- PIH Health (Pasadena, CA)
- …Clinical Education Specialist for Perioperative Services is a registered nurse with expertise in nursing education who influences the professional growth, ... practice, effective communication, leadership skills, collaboration, and evidence-based practice utilization . PIH Health is a nonprofit, regional healthcare network… more
- Kelsey-Seybold Clinic (Houston, TX)
- … Utilization Review Specialist (LVN)** **Location: Remote** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: $60,306 - ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Community Health Systems (Franklin, TN)
- …clinics, imaging centers, cancer centers and ambulatory surgery centers. **Summary:** Utilization management is the analysis of the necessity, appropriateness, ... to be gathered from the physician presenting after the call and documented in the case management system by the UR Review Specialist . + In the event a facility… more
- Munson Healthcare (Traverse City, MI)
- …of resources. + Assists in developing and revising policies to support utilization management activities, including criteria and guidelines for appropriate use ... colleagues and hospital associates at information meetings. + May represent Utilization Management on various committees, professional organizations, physician… more
- Trinity Health (Maywood, IL)
- …is Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the ... in collaboration with attending physicians. + Actively participates in the Utilization Management committee. + Additional responsibilities as needed. **We… more
- Robert Half Office Team (Durham, NC)
- Description We are offering a long-term employment opportunity for a Utilization Management Specialist in Durham, North Carolina, United States. This role ... and forward organization determinations that necessitate a clinical review to a nurse or Medical Director * Review entered authorizations for accuracy to prevent… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... in an acute care setting Required 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact… more
- Katmai (Usaf Academy, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... 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… more
- Fairview Health Services (St. Paul, MN)
- … review experience. Working knowledge of utilization management and quality improvement. License/Certification/Registration Current Registered Nurse ... **Overview** M Health Fairview has an immediate opening for a Utilization Management Supervisor. This is a 1.0 FTE (80 hours per two week pay period),… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- BCDPHA Nurse Consultation Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4824327) BCDPHA Nurse Consultation Specialist ... + Description + Benefits Supplemental Information Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/BCDPHA- Nurse -Consultation- Specialist \_R-001512?q=R-001512) to apply + Provides professional… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING - ALL SHIFTS) Date: Feb 13, 2025 The State Personnel System is an E-Verify employer. For more information ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438 (SUNLAND NURSING -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... hospital setting required. Prefer minimum of 2-5 years' experience in case management and/or utilization management required. Prefer financial experience… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60032928 Date: Feb 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 843066 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60032928 Pay Plan: Career Service Position Number:… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST -F/C - 67013117 APD PATHWAYS MARIANNA, FL Date: Feb 13, 2025 The State Personnel System is an E-Verify employer. For more information ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST -F/C - 67013117 APD PATHWAYS MARIANNA,...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60957257 Date: Jan 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 843860 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS - 60957257 Pay Plan: Temp Position Number:… more
- Sanford Health (Sioux Falls, SD)
- …Accreditation (NLN CNEA). Will consider applicant with significant background in case management and/or utilization management experience. Minimum of three ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- Ochsner Health (New Orleans, LA)
- …Louisiana Registered Nurse (RN) License Preferred - Certification in Case Management (CCM) or Certified Professional in Utilization Review, Utilization ... to all medical necessity audits. **Education** Required - Registered Nurse Diploma Preferred - Associate's or Bachelor's degree in...of patient care as an RN. Experience in Case Management , Utilization Review and/or Discharge Planning .either… more
- MyFlorida (Orlando, FL)
- 68064638 - REGISTERED NURSE SPECIALIST Date: Feb 6, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Agency for Health Care Administration Working Title: 68064638 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number: 68064638 Salary:… more
- Cambridge Health Alliance (Cambridge, MA)
- Nurse Practitioner - Clinical Specialist II (APRN), Psychiatry **Date Posted:** 09/24/2024 **Requisition Number:** CHAP-2270 **Cambridge Health Alliance (CHA)** ... is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In keeping… more
- Bon Secours Mercy Health (Richmond, VA)
- …Masters degree from an accredited school of Nursing. + Currently registered as a Clinical Nurse Specialist , licensed as a Nurse Practitioner or eligible to ... excellence. Job Description **Primary Function/General Purpose of Position** The Advanced Practice Nurse (APN) at St. Mary's Hospital is a professional nurse … more
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