- CVS Health (Olympia, WA)
- …cardiology **Preferred Qualifications** - 1 + years' experience in either Precertification or Utilization Review - 1 + years' experience Managed Care -Strong ... care more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is...Holiday rotation per the need of the department (typically 1 holiday per year). There is no travel expected… more
- Swedish Health Services (Seattle, WA)
- **Description** ** Utilization Review RN ** **Full time 1 FTE** **Day Shift** The Utilization Review (UR) Nurse has a strong clinical ... Nursing degree (BSN) from an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years Med/Surg nursing experience in the clinical… more
- US Tech Solutions (Chicago, IL)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech… more
- US Tech Solutions (May, OK)
- …experience as an RN . 1 + years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF...months of Prior Authorization. Education: . Active and unrestricted RN licensure in state of residence **About US Tech… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in ... Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...**Essential Duties & Responsibilities including but not limited to:** 1 ) Performs utilization review and… more
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... Ranked the No. 3 hospital in California and No. 1 in San Jose metro area! Stanford Clinicians are...Knowledge of principles and best practices of case management, utilization review , social work, care coordination and… more
- Mount Sinai Health System (New York, NY)
- …of care and coordination of services based on clinical needs and available resources. 3. Utilization Review : 1 . Maintains a working knowledge of the UR ... Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or...Utilization Management - WST, Mount Sinai West **Responsibilities** 1 . Principle Duties and responsibilities include, but are not… more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Review ( RN ) - Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote *… more
- Ochsner Health (New Orleans, LA)
- …a difference at Ochsner Health and discover your future today!** This job is a registered Nurse with a diverse medical background, who is able to determine the ... Contents are subject to change at Ochsner's discretion. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required - … more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Utilization Management (UM) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and creative ... 1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor... Registered Nurse 3 years of Utilization Management/Chart Review / Utilization Review… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary Registered Nurse ( RN ) Utilization Management...1 year of specialized nursing experience equivalent to Nurse I, Level 1 ;OR a Bachelor ... The Nurse Utilization Management (UM) Registered Nurse ( RN ) is responsible...Nurse I, Level 2; OR a BSN and 1 year of professional nursing experience equivalent to the… more
- Wellpath (Fort Lauderdale, FL)
- …the job description. Quick Apply (https://careers-wellpath.icims.com/jobs/172920/ utilization -management- registered - nurse /job?mode=apply&apply=yes&in\_iframe= ... of care support. **How you make a difference** The Utilization Management Registered Nurse works...using InterQual Criteria, ensuring adherence to department procedures. * Review concurrent clinical information and document it in the… more
- Penn Medicine (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice is...who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice is...who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a...for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing… more
- HCA Healthcare (Houston, TX)
- …growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN... 1 year of clinical experience as a Registered Nurse in a Recovery Room setting… more
- Lancaster General Health (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a...for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing… more
- HCA Healthcare (Pasadena, TX)
- …career path, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN PACU PRN... 1 year of clinical experience as a Registered Nurse in a Recovery Room setting… more
- Lancaster General Health (Lancaster, PA)
- …(2) years of placement in position for incumbents who started after 07/01/2020. + All Clinical Nurse 1 RN 's will be required to successfully complete the ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...in their RN role. + A graduate registered nurse may only practice professional nursing… more
- Ochsner Health (New Orleans, LA)
- …Works independently with minimal supervision under the direction of Registered Nurse Case Managers. Communicates the clinical review either verbally or in ... writing to insurance companies, Registered Nurse Case Manager or other members...the discharge plan. + Under the direction of a RN Case Manger performs utilization review… more