- Cleveland Clinic (Vero Beach, FL)
- …Manager. May design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic ... stay or visit. Some of the responsibilities of a Utilization Management Specialist include medical...of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact… more
- Commonwealth Care Alliance (Boston, MA)
- …responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for conducting ... in the area of service decisions and organizational determinations.The Manager, Utilization Management reports to the Director of Clinical Effectiveness.… more
- Banner Health (AZ)
- …to leverage your abilities - apply today. The Registered Nurse RN Denial Management Specialist is responsible for reviewing concurrent inpatient ... with RAC Auditors and other organizations. MINIMUM QUALIFICATIONS Requires Registered Nurse ( RN ) licensure in...the charging/billing process is required. A working knowledge of utilization management and patient services is required.… more
- Trinity Health (Ann Arbor, MI)
- …clinical, age specific, developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate communication with external ... current knowledge of rules, regulations, policies, and procedures related to utilization management work processes and criteria. + Communicates information,… more
- AdventHealth (Maitland, FL)
- …900 Winderley Place, Maitland, FL 32751 **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Geisinger (Pittston, PA)
- …within 3 years of hire - American Nurses Credentialing Center (ANCC); Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support ... and ongoing maintenance of New Manager Training Program, Ambulatory Nurse Leader program, and developing, implementing, and maintaining ongoing professional… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- LifePoint Health (Henderson, NC)
- Registered Nurse ( RN ) Case Manager Job Type:...in the lives of those we serve. Connect with our RN recruiting specialist . Do you need more time to ... as an employee but as a person. As a registered nurse ( RN ) joining our...certification through the American Heart Association is required. Case Management certification is preferred. *Required Skills* Critical thinking skills,… more
- Community Health Network (Fishers, IN)
- Registered Nurse ( RN ) Case...of care to ensure quality patient outcomes and appropriate utilization of health care services. Responsible for all future ... without you. **Make a Difference** The Patient Transfer Center Registered Nurse Case Manager is responsible for...issues. Support Transfer Center workflow daily, assist Transfer Center Specialist , and be in attendance to work related meetings.… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the ... . Requisition No: 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the ... . Requisition No: 835476 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438 - Sunland - Day… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60005472 Date: Nov 5, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 797758 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60005472... utilization . Minimum Qualifications: + Licensure as a Registered Professional Nurse in accordance with Florida… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60953529 Date: Nov 4, 2024 The State Personnel System is an E-Verify employer. For more information click on our ... Requisition No: 817418 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS -...knowledgeable of and utilize the principles of Total Quality Management . The employee in this position spends a minimum… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST OPS - 60955422 Date: Oct 24, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS -...Nurse Practice Committee. Knowledge, skills and abilities, including utilization of equipment, required for the position: Ability to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- Please note, this position requires registered nursing bedside experience. JOB SUMMARY: The Value Analysis Specialist plays a crucial role in optimizing ... cost-efficiency and quality in the procurement and utilization of medical supplies and equipment. This position requires a dedicated professional who can evaluate,… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …and Quality Specialist (AQS) Consultant Nurse serves as a Specialist within the Accreditation & Quality Management Programs. Serves as the point ... Summary The Accreditation and Quality Specialist (AQS) Consultant Nurse demonstrates leadership...with the Patient Safety, HRO, Innovation, Systems Redesign, Risk Management , Infection Control and Utilization Management… more
- Northwell Health (Bay Shore, NY)
- …Degree in Nursing (BSN) required. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications ... patients to the facility. Job Responsibility + Promotes optimum utilization of hospital beds; conducts rounds and meets with...is complete, and ensures hand-off of communication to accepting nurse . + Ensures beds are assigned based on level… more
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