- Alameda Health System (Oakland, CA)
- …of California. Preferred Licenses/Certifications : UM / CM certifications Highland General Hospital SYS Utilization Management Full Time Day Nursing FTE: 1 ... plans Role Overview: Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight, strategic… more
- Christus Health (Somerset, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Christus Health (Irving, TX)
- Description Summary: The Registered Nurse Navigator Population Health Senior is accountable for coordinating and managing a designated patient caseload patient ... preventive care, and ensuring patients receive appropriate and timely interventions. Registered Nurse Navigator Population Health Senior will work… more
- University of New Mexico - Hospitals (Corrales, NM)
- …* Minor Hazard - physical risks, dirt, dust, fumes, noise * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... and organizational considerations. Department: CPC Cimarron Clinic FTE: 1.00 Full Time Shift: Days Position Summary: Coordinate all systems/services required… more
- University of New Mexico - Hospitals (Corrales, NM)
- …Essential: * Sig Hazard: Chemicals, Bio Hazardous Materials req PPE * Subject to an annual contract and performance appraisal Department: Registered Nurse ... and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * SUPERVISION - Develop… more
- Christus Health (Somerset, TX)
- …on for more details, and make sure to apply today. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of hospital ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Rochester Regional Health (Rochester, NY)
- …Schedule: Straight Shift- Days. Every other weekend/holidays. Sign-On Bonus: $15,000 SUMMARY : As a Registered Nurse ( RN ), you're the engine and the heart of ... on 3800 provide direct bedside care, patient education, pain management , post-op recovery support, and discharge planning. The unit...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- Lourdes Health (Pasco, WA)
- Registered Nurse ( RN ), House Supervisor Job Type: Full -time Varied Shifts Wage scale: $46.93 - $65.70 per hour Your experience matters At Lourdes Health, ... as an employee, but as a person. As a registered nurse ( RN ) joining our...an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C… more
- Lourdes Health (Pasco, WA)
- Registered Nurse ( RN ), House Supervisor Job Type: Full Time Days Wage scale: $46.93 - $65.70 per hour Your experience matters At Lourdes Health, we are ... as an employee, but as a person. As a registered nurse ( RN ) joining our...an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C… more
- Fresenius Medical Care (Fayetteville, NC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days Position ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- Interim HealthCare (Greenwood, IN)
- …(RNCM) with us, you will need: Licensure: Current unrestricted license to practice as a Registered Nurse ( RN ) in the state associated with this position ... One (1) year of professional experience practicing as a Registered Nurse ( RN ) in home...) in home health or similar setting; previous case management / utilization review experience preferred. OASIS experience preferred.… more
- Tufts Medicine Care at Home (Haverhill, MA)
- …cover our High Pointe House Facility in Haverhill, MA, and Skilled Nursing Facility management and oversight. Hours: Full Time 40 Hours Location: Lowell MA and ... Description Minimum Qualifications: 1. Bachelor's degree in Nursing (BSN). 2. Massachusetts RN Licensure. 3. Five (5) years of palliative, hospice, complex care… more
- University Health (San Antonio, TX)
- …of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is desirable. Case Manager ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred.... time hospital experience preferred. Work experience in case management , utilization review, or hospital quality assurance… more
- University Health (San Antonio, TX)
- …recent, full -time hospital experience preferred. Work experience in case management , utilization review or hospital quality assurance experience is ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- Mercy (Kingfisher, OK)
- …and cost-effective care provided by competent co-workers. They ensure efficient utilization of available resources to meet productivity and financial goals. Clinical ... Supervisor is proactively involved in patient flow and bed management issues in collaboration with the Staffing Office. They...within three (3) years of job acceptance. Licensure: Current RN license with the Board of Nursing in the… more
- Trinity Health (Troy, NY)
- …lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - St. Peter's Hospital-- Full -TIme Days** If you are ... looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference,...accommodate all schedules **What you will do:** + Perform utilization management , both concurrent and retroactive for… more
- Alameda Health System (Oakland, CA)
- … Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... Management Certification required + Minimum of 3 years of progressive experience in utilization management and appeal/denial management . + Holds a strong… more
- Katmai (Fort Carson, CO)
- …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE..., active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
