- Humana (Little Rock, AR)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- University of Rochester (Strong, AR)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Utilization Management Nurse role is a unique and ... Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day...all UM customers. Other duties as assigned. **QUALIFICATIONS** + RN with Utilization Review experience preferred; 3-5… more
- Baylor Scott & White Health (Little Rock, AR)
- …of staff, resource management , and budget control. Departments involved are Utilization Management , Case Management , and Disease Management . ... Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
- Arkansas Children's (Little Rock, AR)
- …with planning, implementing and evaluating the strategic goals of the utilization management program. Oversees staff that process referrals, authorizations, ... for hospital services and assists in the daily operation of the discharge/ utilization management department. Has some authority for personnel actions. Assist… more
- Community Health Systems (Siloam Springs, AR)
- **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the ... supervision of a Registered Nurse or physician. This role involves...escalating cases as needed to the Physician Advisor or Utilization Management (UM) committee. + Identifies avoidable… more
- Highmark Health (Little Rock, AR)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- CVS Health (Little Rock, AR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator… more
- CVS Health (Little Rock, AR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... medical necessity reviews **Required Qualifications** + 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty +… more
- Highmark Health (Little Rock, AR)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care ... Experience in a clinical setting **Preferred** + Certification in utilization management or a related field +...and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** +… more
- Sharecare (Little Rock, AR)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...the disease management program intervention guidelines. An RN is supervised by an Operations Manager (OM). All… more
- Catholic Health Initiatives (Little Rock, AR)
- …CCM or ACM Certification within 2 years of hire date + Previous case management , utilization management , or discharge planning experience strongly preferred ... **Overview** As a Case Manager Nurse with CHI St Vincent Infirmary, you'll work...CHI St Vincent Infirmary, you'll work with physicians, other registered nurses, specialized departments, and community resources. This provides… more
- Catholic Health Initiatives (Little Rock, AR)
- …is working and update the payer on changes in the patients **Qualifications** Registered Nurse with Bachelors degree or diploma/associates degree A current ... 401(k) and 457(b) Retirement Programs Wellness Programs. **Responsibilities** The Utilization Review Nurse coordinates the communication of...unencumbered RN license to pratice in the state of Arkansas… more
- CenterWell (Harrison, AR)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Community Health Systems (Bentonville, AR)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... **Job Summary** The Care Manager - RN is responsible for coordinating and overseeing discharge...and overseeing discharge planning, transitions of care, and case management activities to ensure optimal patient outcomes. This role… more
- Community Health Systems (Bentonville, AR)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The RN Charge oversees the operations of a nursing...Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient… more
- Baptist Memorial (Jonesboro, AR)
- …BMH - NEA Hospital Department: JO Case Mgmt Administration NEA Baptist Jonesboro Category: Nurse RN Type: Clinical Work Type: PRN Work Schedule: Days Location: ... safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer… more
- Guardian Life (Little Rock, AR)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- NHS Management, LLC (Fort Smith, AR)
- …- Exceptional LOW cost gold medical plan! We are in search of a qualified RN Unit Manager : + Assists in maintaining resident care standards by supervising and ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident care… more
- Baptist Memorial (West Memphis, AR)
- Summary Manages resource utilization and communication to achieve the organizational goals. Has direct supervisory accountability for all positions, employees, ... preferred. Experience Minimum: 5 years nursing with 1 year of management experience in related field. Leadership experience utilizing problem-solving methodologies.… more
- STG International (Jonesboro, AR)
- … management /coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse ( RN )/CBOC Manager and VA Program's philosophy. + ... to ensure compliance and patient safety. + Participate in quality improvement, care management , risk management , peer review, utilization review, clinical… more