Wellpath (Fort Lauderdale, FL)
- …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the ... specific deadline posted in the job description. Quick Apply (https://careers-wellpath.icims.com/jobs/172920/ utilization -management- registered - nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing,...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Penn Medicine (Lancaster, PA)
- …in position for incumbents who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing under supervision and if the ... graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- Penn Medicine (Lancaster, PA)
- …in position for incumbents who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing under supervision and if the ... graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- HCA Healthcare (Houston, TX)
- …growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN...all practices in the PACU. + Proficient in the utilization of specialized skills to provide care to patients… more
- HCA Healthcare (Richmond, VA)
- …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... benefits may vary by location._ We are seeking a Registered Nurse RN Case Manager...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
- Penn Medicine (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- HCA Healthcare (Richmond, VA)
- …your career path, we encourage you to apply for our Case Manager Registered Nurse RN PRN opening. We review all applications. Qualified candidates will ... you have the career opportunities as a(an) Case Manager Registered Nurse RN PRN you...in this role is to Performs admission and concurrent review for all payers and maintains legible documentation as… more