- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding ... and compassionate team. **The Utilization Review Specialist Senior responsibilities...Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred… more
- WestCare Foundation (Henderson, NV)
- Utilization Review Specialist Job...required Education: + Associates or Bachelors level LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 ... years utilization review experience, preferred experience working with individuals with psychiatric or substance use disorder Experience and Competencies: +… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
- BayCare Health System (Cotton Plant, AR)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Denials Specialist - Utilization Review responsibilities include:** + Timely reviews ... year Medicaid/Medicare experience. Equal Opportunity Employer Veterans/Disabled **Position** Denials Specialist - Utilization Review **Location**… more
- McLaren Health Care (Bay City, MI)
- …+ Nursing degree from an accredited educational institution + State of Michigan licensure as a Registered Nurse ( RN ) + Two years of recent clinical or ... **_Position Summary_** **:** In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the appropriate admission status… more
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. + Performs… more
- Corewell Health (Caledonia, MI)
- …care, clinical nursing, preferably multiple clinical settings, or related experience Required + Registered Nurse ( RN ) State of Michigan required Primary ... continued stay. Educates medical staff/other health care professionals regarding utilization management and quality requirements. Makes recommendations and provides… more
- University of Washington (Seattle, WA)
- …partial/variable involvement with Harborview's Emergency Department. The Utilization Management Specialist RN2 is responsible for the ongoing review of a ... artistic pursuits, and natural beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three years… more
- Bon Secours Mercy Health (Richmond, VA)
- …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... * Weekly check-in with Nursing Professional Development Coordinator or Clinical Nurse Specialist * Ongoing educational opportunities, including quarterly… more
- AdventHealth (Hinsdale, IL)
- …skills **.** Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **.** State of Illinois registered nurse license **LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:**… more
- New York State Civil Service (Wallkill, NY)
- NY HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 - Utilization (NY HELPS) Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a… more
- AdventHealth (Winter Park, FL)
- …in nursing or health related field **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . Registered Nurse . Basic Life Support certification . Valid Florida ... AdventHealth Hospital at Home (AH HaH) inclusions criteria and review selected patients with providers and acute care/emergency department...RN Coordinator may act as a Clinical Charge nurse when assigned by the **AHHaH** Nurse … more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... St, Orlando, FL 32803 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Accreditation and Quality (A&Q) Nurse Specialist demonstrates leadership in providing continuous readiness for accreditation and regulatory agency ... package: VA Nurse Total Rewards The A&Q Nurse Specialist reports directly Chief of Quality....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Cleveland Clinic (Weston, FL)
- …as assigned. **Education:** *Graduate of an accredited school of nursing with licensure as a Registered Nurse ( RN ) in the State of Florida. *Bachelor of ... and remains a top hospital in Florida. As a Utilization Management (UM) Specialist , you will work...valid license in the State of Florida as a Registered Nurse ( RN ). *Basic Life… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Utilization Management Nurse Specialist RN II will...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- MyFlorida (Orlando, FL)
- …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... resident's status, and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- MyFlorida (Orlando, FL)
- …that all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN is available, receive all ... current status and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, ... coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the... RN licensure in MN + 3-5 years utilization review or case management experience in… more
- MyFlorida (Fort Myers, FL)
- OPS REGISTERED NURSE - 64936202 1 Date: Jun 12, 2024 Location: FORT MYERS, FL, US, 33916 The State Personnel System is an E-Verify employer. For more information ... No: 829242 Agency: Department of Health Working Title: OPS REGISTERED NURSE - 64936202 1 Pay Plan:...Lee County. Your Specific Responsibilities: This is an OPS RN position under the supervision of the Nursing Program… more