- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse ( RN ) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: ... assigned.#LI-Hybrid License and current registration to practice as a Registered Professional Nurse in New York State...methodologies preferredVNS Health Job ID #R009771. Posted job title: Rn Utilization ReviewAbout VNS HealthVNS Health is… more
- Trusted Resource Associates (TRA) (Palm Springs, CA)
- Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, ... California.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 09/25/2024Duration: 13 weeks40 hours per weekShift: 8 hours,… more
- A-Line Staffing Solutions (San Diego, CA)
- …available for full-time employees with 1 year of service on our eligibility dates Concurrent Review Nurse Qualifications : Active RN license in the state of ... A-Line staffing is hiring a Fully Remote Concurrent Review Nurse in California! Must live...and managed care preferred Knowledge of Medicare and Medicaid Utilization Review processes Must have solid computer… more
- GHR Healthcare (Atlanta, GA)
- Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions that impact patient care? Join us as a ... Pay Rate: 37.50 -40.00 Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services based on… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- A-Line Staffing Solutions (New York, NY)
- …Medicare, Medicaid, CMS Guidelines, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical ... CMS Guidelines, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, Appeals,… more
- A-Line Staffing Solutions (Grand Rapids, MI)
- …now hiring Direct Hire Mental/Behavioral Health RNs in Grand Rapids, MI 49548. The Registered Nurse would be working DIRECTLY/PERM for a local organization and ... opportunity, no temp/contract work Target start date: 09/09/2024 A Registered Nurse is responsible and accountable to...staff assignments and promoting staff development. Responsible for the utilization and continued review of patient care… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... to ensure appropriate feedback is received before product decisions are made. Utilization Review of necessity, quality, effectiveness and efficiency of medical… more
- Protouch Staffing - Permanent (El Paso, TX)
- Protouch Staffing - Permanent is seeking a Registered Nurse ( RN ) Case Management for a nursing job in EL Paso, Texas.Job Description & RequirementsSpecialty: ... All Standards benefits are covered. Manager of Case Management RN - El Paso, TX Job Type: Full Time...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- CareFirst (Baltimore, MD)
- …work experience is required in addition to the required work experience.Licenses/Certifications:Health Services\ RN - Registered Nurse - State Licensure ... More detail can be shared during the interview process.Plans, organizes, and manages utilization review programs. Directs the utilization of referral… more
- MedPro Healthcare Staffing (Irving, TX)
- …Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse ( RN ) for a travel assignment with one ... , Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review , Case Manager RN *Weekly...amount to be determined. Posted job title: Case Manager Registered Nurse Nursing: Case Manager.About MedPro Healthcare… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... surgeries for: General, Gynecology, Orthopedics, Podiatry and ENT. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Pacer Staffing (Atlanta, GA)
- …Provides Disease Management (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and evaluate the ... to successfully manage their chronic condition. . The DM nurse will partner with the interdisciplinary care team to.... Direct Education & Experience Required . Current, unrestricted RN licensure to independently work within scope of practice… more
- Blanchard Valley Health System (Findlay, OH)
- …Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review , and Emergency Department Care Navigation to support ... during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration...service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4… more
- Pacer Staffing (Atlanta, GA)
- …processes and techniques for measuring outcomes. Education & Experience Required: . Registered Nurse , with current unrestricted license in appropriate state . ... criteriarequired Preferred: . TRICARE experience . Qualified for Certified Professional Utilization Review Certification or Certified Professional Utilization… more
- Pacer Staffing (Atlanta, GA)
- …other duties as assigned. Regular and reliable attendance is required. Required: Registered Nurse , with current unrestricted license in appropriate state 4+ ... criteria required. Preferred: TRICARE experience Qualified for Certified Professional Utilization Review Certification or Certified Professional Utilization… more
- Pacer Staffing (Atlanta, GA)
- …state or territory of the United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a favorable Interim and ... Job Summary: The position provides case management services for TRICARE beneficiaries registered in the Extended Care Health Option (ECHO) under TRICARE. The ECHO… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of our communities. About the Role:Job SummaryResponsible for the systematic review of patient throughput including evaluating and implementing strategies and ... Minimum Job QualificationsLicensure or other certifications: Licensed to practice as an RN in Georgia. National Certification in either a clinical or leadership… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... Utilization Review Nurse Coordinator...application (https://www.elicense.ct.gov/) (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request… more
- 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
