- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- VNS Health (Manhattan, NY)
- …in development of plans to address improvement needs as appropriate. * For Utilization Management Only: * Issues Determinations, Notices of Action, and other ... communications required by state or federal regulations are saved in the Utilization Management System. * Reviews, evaluates and determines the appropriateness… more
- CVS Health (Trenton, NJ)
- …care more personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. ... include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant, you...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Raleigh, NC)
- …care more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- CVS Health (Charleston, WV)
- …care more personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Management Nurse Consultant opportunity. The ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...Qualifications** + 2+ years of clinical experience as an RN + 2+ years of inpatient experience + Must… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- Summary Utilization Management (UM) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and creative ... components. Responsibilities Utilization Management (UM) Registered Nurse ( RN ) executes position...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …improvement processes and initiatives as well as customer service programs. Duties of the Utilization Management Registered Nurse include, but are not ... Summary Utilization Management (UM) Registered Nurse ...rewards package: VA Nurse Total Rewards The Utilization Management RN will serve… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- Summary The Emergency Department Utilization Management (ED-UM) Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... care for the incoming patients Preferred Experience: Experience in utilization management /case management /clinical documentation, critical...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Mayo Clinic (Rochester, MN)
- …and inclusion, and provides the resources you need to succeed. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an interdisciplinary ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- Summary Position shared between Utilization Management (UM) and Accreditation. UM uses evidence-based practices to create guidance on admission, continued stay ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Geisinger (Danville, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Advanced Cardiac ... Job Summary Please note this is NOT a remote position. Geisinger is proud to offer an Inpatient RN a $ 40 minimum hiring rate with increased rates for… more
- Geisinger (Wilkes-Barre, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Job Summary Geisinger is proud to offer a full time Inpatient RN up to $26,000 hiring incentive for eligible candidates! $37.04 minimum hiring rate with increased… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible candidates! $35.88 minimum hiring rate with increased rates for… more
- Dartmouth Health (Lebanon, NH)
- …assess their readiness for changing health behaviors. Required Licensure/Certifications - Licensed Registered Nurse with New Hampshire eligibility. - Basic Life ... Overview Works as a key member of the DH Care Management team, and in partnership with non-DH hospitals, by rounding on DH patients at non-system hospitals to… more
- AmeriHealth Caritas (Florence, SC)
- ** REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization...is required and must hold a current and unrestricted ** Registered Nurse ( RN )** license in… more
- CVS Health (Harrisburg, PA)
- …care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any ... state. As a Utilization Management Nurse Consultant, you...**Required Qualifications:** - Must have active, current and unrestricted RN licensure in state of residence - 3+ years… more
- McLaren Health Care (Indianapolis, IN)
- …as the member advocate with emphasis on education regarding managed care, disease management and PCP treatment plans. Monitors member's utilization patterns for ... We are looking for a Case Manager RN to join us in leading our organization...services. + Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. **Preferred:** +… more
- AmeriHealth Caritas (Greenville, SC)
- …Bachelor of Science in Nursing (BSN) is required and must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South Carolina or ... **Care Manager II Registered Nurse (BSN) - Foster Care...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization… more
- Veterans Affairs, Veterans Health Administration (Charlotte, NC)
- Summary The Registered Nurse (Outpatient Mental Health) is responsible and accountable for all elements of the nursing process when providing and/or supervising ... , and customer satisfaction throughout the continuum of care. Responsibilities The Registered Nurse (Outpatient Mental Health) is responsible for providing… more
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …of care. Responsibilities The Nurse Cardiac Catheterization/Electrophysiology Laboratory (CCL) Registered Nurse ( RN ) is responsible for providing ... Summary The Wilkes-Barre VA Medical Center is currently recruiting for a Registered Nurse for the Cardiac Catheterization. Will be responsible and accountable… more