- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), New York State Psychiatric Institute, P25409 Occupational Category ... Minimum Qualifications New York State Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Billings Clinic (Billings, MT)
- …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN Billings ... - 44.18 Under the direction of department leadership, the Utilization Review / Management RN . This...and Certification Healthcare Provider and ACLS CPR certifications Current Registered Nurse license in the state of… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review … more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review FT Days - 2406003414 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
- Baptist Memorial (Memphis, TN)
- …Minimum- RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical ... Summary Responsible for the Utilization Review Program across the system....and computer skills. Problem solving; and governmental regulations. Licensure: Minimum- RN Preferred-CCM; ACM About Baptist Memorial Health Care At… more
- Ascension Health (Austin, TX)
- …Connect with your Talent Advisor for additional specifics._ **Responsibilities** As the Utilization Review RN , you'll provide health care services ... **Details** + **Department:** Utilization Review + **Schedule:** Full-time, 8-hour...and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse obtained prior to hire date… more
- Swedish Health Services (Seattle, WA)
- …**Remote - Utilization Review RN ** **On call/Per diem** The Utilization Review (UR) Nurse has a strong clinical background blended with a ... (BSN) from an accredited school of nursing. + Washington Registered Nurse License upon hire. + 3...years of Medical/Surgical nursing experience. + 1 year of Utilization Review nursing experience. **Preferred Qualifications:** +… more
- BayCare Health System (Cotton Plant, AR)
- …Critical Care or Emergency Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our...2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- Elevance Health (Topeka, KS)
- **Licensed Utilization Review II** **Location** : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health ... Monday through Friday,10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily...unrestricted license or certification as a LPN, LVN, or RN to practice as a health professional within the… more
- Ascension Health (Austin, TX)
- …with your Talent Advisor for additional specifics._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing ... review programs and key performance indicators for all utilization review activities. + Interact with medical,...of staff. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Texas Board… more
- Centene Corporation (Springfield, IL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
- Trinity Health (Silver Spring, MD)
- …activities of RN Case Managers for in inpatient care coordination and utilization review . Oversees interactions of staff with outside activities and agencies ... will need:** + State of Maryland license as a Registered Nurse + BSN required; MSN Degree...in an acute healthcare setting. + Designation Changes and Utilization Review + Knowledge of pertinent regulatory,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Description** We're seeking an **Assistant Manager, Utilization Review ** , responsible for supervising and coordinating activities ... of personnel in the Utilization Review Department, including: + Staff schedules...Minimum Qualifications: + Must have a valid, active unencumbered Registered Nurse license or temporary permit approved… more
- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. **Title: Utilization Review Nurse ** **Location: Hospital Client ... vary and some flexibility may be offered** As our ** Utilization Review Nurse ** , you...other opportunities that promote growth. **Required Skills:** + Active Registered Nurse license For this US-based position,… more
- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. In this role as a Utilization Review Supervisor within our utilization department you would be responsible for ... within NPH. This role entails overseeing a team of utilization review nurses, ensuring compliance with clinical...+ BSN or MSN, Required + Current valid CA RN License, required + BLS from the ARC or… more
- Elevance Health (Tampa, FL)
- **Licensed Utilization Review Senior** _Location:_ While remote, candidate should reside within 50 miles of either Tampa or Miami, FL. The **Licensed ... Utilization Review Senior** is responsible for working...standards. **Minimum Requirements:** + Requires a LPN, LVN, or RN and minimum of 2 years of clinical or… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State...Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal… more