- Prisma Health (Columbia, SC)
- …Degree in Nursing. BSN preferred.One year experience as a registered nurse .Required Licensure/Registrations/CertificationsLicensed to practice as a ... and/or all the nursing units within the scope of RN practice. This scope includes medical-surgical, telemetry, progressive and...Registered Nurse in South CarolinaIn Lieu Of The Above Minimum… more
- Christus Health (Alamogordo, NM)
- …leadership to ensure costs align with the budget through appropriate labor/supply utilization management . The position focuses on patient and associate ... geriatric patients. Requirements Education Required: Bachelors Associates Licenses & Certifications Required: C-ARRT - RT R ARRT L- RN Singlestate L- RN Multistate more
- Lee Health (Fort Myers, FL)
- …preferred. State of Florida Licensure Requirements Licenses Required/ Preferred and/or Registered Nurse License Required or Dietitian License Required Additional ... Preferred and/or RD ( Registered Dietitian) Additional Requirements Must be either a Registered Nurse or Registered Dietitian who is also licensed in… more
- Prisma Health (Greenville, SC)
- …interdepartmental coordination. Provides direct patient care consistent with the charge nurse /clinical registered nurse job description accountabilities. ... Nurse Manager in maintaining unit budget by appropriate allocation and utilization of unit resources. Shares accountability with Nurse Manager for… more
- CHRISTUS Health (Tenneryville, TX)
- …years of healthcare management experience C. Licenses, Registrations, or Certifications . RN License in state of employment or compact Work Type: Full Time EEO ... in matters related to nursing service and strategies Standard I: Financial Management . Recognizes the impact of reimbursement on revenue . Understands the… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the efficient ... record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan ... No Call, No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care and supports other members of the System Centralized Utilization Management team to ensure final status...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Director of Utilization Management leads and manages all utilization management (UM) functions for physical ... regulatory requirements and all applicable accreditation standards. The Director of Utilization Management is responsible for setting strategic direction,… more
- Catholic Health Initiatives (Lexington, KY)
- …both inside our hospitals and out in the community. **Responsibilities** The Utilization Management (UM) Director is responsible for the market(s) development, ... implementation, evaluation and direction of the Utilization Management Program and staff in support of the CommonSpirit Health Care Coordination model. The … more
- CareFirst (Baltimore, MD)
- …is required in addition to the required work experience. **Licenses/Certifications:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... based on business needs and work activities/deliverables that week. The Director, Utilization Management provides strategic leadership of the utilization … more
- Sharp HealthCare (San Diego, CA)
- …Degree in Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... Care Management (ICM) team the Per Diem RN (Adv CN)-Unit A4 position supports utilization ...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Sharp HealthCare (San Diego, CA)
- …recent case management , utilization review, care coordination experience + California Registered Nurse ( RN ) - CA Board of Registered Nursing ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA...and individual development planning process.Maintain current knowledge of case management , utilization management , and discharge… 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
- AmeriHealth Caritas (Dublin, OH)
- …+ Current and unrestricted RN license in OH. + 3+ years of utilization /case management experience in relevant scope preferred, one year required. + 3+ years ... ** Utilization Management Plan Oversight Manager (Ohio...meetings and audits. Knowledge of Ohio Medicaid policies required. RN required Your career starts now. We are looking… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has...proficient with standard Utilization Review processes. The Utilization Management RN is an ... workload in a fast-paced, rapidly changing regulatory environment. The Utilization Management RN works collaboratively.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CVS Health (Harrisburg, PA)
- …role is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...**Required Qualifications:** - Must have active, current and unrestricted RN licensure in state of residence - 3+ years… more
- Ascension Health (Nashville, TN)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday. 40 hours 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
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
