- Humana (Columbus, 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking...+ Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse ( RN ) license in… more
- CVS Health (Raleigh, NC)
- …care more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- VNS Health (Manhattan, NY)
- …and updates through on-going training, coaching and educational materials. + For Utilization Management Only: + Issues Determinations, Notices of Action, and ... by state or federal regulations are saved in the Utilization Management System. + Reviews, evaluates and...and Certifications: + Current license to practice as a Registered Professional Nurse or an Occupational Therapist… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. This is a full-time remote position. Utilization management is a 24/7 operation. Work schedules ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …not limited to: The Nurse Utilization Management (UM) Registered Nurse ( RN ) is responsible for providing competent, evidence-based practices ... Summary Registered Nurse ( RN ) Utilization Management (UM)...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
- Mayo Clinic (Rochester, MN)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Geisinger (Danville, PA)
- …Specialty Training Program-Nursing (Required) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Please note this is NOT a remote position. Geisinger is proud to offer an Inpatient RN a $ 40 minimum hiring rate with increased rates for… more
- Geisinger (Wilkes-Barre, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible candidates! $35.88 minimum hiring rate with increased rates for… more
- Dartmouth Health (Lebanon, NH)
- …assess their readiness for changing health behaviors. Required Licensure/Certifications - Licensed Registered Nurse with New Hampshire eligibility. - Basic Life ... Overview Works as a key member of the DH Care Management team, and in partnership with non-DH hospitals, by rounding on DH patients at non-system hospitals to… more
- ChenMed (Miami, FL)
- …AND EXPERIENCE CRITERIA:** + AS degree in Nursing required + BSN preferred + Registered Nurse ( RN ) licensed to practice nursing in Florida required; ... we need great people to join our team. The Registered Nurse , Care Line, PRN is responsible...counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call… more
- St. Luke's University Health Network (Allentown, PA)
- …near vision, visual monotony. EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state ... billing with information needed to obtain payment of claims. Remote within local geography after orientation. JOB DUTIES AND...required. Prefer minimum of 2-5 years' experience in case management and/or utilization management required.… more
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- Summary The Tele-Emergency Care Registered Nurse is a strategic VISN network program designed to provide on-demand emergency and urgent care services to veterans ... the Fort Harrison VA Health Care System. Responsibilities The Emergency Department Registered Nurse is responsible for providing competent, evidence-based care… more
- AmeriHealth Caritas (Florence, SC)
- …in Nursing;(ASN)is required but BSN preferred and must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South Carolina ... ** Remote to qualified candidates living in South Carolina...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization… more
- Banner Health (Gilbert, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... utilizes the electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients via two-way audio-video… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …become available for different cohorts up until the closing date. Responsibilities The Registered Nurse Transition to Practice Program is designed for the post ... graduate RN nurse who has completed an entry...opportunities to perform procedures that are performed by RNs. Registered Nurse Transition to Practice (RNTTP) Program… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …important contribution that each team member makes to the patient's well-being. Responsibilities The Registered Nurse ( RN ) is assigned to the Operating Room ... Summary The Western New York VA Medical Center is hiring for one, full-time Registered Nurse to work in the Operating Room (OR). The perioperative OR … more
- Sharecare (Columbus, OH)
- …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
- Humana (Belle Chasse, LA)
- …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN , Intern will utilize Humana's Medicaid training ... the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will...experience a plus. + Previous experience in prior authorization, utilization management + Experience working with MCG… more