- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …seeking a highly motivated and results-driven **UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical directors/physician ... 8:00 AM - 5:00 PM CST (Flexible) **Responsibilities** A. Performs necessary review to ensure compliance with HHSC and other regulatory entities + Collaborate:… more
- University Health (Hondo, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... POSITION SUMMARY/RESPONSIBILITIES Care Coordinator will be instrumental in assisting the department...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (San Antonio, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... information system, analytics and metric management. **Licenses and Certifications** + California Registered Nurse ( RN ) license + American Heart Association… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour)...+ + + + Introduction Are you an experienced Registered Nurse looking to make a difference in ... to learn more about joining our team as a Utilization Review Nurse Coordinator...GENERAL EXPERIENCE Five (5) years of experience as a Registered Nurse . MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable ... strong psychiatric nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric… more
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator . The UR RN supports the UR RN Coordinator and ... other UR team members in providing all identified utilization review functions for the organization to...SPH are utilized effectively and efficiently; engages the UR RN Coordinator with improvement ideas when deviations… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts...needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- The County of Los Angeles (Los Angeles, CA)
- …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator , CCS.** -OR- OPTION II: ... Two (2) years of experience as a registered nurse , of which one year must...involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN … more
- Elderwood (Waverly, NY)
- …Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + ... Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/ RN MDS...Managed Care Coordinator assists and supports the LPN/ RN MDS Coordinator with case management responsibilities.… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review -...dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
- HCA Healthcare (St. Petersburg, FL)
- …encourage you to apply for our Registered Nurse Service Line Coordinator OR opening. Our team will promptly review your application. Highly qualified ... colleagues in their positions. Join our Team as a(an) Registered Nurse Service Line Coordinator ...satisfaction for your patients. + You will ensure effective utilization of resources, standards of care, and operating procedures.… more
- HCA Healthcare (Asheville, NC)
- …you to apply for our Registered Nurse Home Care Coordinator CarePatners opening. We promptly review all applications. Highly qualified candidates will ... worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse Home Care Coordinator with CarePartners. This… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …appropriateness by collaborating with MD, Patient Placement Coordinator , and Utilization Review Coordinator . Complies with guidelines, institutional ... + JOB REQUIREMENTS + Education + RN or LPN required. Must possess a degree in nursing, with preference given to a bachelor's degree. + Experience + Minimum of two… more
- Massachusetts Institute of Technology (Cambridge, MA)
- Registered Nurse , Care Coordinator + Job Number: 25320 + Functional Area: Health Care + Department: MIT Health + School Area: Executive Vice President + Pay ... Email a Friend Save Save Apply Now Posting Description REGISTERED NURSE , CARE COORDINATOR , MIT...providers, and community agencies. PREFERRED: two years of case management, utilization review , and discharge planning experience.… more
- HCA Healthcare (Richmond, VA)
- …year, nurses at Johnston-Willis Hospital have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... and improve positive outcomes for your patients as a ** Registered Nurse RN Case Manager**...a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis Hospital has… more
- Cedars-Sinai (Beverly Hills, CA)
- …the Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM 8 Hour Days ... of care and level of care. Use evidence based review guidelines to conduct utilization review...are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- Summary The Registered Nurse - Community Care Nurse Coordinator works collaboratively with the interdisciplinary care team including Referral Care ... Total Rewards Duties of the Registered Nurse - Community Care Nurse Coordinator... include, but are not limited to: Coordinate the review and disposition of VA Community Care consults, including… more
- HCA Healthcare (Manchester, NH)
- …growth, we encourage you to apply for our PRN House Supervisor RN Registered Nurse opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the PRN career opportunities as a(an) PRN House Supervisor RN Registered Nurse you want with your current employer? We… more