• Registered Nurse - Utilization…

    Veterans Affairs, Veterans Health Administration (Aurora, CO)
    …team providing compassionate whole health care to Veterans? Responsibilities The Utilization Management ( UM ) Registered Nurse ( RN ) executes position ... methods and expertise in medical necessity review criteria. The UM RN is a confidential consultant ...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (08/16/24)
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  • Utilization Mgmt ED RN - Case Management…

    Stanford Health Care (Palo Alto, CA)
    …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse ( UM RN ) will be responsible for ensuring ... Access, Clinical Documentation Integrity, Billing, and Revenue Cycle, the UM RN plays an essential role in...systems and other healthcare software. **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
    Stanford Health Care (06/22/24)
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  • Care Review Clinician, Inpatient Review…

    Molina Healthcare (Bronx, NY)
    …based on the severity of illness and the site of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
    Molina Healthcare (08/08/24)
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  • Utilization Management Specialist - RN

    Cleveland Clinic (Weston, FL)
    …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse ( RN ). + Basic Life Support (BLS) certification through ... of the most respected healthcare organizations in the world. Utilization Management ( UM ) Specialists perform UM activities, such as admission review, concurrent… more
    Cleveland Clinic (08/20/24)
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  • RN : Registered Nurse

    United Methodist Communities (Camden, NJ)
    …| Camden, NJ, USA | Hourly | Per Diem RN : Registered Nurse UMC -...and orientation process is quick and easy Abo ut UM C: + Our Mission is to serve our ... have flexibility to work as little or as much as you choose. Requirements for an RN : Registered Nurse : + Cover an open shift as assigned and agreed upon +… more
    United Methodist Communities (08/03/24)
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  • Registered Nurse ( RN )…

    University of Virginia (Charlottesville, VA)
    …of the healthcare team to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All ... and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization...care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia… more
    University of Virginia (07/06/24)
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  • RN / Registered Nurse - Care…

    ProMedica Health System (Toledo, OH)
    …applicable nursing experience License: A current, active, and unrestricted licensure as a Registered Nurse in the state of practice is required. Certification: ... the only hospital in northwest Ohio to receive this honor. Position Summary: The RN Acute Care Navigator is responsible for direct patient care focusing on: Care… more
    ProMedica Health System (08/02/24)
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  • RN : Registered Nurse - Home…

    United Methodist Communities (Pitman, NJ)
    75 per visit | Posted 09-Aug-2024 (EST) | Pitman, NJ, USA | Other | Per Diem RN : Registered Nurse - Home Care Visiting Nurse Serving clients in Monmouth ... Streamlined orientation process + Supportive and encouraging team! Requirements: RN 's must be Covid vaccinated and boosted and have...and valid Driver's License is also required. Abou t UM C: + Our Mission is to serve our… more
    United Methodist Communities (08/10/24)
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  • RN Clinical Care Reviewer, UM

    AmeriHealth Caritas (Charlotte, NC)
    …other factors. **Education/Experience:** + Must be a graduate from an accredited Registered Nurse program. Diploma or Associate's Degree required. Bachelor's of ... ** RN Clinical Care Reviewer, UM , Exchange Plan**...Nursing preferred. + Current and unrestricted Registered Nurse licensure. + 3+ years of clinical… more
    AmeriHealth Caritas (08/21/24)
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  • Registered Nurse Case Manager

    The Arora Group (Twentynine Palms, CA)
    Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager near Palm Springs, California, to provide care to ... 80 hours per two week period. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...monitoring. + Integrate case management (CM) with utilization management ( UM ) and disease management as needed. Integrate nursing case… more
    The Arora Group (07/15/24)
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  • Registered Nurse ( RN

    Commonwealth Care Alliance (Boston, MA)
    …procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day timely ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
    Commonwealth Care Alliance (08/02/24)
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  • Registered Nurse Case Manager

    The Arora Group (Coronado, CA)
    Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager in Coronado, California, to work at Coronado Naval ... - Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
    The Arora Group (06/24/24)
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  • Registered Nurse : Mott Children's…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : Mott Children's Hospital (Central Staffing Resources, Pediatric Acute Care Cluster) Apply Now **Job Summary** This RN would be part of our ... hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour CSR RN 's...at ###. **Required Qualifications + Current licensure as a Registered Nurse in the State of Michigan.… more
    University of Michigan (08/19/24)
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  • Registered Nurse : Central Staffing…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : Central Staffing Resources (Pediatric Critical Care Cluster) Apply Now **Job Summary** This is a Central Staffing Resource RN position ... hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour CSR RN 's...Recruitment at ###. **Required Qualifications Current licensure as a Registered Nurse in the State of Michigan.… more
    University of Michigan (07/03/24)
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  • Registered Nurse - 6b1 Acute Care…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE - 6B1 Acute Care Medicine Unit in the University Hospital Apply Now **How to Apply** This is a "multiple-fill" job opening: A total of two (2) ... Nurse Recruitment at ###. **Required Qualifications Current Michigan RN license for all candidates that have passed the...BSN preferred + One (1) year experience as a Registered Nurse + Experience with renal failure… more
    University of Michigan (08/17/24)
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  • Registered Nurse - Neonatal…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE - Neonatal Nurse Practitioner Internship (Brandon NICU and Von Voigtlander Women's Hospital) Apply Now **Job Summary** Qualified RN ... 0.9-1.0 FTE appointment fraction. **Nursing Specific Info** This UMPNC RN posting is posted as Nursing Framework LEVEL C....**Required Qualifications + Current licensure to practice as a Registered Nurse in the State of Michigan.… more
    University of Michigan (07/06/24)
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  • Registered Nurse (Decentralized…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE (Decentralized Float: Brighton Health Center (BHC); East Ann Arbor Health Center (EAA), Geriatrics, and Howell Peds (HWC) Apply Now **Mission ... action employer. **Job Detail** **Job Opening ID** 252546 **Working Title** REGISTERED NURSE (Decentralized Float: Brighton Health Center (BHC); East Ann… more
    University of Michigan (08/17/24)
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  • Registered Nurse : Ambulatory Care…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : Ambulatory Care Services (Pediatric Infusion) Apply Now **Mission Statement** The University of Michigan Health System improves the health of ... Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....current license in the State of Michigan as a Registered Nurse . ? One (1) year in… more
    University of Michigan (08/17/24)
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  • Registered Nurse - Cardiovascular…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE - Cardiovascular Center -Operating Room Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and ... posting period. Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....Recruitment at ###. **Required Qualifications Current licensure as a Registered Nurse in the state of Michig… more
    University of Michigan (08/21/24)
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  • Registered Nurse : Mott Childrens…

    University of Michigan (Ann Arbor, MI)
    REGISTERED NURSE : Mott Childrens Hospital (Pediatric Intensive Care Unit) Apply Now **Job Summary** The Pediatric Intensive Care Unit (PICU) is a 30 bed ... action employer. **Job Detail** **Job Opening ID** 253238 **Working Title** REGISTERED NURSE : Mott Childrens Hospital (Pediatric Intensive Care Unit)… more
    University of Michigan (08/17/24)
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