- CVS Health (Sacramento, CA)
- …we do it all with heart, each and every day. Position Summary The Utilization Management Clinical Nurse Consultant utilizes clinical skills to coordinate, ... Arizona Time Zone. Preferred Qualifications : Previous experience with utilization management . Previous clinical experience in Emergency Department,… more
- Katmai (Fort Carson, CO)
- …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 UR/UM ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Utilization Management ** for a temporary contract position in support of ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- CVS Health (Des Moines, IA)
- …obtain addition Nursing Licenses as business needs require Preferred Qualifications Utilization Management experience preferred Education Diploma RN acceptable; ... position does require a weekend schedule. Required Qualifications Registered Nurse Must have active current and unrestricted RN licensure...in acute or post-acute setting, and 1+ years of Utilization Management / Care Management … more
- Alameda Health System (Oakland, CA)
- …plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic ... adapting to ad hoc duties as needed. In essence, they orchestrate efficient utilization management to deliver high-quality patient care. DUTIES & ESSENTIAL JOB… more
- ERP International (Macdill AFB, FL)
- …is seeking a **Registered** ** Nurse (RN)** for a Full-Time position in ** Utilization Management ** at MacDill AFB, FL. Apply online today and discover more ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Luke Staffing (Yigo, GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... ** NURSE - REFERRAL MANAGEMENT ** **SITE OF...of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking a full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ… more
- Kaiser Permanente (Olympia, WA)
- … management . Education Bachelors degree License, Certification, Registration Registered Nurse License (Washington) required at hire OR Compact License: Registered ... TO ELIGIBLE EXTERNAL HIRES! ** RN CASE MANAGER LIAISON NURSE - INPATIENT DISCHARGE PLANNING - ONSITE: ST. PETER...Qualifications Minimum two (2) years of RN experience in utilization review, ambulatory case management , care coordination… more
- Christus Health (Dallas, TX)
- …detailed below, do not wait to send your CV. Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and managing a ... care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work collaboratively with ACO and… more
- University Health (Pleasanton, TX)
- …(as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must… more
- Christus Health (Euless, TX)
- …thinking skills. Demonstrated clinical competency. Working knowledge of discharge planning, utilization management , case management , performance improvement, ... or demonstrated success in CHRISTUS RN Care Manager I position. Case management and Utilization Review experience preferred. Licenses, Registrations, or… more
- Alameda Health System (Oakland, CA)
- Clinical Nurse V + Oakland, CA + Highland General Hospital...MCH/OB Clinic (K6) + Full Time - Day + Management + $64.00- $96.00 + Req #:42878-31844 + FTE:1 + ... nursing unit for which responsible. Promotes effective and economic utilization of personnel and supplies. Monitors utilization ...Three years full time continuous experience as a Clinical Nurse III with AHS. (2) Two years of full-time… more
- University Health (Pleasanton, TX)
- …(as a Staff nurse II or above). Work experience in case management , utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred and must… more
- Christus Health (New Summerfield, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Katmai (Fort Carson, CO)
- …analyze, update and record data. + Facilitate the development and integration of utilization management (UM) review policies and procedures into operations. + ... case manager as needed to provide direction in care management . + Plan and prioritize utilization review...last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
- Somatus (Fairfax, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Nurse Navigator is a critical member of the Somatus care team, serving both ... a patient advocate and a strategic partner to case management teams and hospital staff. This role collaborates with...kidney disease (CKD) and end-stage kidney disease (ESKD). The Nurse Navigator works with hospital staff, patients, and caregivers… more
- ERP International (Hurlburt Field, FL)
- …algorithms, CM software, and databases for community resources. - Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking a full time **Registered Nurse (RN) Case Manager** in support of the 1st Special Operations Medical Group at Hurlburt… more
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