- CHRISTUS Health (Tenneryville, TX)
- …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
- Prisma Health (Columbia, SC)
- …Degree in Nursing. BSN preferred.One year experience as a registered nurse .Required Licensure/Registrations/CertificationsLicensed to practice as a ... Registered Nurse in South CarolinaIn Lieu Of The Above Minimum RequirementsIn lieu of 1 year of registered nurse experience, will accept successful… more
- Prisma Health (Greenville, SC)
- …interdepartmental coordination. Provides direct patient care consistent with the charge nurse /clinical registered nurse job description accountabilities. ... Nurse Manager in maintaining unit budget by appropriate allocation and utilization of unit resources. Shares accountability with Nurse Manager for… 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
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …City VA Health Care System (ICVAHCS) is currently recruiting for one (1) Full-Time Registered Nurse - Utilization Management position. This position is ... level degree in Nursing may have opportunity to become registered as a nurse with a state...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- Summary The Emergency Department Utilization Management (ED-UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices ... care for the incoming patients Preferred Experience: Experience in utilization management /case management /clinical documentation, critical...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Stanford Health Care (Palo Alto, CA)
- …this role. **This is a hybrid Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be responsible ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… 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 Vandenberg ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on ... to work a 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU:...Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- Summary Position shared between Utilization Management (UM) and Accreditation. UM uses evidence-based practices to create guidance on admission, continued stay ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- WellSpan Health (York, PA)
- …+ 5 years In leadership experience. Required + 3 years Utilization Management Experience. Preferred Licenses: + Licensed Registered Nurse Preferred ... Full Time General Summary Supervises and oversees the operations of the utilization management department. Works with hospital, regional, medical group,… more
- Sharp HealthCare (San Diego, CA)
- …Qualifications** + Bachelor's degree + Prior experience in Quality Improvement/ Utilization Management + California Registered Nurse (RN) - CA Board ... **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of...processing and works as a liaison to Sharp Risk Management for the identification of potential risk issues. +… 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
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Utilization Review ... Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision ... compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience.… more
- Emory Healthcare/Emory University (Duluth, GA)
- …And more **Description** **FT Nights / PT Day (Swing Shift)** 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 (Trenton, NJ)
- …personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization ... include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant, you...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Columbus, OH)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **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
- Humana (Boise, ID)
- **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 the appropriate state,… more
- CVS Health (Jefferson City, MO)
- …members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity ... and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and… more
