- Beth Israel Lahey Health (Boston, MA)
- …other related duties as required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts + Three years of recent ... high-level proficiency in navigating the Electronic Medical Record and applications related to utilization management . Compliance with the Code of Ethics and… more
- Fairview Health Services (St. Paul, MN)
- **Overview** **Fairview Health Services is hiring a casual** ** Utilization Management Spec RN ** **to join our Revenue Cycle Management team. This is a ... **Job Expectations:** + Perform and document timely and accurate utilization management review to ensure compliance...years of acute care hospital nursing experience. + Current RN License **Preferred** + Minimum of 1-year Epic experience.… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... is hiring a Registered Nurse ( RN ) - Utilization Management to...excellence by optimizing resources, improving care quality, and ensuring compliance with TRICARE and DHA standards. We support our… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer: The expected pay… more
- Texas Health Resources (Arlington, TX)
- ** RN / Registered Nurse - Utilization Management , Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort ... an acute hospital setting required and + 1 Year Utilization Management required and + Experience in...of medical necessity criteria preferred **Licenses and Certifications** + RN - Registered Nurse Current… more
- Ascension Health (Wamego, KS)
- …coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification / ... offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +...Registration: + Licensed Registered Nurse credentialed from the Kansas Board… 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 through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...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 ... 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)
- …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
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Lancaster General Health (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 ... current temporary practice permit. Supervision means that a licensed registered nurse is physically present in the... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- VNS Health (Manhattan, NY)
- …and updates through on-going training, coaching and educational materials. + For Utilization Management Only: + Issues Determinations, Notices of Action, and ... by state or federal regulations are saved in the Utilization Management System. + Reviews, evaluates and...and Certifications: + Current license to practice as a Registered Professional Nurse or an Occupational Therapist… more
- RWJBarnabas Health (Newark, NJ)
- Registered Nurse ( RN ) Director of Patient Care Cardiac Cath Lab FT DaysReq #:0000180082 Category:Leadership Status:Full-Time Shift:Day Facility:Newark Beth ... the American Heart Association (AHA) + Active New Jersey Registered Nurse License or Multistate Compact License...in advance for potential conflicts or issues. Patient Care Management : Monitors the quality of service and utilization… more
- AdventHealth (Orlando, FL)
- …experiences you'll need to succeed:** **EDUCATION AND EXPERIENCE REQUIRED:** + Associates Degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + ... documents avoidable days, and facilitates progression of care. Collaborates with Utilization Management staff for collaboration on patient status changes… more
- HCA Healthcare (Houston, TX)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse RN Manager Emergency Room position and ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...in your career! We are interviewing candidates for our Registered Nurse RN Manager Emergency… more
- AdventHealth (Mount Dora, FL)
- …and exceptional health and benefits offerings **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse ... ** Registered Nurse Care Manager |** **AdventHealth...Health patient's care based on individual patient needs. The RN Care Manager is responsible for independent management… more
- Avera (Scotland, SD)
- …to join our team! We offer quality care close to home. **Position Highlights** **Seeking a Registered Nurse ( RN ) to join our team on the Med Surg Floor ... professional level of behavior in her/his role as an RN . The American Nurses Associations (ANA) scope and standards...**CERTIFICATION, LICENSURE, and/or REGISTRATIONS:** + Current licensure as a Registered Nurse in the State of South… more
- CommuniCare Health Services Corporate (Cleveland, OH)
- Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... successful candidate for the position must have a valid RN license in Ohio, as well as previous Long...Responsibilities of the position will include: + Evaluate facility compliance to federal regulations and targets for utilization… more
- Molina Healthcare (Reno, NV)
- …Time Zone hours** **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and...years of experience in case management , disease management or utilization management in… more
- Avera (Sioux Falls, SD)
- …schedule **May Be eligible for a $6000 Sign on Bonus** **Student Loan Repayment:** This Registered Nurse ( RN ) position may be eligible for Avera's Student ... cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing Upon Hire… more
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