- 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...school of nursing is required. Experience Minimum of two ( 2 ) years' experience in Case Management and/or Utilization… more
- CHRISTUS Health (Tenneryville, 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
- Community Health Network (Indianapolis, IN)
- Utilization Review Registered Nurse (RN) Job Ref 2407583 Category Nursing Job Family Remote / Work from Home / Virtual Department Utilization Review ... couldn't do it without you. **Make a Difference** The Utilization Review Registered Nurse is...statement. This position is accountable to the Manager/Director of Utilization Review. **Exceptional Skills and Qualifications** + 2… more
- Cedars-Sinai (Los Angeles, CA)
- …Hearing, Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management - Per Diem Days ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement...Life Support (BLS) **Experience:** 3 years In acute nursing 2 years Case Management 1 year CPT coding **Physical… 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
- Ascension Health (Tulsa, OK)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... Preferences** + 2 + years of bedside nursing experience + 2 + years of Utilization Review experience **Why Join Our Team** Ascension St. John has been… 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 of Case ... and regulatory compliance. Education/Experience Requirements Required: + Minimum of two ( 2 ) years utilization review/case management experience or social work… 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: ... 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
- 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 ... years of professional nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and 1 year of professional nursing experience equivalent… more
- Prime Healthcare (Weslaco, TX)
- …#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....experience in case management, discharge planning or nursing management; 2 . CCM or obtained within 6 months of hire.3.… 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
- 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
- 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 (40 Hour)...GENERAL EXPERIENCE Five (5) years of experience as a registered professional nurse . MINIMUM QUALIFICATIONS - SPECIAL… more
- Humana (Boise, ID)
- **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 the appropriate state,… 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 of Utilization Management/Case Management experience… more
- Independent Health (Buffalo, NY)
- …required; Bachelor's degree preferred. Current, active, unrestricted, and licensed registered nurse (RN) required. + Two ( 2 ) years of clinical experience as ... first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Utilization Review Nurse (URN) performs clinical review to determine the… more
- UPMC (Hanover, PA)
- …rotating weekend and holiday schedule.** This is a nonpatient-facing position. This Registered Nurse is responsible for completing medical necessity reviews ... is hiring a Professional Care Manager to support the Utilization Review process! This is a full time, day...of hire. UPMC approved Care Management certification preferred. + Registered Nurse (RN) + Act 34 *Current… more
- CVS Health (Boston, MA)
- …in state of residence + 3+ years of clinical hospital experience as a Registered Nurse in Medical/Surgical, Emergency room, Critical Care, ICU, or stepdown unit ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...of clinical experience in acute or post-acute setting + 2 + years of proficiency with computer skills which includes… more
- Travelers Insurance Company (Buffalo, NY)
- …parameters within their assigned state preferred. **What is a Must Have?** + Registered Nurse ; Licensed Practical Nurse or Licensed Vocational ... Imagine loving what you do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided… 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
