• Northeast Georgia Health System, Inc (Gainesville, GA)
    …members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team… more
    JobGet (05/16/24)
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  • A-Line Staffing Solutions (Cleveland, OH)
    …Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO, ... Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO,… more
    JobGet (05/18/24)
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  • Medical Solutions (Glendale, CA)
    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8...travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years… more
    JobGet (04/29/24)
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …Healthcare Specialist, case manager, long term care. MDS, Clinical experience, hospital, nurse auditor, Utilization review, medical fraud, Research Nurse , ... A-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If you are interested in this Hybrid Auditor Review Registered … more
    JobGet (05/18/24)
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  • A-Line Staffing Solutions (Tampa, FL)
    …Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO, ... RN, HMO, Concurrent Review, Retrospective Review, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls. more
    JobGet (05/18/24)
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  • CHRISTUS Health (Alamogordo, NM)
    …monitoring, and reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by payer source. ... Director when there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other care providers… more
    JobGet (05/14/24)
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  • The University of Vermont Health Network (Plattsburgh, NY)
    …achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and ... at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates… more
    JobGet (04/12/24)
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  • A-Line Staffing Solutions (Harrisburg, PA)
    A-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA . If you are interested in this Nurse Auditor Hybrid / Remote position, please ... contact Marcia Hamilton at ### or ###@alinestaffing.com Nurse Auditor Hybrid / Remote Compensation The pay for this position is $31.00 per hour Benefits are… more
    JobGet (05/18/24)
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  • US Tech Solutions, Inc. (Columbia, SC)
    Job Title: Licensed Practical Nurse Location: Columbia SC 29229 Duration: 3+ Months Contract (No End date) Job Description: . Monday-Friday 8:30-5pm. CONTRACT ONLY . ... . Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or… more
    JobGet (05/09/24)
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  • Signet Health (Greensboro, NC)
    …health management company, is currently recruiting for a full-time seasoned Nurse Manager to manage the psychiatric inpatient services (adolescent and adult ... salary range of $100,000.00 - $120,000.00, depending on qualifications/experience. The Nurse Manager reports to the Behavioral Health Executive Director at the… more
    JobGet (05/16/24)
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  • Aequor (New York, NY)
    …nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, wellness care ... and counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Optional: Case Management and COHN-S certificationsMajor Responsibilities: Assist in coordination of clinical operations, including… more
    HireLifeScience (05/16/24)
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  • Signet Health (Louisville, KY)
    …health management company, is currently recruiting for a full-time seasoned Nurse Program Director to manage the Geriatric psychiatric inpatient services for ... within scope of responsibility. Directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans… more
    JobGet (05/08/24)
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  • Careerbuilder-US (South Mountain, PA)
    …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional ... of a current license to practice as a registered nurse issued by the Pennsylvania State Board of Nursing;...Office products. Role Description: Resource performs as a charge nurse , staff nurse or an assessment coordinator… more
    JobGet (05/14/24)
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  • Northeast Georgia Health System, Inc (Braselton, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
    JobGet (05/16/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …scope of defined practice. Functions under the direct supervision of the registered nurse . Cares for patients in the adolescent, adult, and geriatric age groups. ... Minimum Job QualificationsLicensure or other certifications: Enrollment in Practical Nurse ProgramEducational Requirements: HS Diploma. Must have successfully completed… more
    JobGet (05/08/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... of our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative ...and prepare budgetary recommendations. Monitors the level of resource utilization , both labor and supplies utilized in the delivery… more
    JobGet (05/08/24)
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  • A-Line Staffing Solutions (Detroit, MI)
    …on permanently based upon attendance, performance, and business needs 7am-7pm The Registered Nurse delivers quality nursing care through the utilization of the ... A-Line Staffing is now hiring ICU Registered Nurse in Detroit, MI 48322. The Registered Nurse would be working for a Fortune 500 company and has career growth… more
    JobGet (05/18/24)
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  • A-Line Staffing Solutions (Mount Clemens, MI)
    …7:00pm-7:00am. 3x12 hour shifts Telemetry Registered Nurse Responsibilities The Registered Nurse delivers quality nursing care through the utilization of the ... hiring Registered Nurses in Mount Clemens, MI. The Registered Nurse would be working for a major company and...per week. If you are interested in this Registered Nurse position, please apply today for immediate consideration! Telemetry… more
    JobGet (05/18/24)
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  • Signet Health (Little Rock, AR)
    …Health, a long-time national behavioral health management company, is recruiting an experienced Nurse Director to manage a 16-bed geriatric unit at CHI St. Vincent ... the scope of responsibility. Directs development and implementation of quality and utilization standards across the continuum of care to ensure coordinated plans of… more
    JobGet (05/15/24)
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  • RestoraCare Staffing (Houston, TX)
    RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... Current and valid license to practice as a Registered Nurse in the state of Texas or Current and...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality… more
    JobGet (04/25/24)
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