- PIH Health (Downey, CA)
- The Registered Nurse ( RN ) Charge Nurse , BSN provides direct patient care and charge nurses duties. The primary nursing responsibilities include ... practice, effective communication, leadership skills, collaboration, and evidence-based practice/research utilization . Charge nurse duties include, assessment of… more
- PIH Health (Downey, CA)
- The RN Case Manager manages a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed ... the course of hospitalization. Focus of the position is the appropriate utilization of hospital services, maximizing reimbursement from all third party payors, and… more
- PIH Health (Whittier, CA)
- …practice, effective communication, leadership skills, collaboration, and evidence-based practice/research utilization . Charge nurse duties include, assessment of ... in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top… more
- PIH Health (Pasadena, CA)
- The Clinical Education Specialist for Perioperative Services is a registered nurse with expertise in nursing education who influences the professional growth, ... practice, effective communication, leadership skills, collaboration, and evidence-based practice utilization . PIH Health is a nonprofit, regional healthcare network… more
- Humana (Dublin, 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...an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse ( RN ) in the… more
- Actalent (Des Moines, IA)
- Job Title: Utilization Management Nurse Job...within the care management platform. Qualifications + Registered Nurse ( RN ) license in ... a day with a 97% QA review. + Provide consultation and responses to utilization management requests. + Establish relationships and engage with members and… more
- Veterans Affairs, Veterans Health Administration (San Juan, PR)
- Summary The Utilization Management Nurse (UMN)...level degree in Nursing may have opportunity to become registered as a nurse with a state ... and creative approaches to management of patient care. Responsibilities The Utilization Management Nurse (UMN) demonstrates expertise in the professional… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
- Wellpath (Fort Lauderdale, FL)
- …for training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of ... specific deadline posted in the job description. Quick Apply (https://careers-wellpath.icims.com/jobs/172920/ utilization - management - registered - nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care ... for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with...BSN or MSN degree, required * Current valid California RN license, required * Two or more years of… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- Summary The Utilization Management Registered Nurse makes decisions that reflect distinct and contributory supporting roles of nursing; is responsible ... not meeting InterQual criteria to the physicians and Physician Utilization Management Advisors (PUMAs). Communicates and supports...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management to join our team of talented professionals who provide… more
- CVS Health (Carson City, NV)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- Katmai (Usaf Academy, CO)
- …Nursing (BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted ... Registered Nurses ( RN ) licensed in Colorado, be...checks. **DESIRED QUALIFICATIONS &** **SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …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 ... standards and performance measures. He/she will utilize emergency and bed management software, along with UM data, to manage admission recommendations and… more
- CVS Health (Austin, TX)
- … Nurse Consultant participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant, you will utilize clinical skills ... needs require + 3+ years of experience as a Registered Nurse + 1+ years of clinical...shifts of 10hrs each in time zone of residence; Utilization Management is a 24/7 operation and… more
- Trinity Health (Albany, NY)
- …often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital--Full-TIme** If you ... are looking for an RN position in Case Management and a...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator. The UR Nurse supports the UR RN Coordinator in ... for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse...serves as a collaborative and supportive liaison and educator to providers and staff around utilization management … more
