- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key...work may be required on a rotational basis; some travel to home office may be required. **Required Education… more
- 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 management...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Katmai (Usaf Academy, CO)
- …RESPONSIBILITIES** None. **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from a college or ... those required of any military or government civil service nurse of similar experience and in similar duty assignments....+ Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado or… more
- Katmai (Fort Carson, CO)
- …in Utilization Management. + Must possess a current, active, full, and unrestricted Registered Nurses ( RN ) licensed in Colorado, be able to practice using a ... nurse compact state license or have a license from...checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management-specific program such as Certified Professional in Healthcare… more
- Katmai (Usaf Academy, CO)
- …with military and civilian healthcare providers and staff and uses Utilization Management (UM) systems support to identify high-risk/high-cost patients within MTF ... States or jurisdiction, be able to practice using a nurse compact state license or Enhanced Nurse ...additional hours as needed to complete assignment or project. ** TRAVEL :** All Market contractors are subject to working at… more
- Daiichi Sankyo, Inc. (Philadelphia, PA)
- …travel up to 90% within geography and to required meetings. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State ... strong, long-term relationships with clinical personnelEnsures appropriate and compliant utilization of product and disease state education as it...Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as… more
- Teleflex (Buffalo, NY)
- …based Sales Representative, Anesthesia, is making connections with anesthesiologists, Certified Registered Nurse Anesthetist's (CRNA's), other members of the ... **Date:** Dec 4, 2025 **Location:** Buffalo, NY, US **Company:** Teleflex **Expected Travel ** : Up to 50% **Requisition ID** :13116 **About Teleflex Incorporated**… more
- Ascension Health (Baltimore, MD)
- …options for post-discharge care. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date or job transfer ... time of hire. **Additional Preferences** + One year of **recent** experience in Utilization Management required. + Local and national travel options are… more
- Catholic Health (Kenmore, NY)
- …Work Schedule: Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse ( RN ), Utilization Review, as an active member of ... and families in the hospital setting. Utilizing foundational nursing clinical skills Utilization Review nurse collaborates with the interdisciplinary team to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float position is a licensed staff nurse , an experienced clinician, functions at the Competent to ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) II Float General Acute position is a licensed staff nurse , an experienced clinician, functions at the ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse ( RN ) PRN Oncology position is a licensed staff nurse , an experienced clinician, functions at the Competent to ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Registered Nurse ( RN ) PRN Periop. Servs position is a licensed staff nurse , an experienced clinician, functions at the ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...a healthcare environment **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Bassett Healthcare (Cobleskill, NY)
- …Experience: + New graduate or less than one year of experience as a Registered Nurse , required License/ Certification: + NYS licensure as Registered ... best quality of life possible. What you'll do The Registered Professional Nurse I, Acute Care is...of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing… more
- Houston Methodist (Houston, TX)
- …Unit At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse ( RN ) who, as an experienced clinician, functions at the ... with staffing grid. + Provides input into unit resource utilization including unit capital and operational budget needs. Oversees...progressive leadership skills **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) position is a registered nurse ( RN ) responsible for comprehensively planning for case management, which includes ... patients and reimbursement for the hospital. + Applies approved utilization criteria to monitor appropriateness of admissions, level of...management experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Highmark Health (Pittsburgh, PA)
- …SUMMARY** This position is accountable and responsible for practice as a licensed registered nurse for care delivered in collaboration with the direct care, ... including assessments, data monitoring and patient education. The Digital RN assesses patients, plans, and implements care through the... is fully responsible for all actions as a registered nurse in the State of PA.… more
- Banner Health (Mesa, AZ)
- …must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Hartford HealthCare (Norwich, CT)
- …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... moment* matters **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Emergency Department (Per… more
- Vighter Medical Group (Glendale, CO)
- …Range $44.00 - $48.00 Hourly Position Type Full Time Job Shift Any Education Level Registered Nurse ( RN ) Travel Percentage None Category Health Care ... (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key...required. What You'll Do As a Case Manager / Utilization Review RN , you will: + Conduct… more
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