- Harris Regional Hospital (Sylva, NC)
- …partnership with Duke LifePoint Healthcare - - -And much more Position Summary: The Registered Nurse in the Labor & Delivery Unit holds shift accountability to ... provide direct care to the patients by utilization of the nursing process in accordance with the...of other staff.Minimum Qualifications: 1. - -Must have current Registered Nurse licensure in the State of… more
- Home Care Solutions (Thompsons Station, TN)
- The Registered Nurse in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance ... with applicable laws, regulations, and agency policies. The Registered Nurse coordinates total plan of care with other health care professionals involved in care… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... Time7p - 7aNot A New Grad PositionNursing background with 2 or more years of experience as a RNJob...Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6… more
- Almost Family (Oshkosh, WI)
- …of the sick. FL: Must have at least 1 year of supervisory experience as a registered nurse . KY: Must have at least 2 years of experience as a registered ... for home care services and establishment of frequencies and utilization for new admissions. Works closely with the Agency...other staff as directed. License Requirements Must be a Registered Nurse licensed in the state of… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 - Utilization (NY HELPS) Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a bachelor's degree… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Robley Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Registered Nurse - Utilization Management in Quality and Patient Safety ... Louisville, Kentucky 603. Responsibilities The Nurse Ill Utilization Management (UM) Registered Nurse ...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- McLaren Health Care (Detroit, MI)
- …implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in nursing from accredited ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...from the physician to optimize hospital reimbursement when appropriate. 2 . Works collaboratively with ICM service lines to expedite… more
- McLaren Health Care (Detroit, MI)
- …duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in nursing from accredited ... **Department: Utilization Management** **Daily Work Times: 9:00am-5:30pm** **Shift: Days**...ensure that appropriate data are tracked, evaluated, and reported. 2 . Collaborates with the health care team to determine… more
- University of Virginia (Charlottesville, VA)
- … years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED QUALIFICATIONS: ... Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource...Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and other… more
- University of Virginia (Charlottesville, VA)
- … years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED REQUIREMENTS ... Under general direction: The Utilization Management RN serves as a leader resource...Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and other… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Utilization Management** in support of the30th Medical Group at Vandenberg AFB, ... check/security clearance **Job Locations** _US-CA-Vandenberg AFB_ **Posted Date** _1 month ago_ _(5/16/2024 2 :39 PM)_ **_Job ID_** _2024-4519_ **_Category_**… 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 (Wallingford, 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 Hybrid 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 (Richmond, VA)
- **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) compact licensure with no… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California ... Utilization Management Nurse Specialist RN II...clinical experience in an acute hospital setting. At least 2 years Utilization Management/Case Management experience in… more
- Kepro (Indianapolis, IN)
- …other information applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) ... partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. Job… more
- CVS Health (Columbus, OH)
- …/benefit management function. Required Qualifications + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is...be willing and able to work Weekend (1 to 2 per month) + Must be willing and able… 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
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …discharge between levels of care and facilities Essential Qualifications + Current licensed Registered Nurse (RN) in good standing. Must retain active licensure ... Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity...review. + Working knowledge of URAC and NCQA. + 2 + years' experience in a UM team within managed… more
