• Utilization Management Spec

    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 ... **Job Expectations:** + Perform and document timely and accurate utilization management review to ensure compliance with...years of acute care hospital nursing experience. + Current RN License **Preferred** + Minimum of 1-year Epic experience.… more
    Fairview Health Services (01/23/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) ... or + Required 2 years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care or Emergency Service **Benefits:** +… more
    BayCare Health System (12/31/24)
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  • Utilization Rev Appeals Spec

    University of Michigan (Ann Arbor, MI)
    Utilization Rev Appeals Spec Apply Now **Job... + At least 2-5 years of experience in Utilization Management , Appeals Management or Case ... self-directed and work independently **Desired Qualifications + Experience with a case management / utilization management software program and EPIC (MiChart)… more
    University of Michigan (01/17/25)
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  • RN Med/Surg Spec Surg Care

    HonorHealth (Phoenix, AZ)
    …1 year RN experience for all Float Positions Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Licensure as ... practice is guided by the ANA Standard for Professional Nurse and Code of Ethics. The RN ...months of hire date OR have 10 years of Registered Nurse Experience (direct or indirect). Required… more
    HonorHealth (01/12/25)
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  • Spec , RN Clinical Database

    Corewell Health (Grand Rapids, MI)
    …or equivalent Healthcare or related field + 2 years of relevant Nursing experience + LIC- Registered Nurse ( RN ) - State of Michigan upon hire Preferred + ... stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across… more
    Corewell Health (01/23/25)
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  • RN -Education Spec -Clin Center…

    Albany Medical Center (Albany, NY)
    …the field of Clinical Social Work or Nursing with experience in Case Management , Utilization Review and Discharge Planning. * BLS Certification. * Demonstrated ... principles of conflict resolution and promote consensus building.* Represents Case Management /Social Work at organizational committee meetings as directed* Serves as… more
    Albany Medical Center (12/01/24)
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  • Quality/Accreditation Spec

    Parkview North Hospital (Auburn, IN)
    …Must have training/knowledge in regulatory requirements/standards. Licensure/Certification Requires current Registered Nurse ( RN ) licensure or must ... Experience Recent (1 - 2 years) Quality Improvement experience in quality management , regulatory compliance, utilization review, infection control, risk … more
    Parkview North Hospital (01/20/25)
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