- Christus Health (Corpus Christi, TX)
- …within the scope of labor laws. Discovers opportunities to improve resource utilization . Implements changes in role consistent with scope of practice. Anticipates ... Science Degree in Nursing required for Magnet facilities, otherwise preferred. Experience 2 years of clinical patient care experience in a relevant setting. Previous… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Correction, Commission of Title Registered Nurse 2 ( Utilization ) Occupational Category Other Professional Careers Salary Grade 20 ... City Albany State NY Zip Code 12210 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Registered Nurse 2 ( Utilization ), SG-20: Possession… more
- New York State Civil Service (Albany, NY)
- …Care Surveyor 3 (Nursing) will supervise a regional unit of staff consisting of Registered Nurse 2 ( Utilization ) and Correctional Facility Specialists. ... QUALIFICATIONS: Possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure,… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …Nursing Service at the Phoenix VA Healthcare System in Phoenix, AZ. Responsibilities The Utilization Management (UM) Registered Nurse at the PVAHCS plays a ... nurse possess an in-depth understanding of InterQual criteria, utilization management processes, clinical documentation standards, and compliance regulations, the… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …The LTC Charles S. Kettles VA Medical Center is seeking a Full Time Registered Nurse - Utilization Management Position in the Quality Management department. ... level degree in Nursing may have opportunity to become registered as a nurse with a state...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Pipeline Health System, LLC (Toast, NC)
- Job Title: Utilization Review Registered Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review (UR) Registered Nurse (RN) ... and compassionate care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination of effective… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... years in the supervision* of nursing staff engaged in utilization review activities. -AND- 2 . Current certification...in a state other than California must provide their Registered Nurse License Number from that state… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at the level of Utilization Review Nurse . INVESTIGATORY: Two ( 2 ) years of the ... Utilization Review Nurse Coordinator Office/On-site Recruitment...(https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review ...certification is required. + Experience: Requires a minimum of 2 years of clinical and utilization review… 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...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in KY, IN, MI,… more
- CVS Health (Harrisburg, PA)
- …keyboarding required. **Required Qualifications** + 3+ years clinical practice experience as a Registered Nurse preferably in an acute setting (ex: OR, ER, ICU, ... deliver solutions to make health care more personal, convenient and affordable. Utilization Management is a 24/7 operation and work schedule may include weekends,… more
- CVS Health (Trenton, NJ)
- …unrestricted RN licensure in state of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute or post-acute setting ... and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization...+ 2 + years of experience working with MS office applications… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs...review. * Working knowledge of URAC and NCQA. * 2 + years' experience in a UM team within managed… more
- Katmai (Usaf Academy, CO)
- …**QUALIFICATIONS** + Bachelor of Science in Nursing (BSN) is required. + Minimum of two ( 2 ) years of prior experience in Utilization Management. + Must possess a ... current, active, full, and unrestricted Registered Nurses (RN) licensed in Colorado, be able to...licensed in Colorado, be able to practice using a nurse compact state license or have a license from… more
- CVS Health (Richmond, VA)
- …Director referral as needed. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure ... health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedule...operation and work schedule is for every weekend and 2 week days ( 4/10 hour shifts weekly) may… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse , an experienced clinician, functions at the Competent to Proficient ... prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. +...School of Nursing **WORK EXPERIENCE** + Two years of registered nurse experience in a healthcare environment… more
- McLaren Health Care (Mount Clemens, MI)
- **Position: Registered Nurse Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 48 **Schedule:** 7a-7:30p **Position Summary:** The Registered ... Nurse delivers quality nursing care through the utilization of the nursing process. Works collaboratively with other...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:**...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- McLaren Health Care (Mount Clemens, MI)
- …7p-7:30a **Weekend/Holiday Requirements: 2 &4 / B** **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization ... Staff nurses starting at $36 per hour! **RN Tier 2 ** **Dept: Float Pool** **Hours per pay period:** 48...of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from… more
- McLaren Health Care (Petoskey, MI)
- …Hours:** 72 **Daily Work Times:** 7a-7:30p **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the nursing ... the physical, psychosocial, and educational needs of the patient. 2 . Plans and implements nursing care according to patient...+ Associate Degree from an accredited Nursing program + Current State of Michigan Registered Nurse license… more
