- 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 ... Education/Experience Requirements Required: + Minimum of two (2) years utilization review/case management experience or social work experience. Preferred: +… more
- Trinity Health (Springfield, MA)
- …program. BSN graduate preferred, Master's preferred + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... Shift **Description:** Requires BSN At **Mercy Medical Center** the ** Utilization Review/Appeals & Denials** ** RN ** performs ...criteria, and assists the physician, bedside Registered Nurse , ICC and Social Worker with utilization … more
- Ascension Health (Destin, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Florida Board of Nursing ... **Details** + **Department: Utilization Review** + **Schedule: 3 (8) hour days...hire dateor job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from… 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
- University of Virginia (Charlottesville, VA)
- …2 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 in the Utilization Management process. They collaborate with physicians… 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
- Ascension Health (Tulsa, OK)
- …codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing obtained ... **Details** + **Department:** Utilization Management + **Schedule:** FT, Monday-Friday, 8am-5pm +...strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. Responsibilities: +… more
- Trinity Health (Syracuse, NY)
- …Day Shift **Description:** $10,000 NEW HIRE SIGN ON BONUS **Position Purpose:** The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) ... actively manages the utilization review process and patient progression from Admission to...and works collaboratively with unit staff and support team ( RN , Physician/Clinical Affiliate, DPA, MSW, CDI, Rehab Services, etc.)… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan ... No Weekends, No Holidays! **Job Specific Position Duties:** * Provides Utilization Management activities and functions by using MTF specific Quality Improvement… more
- LifePoint Health (Danville, VA)
- * Registered Nurse , RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...offering safe discharge planning is the use of a Utilization RN and Case Manager RN… more
- Crossroads Hospice & Palliative Care (Chester, PA)
- …+ Utilize case management principles to ensure continuity of care and appropriate resource utilization Registered Nurse ( RN ) Hospice Case Manager ... serve. Together, we can create lasting impacts that transcend medical treatment. Registered Nurse ( RN ) Hospice Case Manager Qualifications: + 6 months… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Description** **Remote Position** We're seeing an **Assistant Manager, Utilization Review ( Registered Nurse / RN )** responsible for supervising and ... coordinating activities of personnel in the Utilization Review Department, including staff schedules to ensure appropriate...Minimum Qualifications: + Must have a valid, active unencumbered Registered Nurse license or temporary permit approved… 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...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession… more
- Trinity Health (Dubuque, IA)
- …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... social and public policy to promote social justice. The registered nurse at MercyOne is a collaborative...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession… more
- Trinity Health (Dubuque, IA)
- …standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to ... social and public policy to promote social justice The registered nurse at MercyOne is a collaborative...leadership and by external regulators and accreditation agencies. The RN actively promotes MercyOne Nursing and the nursing profession,… more
- Hartford HealthCare (Norwich, CT)
- …the goal of improving the health of our communities. The Registered Nurse demonstrates clinical competence through utilization of the nursing process and ... matters.* **Job:** **Behavioral Health / Psychiatry* **Organization:** **Backus Hospital* **Title:** * Registered Nurse ( RN ) - Emergency Department… more
- Henry Ford Health System (Rochester, MI)
- …standards and guidelines, relevant statues, rules, and regulations.| Standard 15: Resource Utilization - The registered nurse utilizes appropriate resources ... all of the following are essential functions| Standard 1: Assessment - The registered nurse collects comprehensive data pertinent to the healthcare consumer's… more
- The Arora Group (Bethesda, MD)
- …Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The Contractor ... Licensed Practical Nurse (LPN) - Utilization Review ...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Stanford Health Care (Palo Alto, CA)
- …a remote Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN ) will be responsible for ensuring the ... health record (EHR) systems and other healthcare software. **Licenses and Certifications** + Nursing/ RN - Registered Nurse - State Licensure and/or Compact… more
- Health Advocates Network (Medford, OR)
- …experience. * Pay Rate: $2,608 weekly * Specialty: Discharge Planning and Utilization Review Registered Nurse ( RN ) * Shift: Day * 13 Week Contracts and ... * 2 years of experience as a Discharge Planning and Utilization Review Registered Nurse ( RN ) * American Heart Association BLS * An active, current (OR)… more