- University of Maryland Medical System (La Plata, MD)
- …employee benefits support a healthy, balanced lifestyle. Job Description Lead Nurse Case Manager Full-time / Day-Shift (Mon-Fri 8:30a-5p) UM Charles Regional - ... approach to healthcare; assures quality, cost effective care and efficient utilization of resources and health services across the healthcare continuance. Patients… more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in Bethesda, ... Services will be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW: + Initiate, perform and complete assigned… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Nurse BH WFH you want with your current employer? We have an ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...of colleagues. Do you want to work as a(an) Utilization Review Nurse BH WFH where your… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a **Registered Nurse (RN)** ** Utilization Manager** for a full-time position in support of the **Naval Health ... consumption and outcomes of care. * Develop and implement tools to support utilization management, such as those used for patient identification and patient… more
- CVS Health (Albany, NY)
- …to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... based on their appropriate admission status. This individual will support the Utilization Management process by maintaining...+ Required: + Currently licensed as a Registered Professional Nurse in New York State. + Associates Degree +… more
- R1 RCM (Pittsburgh, PA)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. **Title: Utilization Review Nurse ** **Location: Hospital Client located in ... vary and some flexibility may be offered** As our ** Utilization Review Nurse ** , you will help...stay reviews utilizing InterQual or Milliman to identify and support the appropriate level of care. + Abstract data… more
- LifePoint Health (Athens, TN)
- …Centeris currently seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent,full-time. ... through variance reporting to improve quality and satisfaction andmonitorover and under- utilization . * Provideseducation and support to Clinical Staff by… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible for ... hospital admissions are based on medical necessity and documentation is sufficient to support the level of care being billed . Conducts concurrent reviews to ensure… 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 Position Type: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,… more
- CVS Health (Raleigh, NC)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills… more
- Humana (Columbus, OH)
- …community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Humana (Columbus, OH)
- …community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Utilization Management Nurse - Weekend Front End Review utilizes clinical nursing skills ... to support the coordination, documentation and communication of medical services...communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Louisville, KY)
- …community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN… more
- CVS Health (Jefferson City, MO)
- …convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...to promote quality effectiveness of Healthcare Services and benefit utilization * Consults and lends expertise to other internal… more
- CVS Health (Harrisburg, PA)
- …convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal… more
