- Aequor (New York, NY)
- …New York State Prefer minimum of 1-3 years relevant experience in case management , utilization review and/or quality assurance Experience in acute episodic care, ... Position Purpose:Provide case management and clinical services to employees within their...transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such… more
- 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 ... Minimum Job QualificationsLicensure or other certifications: Licensed to practice as an RN in Georgia. CCM (Case Management Certification) or ACM (American… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... works from an on-site office location (not a remote position)Will perform admit, discharge chart review and other...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
- Careerbuilder-US (Atlanta, GA)
- …a VA or compact state RN license . . Must have requirement: Utilization Management experience . Day-to-day: Review cases for medical necessity Summary: . ... Job Title: Utilization Review Nurse I Location: 100% Remote Duration:...Works with the Utilization Management team primarily responsible for inpatient… more
- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job Description ... for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse ( RN ) license Clinical...) license Clinical nursing experience Experience in care or utilization management (2+ years) BLS certification Computer… more
- A-Line Staffing Solutions (Mcallen, TX)
- …Friday, 40 hours per week Competitive Pay Rate! Keywords: RN , Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization Manager, UR, UM, Utilization ... Management experience Basic computer skills (Microsoft Word, Excel) RN license Pediatrics and/or home healthcare. Preferred Experience: Highly...Calls, Outbound Calls, RN , Registered Nurse , BSN, MSN, ADN, Case Manager, Utilization … more
- A-Line Staffing Solutions (Dallas, TX)
- …BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, ... with Luke H. at A-Line! This is a hybrid ( remote -field) position. Care Managers will be working in the...Management , Home Healthcare, Homecare, Home Health, Home Health Nurse , Home Health Case Manager, RN Case… more
- A-Line Staffing Solutions (Tampa, FL)
- … Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN , HMO, Concurrent Review, Retrospective Review, Managed ... care needs. Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license. Member assessments and notes. Complete… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health ... here https://www.nursys.com/LQC/LQCTerms.aspx and send to me with QB - 4-5 years of Remote Utilization Management experience at Payors, inpatient or… more
- University of Virginia (Charlottesville, VA)
- Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management ... RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission… more
- Insight Global (Philadelphia, PA)
- …healthcare insurance company local to the Philadelphia area is looking for to hire a fully remote Case Management RN to join their Care management team. ... 100% remotely and have own equipment to work from home 3+ years of case management and utilization management experience Discharge planning and post acute… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management , RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling a Manager Utilization Management RN , Prior Authorization who will:** + Be ... for Management and supervision of the PHP Utilization Management (UM) or Care Management...in supervision, management , or leadership + Oregon Registered Nurse License + 3+ years of… more
- University of Washington (Seattle, WA)
- Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open Until Filled Salary: $7,596 - $13,798 per month Shift: ... benefits for this position, click here (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908\_a11y.pdf) . RN2, Utilization Management Specialist. This is a hybrid… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management ** in support of the30th Medical Group at ... AFB, CA (https://www.airforcemedicine.af.mil/MTF/Vandenberg/About-Us/) . **NOTE: This is NOT a Tele-Health/ Remote Practice Opportunity.** **Be the Best!** Join our team… more
- Banner Health (Phoenix, AZ)
- …leading-edge work, we invite you to bring your experience and skills to BPN. As a RN Utilization Management Care Reviewer, you will use your critical care ... in nursing or equivalent working knowledge. Active, unrestricted State Registered Nursing ( RN ) license in good standing....MSN preferred. Case Management Certification (CCM or RN -BC or CMCN). Utilization Management … more
- CVS Health (New York, NY)
- …a unique hybrid position that will support the an external provider team as a Float Registered Nurse . This position will help to help cover for the team if and ... Through broad knowledge of clinical care the Home Health Utilization RN evaluates, predicts, and facilitates the...and/or sub-acute rehabilitation preferred. Education Associate degree minimum as registered nurse Pay Range The typical pay… more
- Banner Health (Mesa, AZ)
- …people the tools they need to perform at their best. As a Medical/Surgical Float Registered Nurse RN you will provide patient care throughout the facility ... investing in leading-edge technology such as electronic medical records, remote intensive care monitoring and one of the nation's...care setting within the past 12 months as a Registered Nurse in the specialty area. Banner… more
- Beth Israel Lahey Health (Charlestown, MA)
- …considered in lieu of degree + Active, unrestricted Massachusetts Registered Nurse License required. Certification in Case Management (CCM) preferred. NH ... to the BILHPN provider's risk populations. The Care Manager, RN provides care management services to the...behavior. Working with the healthcare team, the Care Manager, RN monitors appropriate utilization of healthcare resources,… more
- Banner Health (Sun City, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... We have the capability of utilizing up to 16 remote cardiac monitors which are monitored from a centralized...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
