- 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
- LHC Group (Reno, NV)
- LHC Group is seeking a Registered Nurse ( RN ) Home Health Clinic for a nursing job in Reno, Nevada.Job Description & RequirementsSpecialty: ClinicDiscipline: ... commensurate with experience. Summary We are hiring a Patient Care Manager/Clinical Manager ( RN ) with Home Health experience. At St Mary's Home Health Care, a part… more
- Atrium Health Charlotte (Charlotte, NC)
- Atrium Health Charlotte is seeking a Registered Nurse ( RN ) Home Health for a nursing job in Charlotte, North Carolina.Job Description & ... in the comfort of his or her own home. Registered Nurse ( RN ) Benefits: Being...patients at high risk for re-hospitalization, falls and/or high utilization of resources that require additional intervention and case… more
- Advocate Aurora Health (Libertyville, IL)
- Advocate Aurora Health is seeking a Registered Nurse ( RN ) Med Surg for a nursing job in Libertyville, Illinois.Job Description & RequirementsSpecialty: Med ... Summary:Using evidence-based practice, clinical decision making, compassion and skilled dialogue, the registered nurse leads efforts to create the safest patient… 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...retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies… more
- Baylor Scott & White Health (Round Rock, TX)
- Baylor Scott & White Health is seeking a Registered Nurse ( RN ) Cardiac Cath Lab for a nursing job in Round Rock, Texas.Job Description & ... by November 2024, and start dates beginning on January 6, 2025.JOB SUMMARYThe Cath Lab Registered Nurse ( RN ) is a licensed professional who uses the BSWH… more
- Sourcing Square US (University Park, TX)
- …1+ years of experience in a leadership role. 3+ years preferred.- Registered Nurse license required.- Experience collaborating across multiple departments and ... skills, with strong presentation skills.Qualifications Master's degree. Have at least (5) five years of related experience. Registered Nurse license. more
- Cedars-Sinai (Los Angeles, CA)
- …thereafter as a condition of continued employment. **Req ID** : 4870 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem ... Diploma from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:** + Minimum… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** ** Utilization Manager** for a full-time position in support of the **Naval Health ... requirements of this position, it must be directly related to referral/ utilization management. License:** Active, unrestricted RN license Board Certification:**… more
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
- Ascension Health (Manhattan, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours...care services regarding admissions, case management, discharge planning and utilization review. + Review admissions and service requests within… more
- Ascension Health (Tulsa, OK)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday-Friday, 8:30am-5:00pm +...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate… more
- AdventHealth (Tampa, FL)
- **All the benefits and perks you need for you and your family:** .Paid Days Off from Day One .Student Loan Repayment Program .Career Development .Whole Person ... Wellbeing Resources .Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... workload in a fast-paced, rapidly changing regulatory environment. The Utilization Management RN works collaboratively with a.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA… more
- Pipeline Health System, LLC (Toast, NC)
- …Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse ( RN ) position supports the Mission of Pipeline Health ... and compassionate care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination of effective… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... . Skills and Requirements - Must possess a state-specific RN License for the state the consultant resides in...the consultant resides in - 4-5 years of Remote Utilization Management experience at Payors, inpatient or outpatient -… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- …of nursing education, orientation, competencies, and providing quality improvement and outcomes utilization . Registered Nurse delivers and manages the care ... Come Join the Team! Salem VA Medical Center is looking for a Registered Nurse Cardiac Catheterization Laboratory/Recovery Unit. The Registered Nurse … more
- Humana (Louisville, KY)
- …weekends and holidays. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the state of Kentucky with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...and members, to determine appropriateness of services. The UM RN will use clinical knowledge, communication skills, and independent… more
- Access Dubuque (Dubuque, IA)
- Registered Nurse ( RN ) |...guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes ... social and public policy to promote social justice. The registered nurse at MercyOne is a collaborative...Care RN - Onsite, Unit Based MercyOne Registered Nurse - Pediatrics - FT Nights… more
