- CHRISTUS Health (Lake Charles, LA)
- …for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established ... and addressing staff training and development needs. Standard I. Human Resources Management Evaluates and specifies the critical resources required to accomplish the… more
- The National Coalition of Healthcare Recruiters (Santa Clara, CA)
- …Degree in Nursing or a related healthcare field requiredCertifications|Licensures: Registered Nurse License requiredCertified Case Manager (CCM) ... Management leads and manages the day-to-day operations of utilization , clinical resource and case management departments...operations of utilization , clinical resource and case management departments and focuses on the continuum of care… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- Summary The Jesse Brown VA Medical Center has a full-time Registered Nurse - Utilization Management position available for current, permanent employees ... while maintaining quality of care. Responsibilities The Registered Nurse (RN) - Utilization Management (UM) is responsible for reviewing all inpatient… 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 ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... their appropriate admission status. This individual will support the Utilization Management process by maintaining effective and.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the state of… 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in Florida with no… more
- SSM Health (MO)
- …years' registered nurse experience and two years' utilization management experience PHYSICAL REQUIREMENTS + Frequent lifting/carrying and pushing/pulling ... operations within assigned region(s) or ministries related to the Utilization Management (UM) Review area under the...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State… more
- Stanford Health Care (Palo Alto, CA)
- …adoption assistance! **This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… 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 ... staff, newcomers, as appropriate. * Participate in all phases of the Utilization Management Program (UMP) and ensure that the UMP meets established … more
- McLaren Health Care (Bay City, MI)
- …and Responsibilities:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... cases. 5. Assists with monitoring the effectiveness/outcomes of the utilization management program, identifying and applying appropriate...educational institution + State of Michigan licensure as a Registered Nurse (RN) + Two years of… more
- Ascension Health (Manhattan, KS)
- **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours weekly, Monday - Friday 7:30am - 4pm + **Hospital:** Ascension Via ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Emory Healthcare/Emory University (Duluth, GA)
- …+ And more **Description** **FT / PT / Days / Nights** We're seeking a ** Registered Resource Utilization Critical Care Nurse ,** who will be primarily ... direct patient care assignment as needed while the primary nurse is off unit with another patient, and assisting...nurse may assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
- CVS Health (Columbus, OH)
- …is a full time remote Utilization Management opportunity. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… 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 ... net required to 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, current 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, ... and to support the safety net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in KY, IN, MI,… more
- MetroHealth (Cleveland, OH)
- …Required: Bachelor's degree in Nursing (applies to placements after 1/1/2017). Current Registered Nurse License State of Ohio. Minimum of five years ... level of care at the point of entry. The utilization review nurse will work on defined...management , and PC skills. Current working knowledge of, utilization management , case- management , performance improvement,… more
- CVS Health (Jefferson City, MO)
- …both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... 1+ years of clinical experience in acute or post-acute setting - Utilization management is a 24/7 operation. Work schedules may include weekends and holidays… more