- Southern New Hampshire Health (Milford, NH)
- …from within! Job Description: SIGN ON BONUS UP TO $15,000 Recent ED experience as a Registered Nurse required REGISTERED NURSE - EMERGENCY DEPARTMENT Who ... the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area....the Patient Care Services team, the Emergency Services (ES) Registered Nurse cares for pediatric and adult… more
- Southern New Hampshire Health (East Merrimack, NH)
- …organizational goals. Who You Are: Graduate from an accredited school of nursing (BSN required) Registered Nurse , licensed in the state of NH Minimum of two (2) ... CLINICAL TEACHER / NURSE EDUCATOR - EMERGENCY DEPARTMENT Who We Are:...the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area.… more
- Elliot Health System (Litchfield, NH)
- Eligible for $10,000 Sign On Bonus paid in 3, 6, and 12 months RN Case Manager Who We Are: The Care Coordination Department at the Elliot Hospital takes great pride ... in serving their community, patients, and families. Our Nurse Case Managers observe best practices and strive to...patients, but are seeking a change, please consider Case Management ! We will do on the job training for… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- Sharp HealthCare (San Diego, CA)
- …Certification; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... You Will Do** Supervisory responsibility for the acute care utilization management team. This position supervises, provides...in a hospital and/or Managed Care setting. + California Registered Nurse ( RN ) - CA… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
- CVS Health (Columbus, OH)
- …include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... of residence - 3 years of experience as a Registered Nurse - 1 year of clinical...of residence 6 weekends per year with rotating Holidays. Utilization management is a 24/7 operation. Work… more
- CVS Health (Olympia, WA)
- …need of the department. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant... function. **Required Qualifications** -Must reside in PST zone. - RN with active and unrestricted state licensure in state… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours a week. + **Hospital:** Ascension Saint Thomas + **Location:** ... TN market. We're looking for an experienced Director of Utilization Management to join our team! In...all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board… more
- Hackensack Meridian Health (North Bergen, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management ** is a member of the healthcare team and is ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- McLaren Health Care (Detroit, MI)
- …observation) based on medical necessity. 2. Performs concurrent and retrospective utilization management -related activities and functions to ensure that ... in applying the principles, methods, materials, and equipment necessary inproviding utilization management services. + Demonstrated expertise in utilization… more
- Catholic Health Initiatives (Little Rock, AR)
- …developmentMatching 401(k) and 457(b) Retirement ProgramsWellness Programs The CommonSpirit Utilization Management Assistant receives, processes, facilitates and ... ensure the accurate submission of clinical documentation to third party payers. The Utilization Management Assistant supports the Utilization Management … more
- CVS Health (Austin, TX)
- …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... to 6:00pm in time zone of residence with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include holidays and… more
- CVS Health (Tallahassee, FL)
- …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CVS Health (Tallahassee, FL)
- …active current and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work schedules will include weekend, holiday ... **Required Qualifications** - 2 years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CVS Health (Jefferson City, MO)
- … function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of residence ... + Must be willing and able to work 9:00am to 6:00pm CST/EST; Utilization Management is a 24/7 operation and work schedule will include weekends, holidays and… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary:** This Utilization Management Nurse Consultant (UMNC) position is a work at home ... in the event of a clinical audit. As a Utilization Nurse Consultant, you will utilize clinical...to coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible… more
- 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Active licensed Registered Nurse ( RN ) in the… more
