- TalentBurst, Inc (Irving, TX)
- …to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst ... TalentBurst, Inc is seeking a travel nurse RN Utilization Review for a...in order to determine appropriate level of care * Resource/ Utilization Management appropriateness: Assess assigned patient population… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... office location via secure virtual link to patient rooms.#RNSINDJob Summary: The Registered Nurse I (Virtual) assesses, plans, implements and evaluates nursing… 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: ... therefrom.Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License.Work Experience: 0 - 6 months related… more
- Idaho Home Health & Hospice (Meridian, ID)
- Registered Nurse : We are hiring for a Registered Nurse . Full Time Weekend Option At Idaho Home Health, a part of LHC Group, we embrace a culture of ... a home for your career here. As a Registered Nurse , you can expect: flexibility for...patient needs. Adheres to and participates in the agency's utilization management model. License Requirements Current RN… more
- Almost Family (Fond Du Lac, WI)
- …newly hired nurses, caregivers, or other staff as directed. License Requirements Must be a Registered Nurse licensed in the state of practice. Minimum of 1 year ... for home care services and establishment of frequencies and utilization for new admissions. Works closely with the Agency...experience preferred. State Specific Requirements CT: Must be a registered nurse with an active license to… more
- Advocate Aurora Health (Adell, WI)
- …with status report on a regular basis.Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected ... caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress,… 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 ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- AdventHealth (Tampa, FL)
- …Stroke Center. **The rol** **e you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 9:00am-5:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 80** Position Summary: Responsible for ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- University of Washington (Seattle, WA)
- Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open Until Filled Salary: $7375 - $13,396 per month Shift: ... benefits for this position, click here (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908\_a11y.pdf) . RN2, Utilization Management Specialist. This is a hybrid… 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
- University of Virginia (Charlottesville, VA)
- Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management ... UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission… more
- Cleveland Clinic (Stuart, FL)
- …+ Requires three years equivalent full-time clinical experience as a Registered Nurse . + Prior Utilization Management experience is preferred. + ... caregivers in a family-oriented, supportive environment. As a PRN Utilization Management (UM) Specialist, you will perform...ideal future caregiver is someone who: + Is a Registered Nurse (RN) with at least three… more
- Dignity Health (Northridge, CA)
- …required. + Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or insurance setting required. + Previous ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing… 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
- Trinity Health (Hartford, CT)
- …provide that care efficiently to control costs. **What you will do:** + As a ** Utilization Management Registered Nurse RN** you will conduct prospective, ... Connecticut Joint Replacement Institute, and the Smilow Cancer Hospital. **Keywords: Case Management ; Case Manager; Registered Nurse ; RN; BSN; Connecticut**… more
- AdventHealth (Orlando, FL)
- …a holistic environment. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by ... and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +...care clinical nursing experience required. + Minimum two years Utilization Management experience, or equivalent professional experience.… more
- Beth Israel Lahey Health (Needham, MA)
- …Functions and Responsibilities:** Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that ... payer certification, and denied cases. Monitors effectiveness/outcomes of the utilization management program, identifying and applying appropriate metrics,… 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
