- CHRISTUS Health (Wake Village, TX)
- Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator will collaborate...Experience Minimum of two (2) years' experience in Case Management and/or Utilization Management is… more
- CHRISTUS Health (Tenneryville, TX)
- …operations for assigned areas; at CHRISTUS GSMC - Longview. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Hollywood Park, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Tenneryville, TX)
- …for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established ... and addressing staff training and development needs. Standard I. Human Resources Management Evaluates and specifies the critical resources required to accomplish the… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management - Per Diem Days **Department** : ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... their appropriate admission status. This individual will support the Utilization Management process by maintaining effective and.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- University of Virginia (Charlottesville, VA)
- Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with ... UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission… more
- Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary The Risk Manager Quality Nurse (RM/UM) is responsible for the Medical Center... (RM/UM) is responsible for the Medical Center Risk Management Program which identifies risk that may adversely affect… more
- Prime Healthcare (Weslaco, TX)
- …#rnheros #rnweekendstaff #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/183021/ registered - nurse -case-manager utilization - ... Overview KNAPP MEDICAL CENTER IS LOOKING FOR A PRN REGISTERED NURSE CASE MANAGER TO WORK WEEKENDS. WE OFFER: + Competitive PRN Compensation + Medical Insurance… more
- Trinity Health (Springfield, MA)
- …care determinations using screening criteria, and assists the physician, bedside Registered Nurse , ICC and Social Worker with utilization management and ... BSN graduate preferred, Master's preferred + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS (AHA/ARC).… more
- Stanford Health Care (Palo Alto, CA)
- …adoption assistance! **This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… more
- Ascension Health (Manhattan, KS)
- **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40 hours weekly, Monday - Friday 7:30am - 4pm + **Hospital:** Ascension Via ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Ascension Health (Tulsa, OK)
- **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday - Friday, 9am-5pm + **Hospital:** Ascension St. John Medical Center + ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Mohawk Valley Health System (Utica, NY)
- Registered Nurse - Utilization Review ... Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision ... compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience.… more
- Trinity Health (Ann Arbor, MI)
- …clinical, age specific, developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate communication with external ... current knowledge of rules, regulations, policies, and procedures related to utilization management work processes and criteria. + Communicates information,… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- CVS Health (Columbus, OH)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Sacramento, CA)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current...clinical experience in acute or post acute setting - Utilization management is a 24/7 operation. Work… more
- CVS Health (Jefferson City, MO)
- …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Springfield, IL)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... of residence + 3+ years of experience as a Registered Nurse ie Med/Surg, ICU, Critical care,...applications such as Teams, Outlook, Excel, and Word + Utilization management is a 24/7 operation. Work… more
