- Cognizant (Bismarck, ND)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Humana (Bismarck, ND)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Evolent (Bismarck, ND)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Catholic Health Initiatives (Bismarck, ND)
- …experience **Required Licensure and Certifications** Bachelor's Degree in Nursing Required. Current Registered Nurse License in North Dakota or compact state. ... Responsibilities** **CHI St Alexius Health Bismarck is** **seeking a dedicated and experienced Clinical Manager to lead our NICU & Children's Unit. This is a vital… more
- Catholic Health Initiatives (Bismarck, ND)
- **Job Summary and Responsibilities** Empowering Recovery: Registered Nurse (RN) - Partial Hospitalization Program (PHP) **Are you a compassionate and skilled ... Registered Nurse passionate about behavioral health and...family members, community resources, and other healthcare professionals. *Conducts utilization review: Act as a liaison with insurance companies… more
- Catholic Health Initiatives (Bismarck, ND)
- …further! CHI St. Alexius Health Bismarck is actively seeking a dynamic and dedicated Registered Nurse Case Manager to join our exceptional team.** **This isn't ... lives? Do you dream of a role where your clinical expertise meets your passion for advocacy? Look no...nursing degree? Even better! You must hold a valid Registered Nurse license in North Dakota or… more
- Highmark Health (Bismarck, ND)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more