- PIH Health (Downey, CA)
- …practice, effective communication, leadership skills, collaboration, and evidence-based practice/research utilization . Charge nurse duties include, assessment of ... The Registered Nurse (RN) Charge Nurse , BSN provides...and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one… more
- PIH Health (Whittier, CA)
- …practice, effective communication, leadership skills, collaboration, and evidence-based practice/research utilization . Charge nurse duties include, assessment of ... in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top… more
- PIH Health (Downey, CA)
- …throughout the course of hospitalization. Assists in the appropriate utilization of hospital services, maximizing reimbursement from all third-party payors, ... in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top… more
- PIH Health (Downey, CA)
- …the course of hospitalization. Focus of the position is the appropriate utilization of hospital services, maximizing reimbursement from all third party payors, and ... in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top… more
- PIH Health (Pasadena, CA)
- The 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
- Humana (Dublin, OH)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Actalent (Des Moines, IA)
- Job Title: Utilization Management Nurse Job Description + Perform a minimum of 25 reviews a day with a 97% QA review. + Provide consultation and responses to ... utilization management requests. + Establish relationships and...discharge planning. + Document events accurately within the care management platform. Qualifications + Registered Nurse (RN)… more
- Veterans Affairs, Veterans Health Administration (San Juan, PR)
- Summary The Utilization Management Nurse (UMN)...Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse ... and creative approaches to management of patient care. Responsibilities The Utilization Management Nurse (UMN) demonstrates expertise in the professional… 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
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care ... for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with...origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us … more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- Summary The Utilization Management Registered Nurse makes decisions that reflect distinct and contributory supporting roles of nursing; is responsible for ... not meeting InterQual criteria to the physicians and Physician Utilization Management Advisors (PUMAs). Communicates and supports...Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse… 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 ... department productivity to meet targets. + Participates in all aspects of utilization management . Assist with strategies, plans and workflow development in… 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 ... providing temporary contracted medical services to Military Treatment Facilities throughout the United States . Today's posting will place you at the primary… more
- CVS Health (Carson City, NV)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working… 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 ... using a nurse compact state license or have a license from any United States jurisdiction (with no limitations, stipulations or pending adverse actions). +… more
- Matrix Providers (Aurora, CO)
- Registered Nurse (RN) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... fair, reliable schedules. Matrix Providers is hiring a Registered Nurse (RN) - Utilization Management ...to all users. If you would like to contact us regarding the accessibility of our website or need… more
- CVS Health (Austin, TX)
- … Nurse Consultant participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant, you will utilize clinical skills ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...shifts of 10hrs each in time zone of residence; Utilization Management is a 24/7 operation and… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …a State, Territory or Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates ... standards and performance measures. He/she will utilize emergency and bed management software, along with UM data, to manage admission recommendations and… more
- Trinity Health (Albany, NY)
- …these differences often lead to innovative solutions. **Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme** If ... of hospitals and hundreds of health centers in 21 states . Because we serve diverse populations, our colleagues are...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
- UCLA Health (Los Angeles, CA)
- …leader with: + Current CA LVN licensure required + Two or more years of utilization review/ utilization management experience in an HMO, MSO, IPA, or health ... gender identity, religion, national origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart. more
