- MedPro Healthcare Staffing (Irving, TX)
- …Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our ... Agency Nurse , Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review , Case Manager RN*Weekly payment estimates are intended for… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …as opportunities for improvement up the chain of command. Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Evening...physician advisor. Works collaboratively with the physicians, patient/family, nursing, utilization review and other members of the… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the ... surgeries for: General, Gynecology, Orthopedics, Podiatry and ENT. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Blanchard Valley Health System (Findlay, OH)
- …Care Transitions Team, including the disciplines of Social Work, Case Management, Utilization Review , and Emergency Department Care Navigation to support ... during acute care stay. Duty 9: Maintains position as Utilization Review committee chair. Works in collaboration...service area. REQUIRED QUALIFICATIONS Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4… more
- Pacer Staffing (Atlanta, GA)
- …other duties as assigned. Regular and reliable attendance is required. Required: Registered Nurse , with current unrestricted license in appropriate state 4+ ... criteria required. Preferred: TRICARE experience Qualified for Certified Professional Utilization Review Certification or Certified Professional Utilization… more
- Pacer Staffing (Atlanta, GA)
- …state or territory of the United States, as a Licensed Clinical Social Worker or Registered Nurse US Citizenship Must be able to receive a favorable Interim and ... Job Summary: The position provides case management services for TRICARE beneficiaries registered in the Extended Care Health Option (ECHO) under TRICARE. The ECHO… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Dartmouth Health (Lebanon, NH)
- …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - Basic Life Support ... (BLS) Certificate required. * Remote:Hybrid Remote; * Area of Interest:Nursing; * FTE/Hours per pay period:.01 hrs/per week (per diem/temp); * Shift:Rotating; * Job ID:26030; Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All… 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 ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …of a team providing compassionate whole health care to Veterans? Responsibilities The Utilization Management (UM) Registered Nurse (RN) executes position ... leadership, experience, and creative approaches to management of complex utilization processes. Practical experience in the application of UM...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- McLaren Health Care (Port Huron, MI)
- …accordance with established SOP procedures. 9. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in nursing from accredited… more
- Cleveland Clinic (Weston, FL)
- …from an accredited school of professional nursing. + Current state licensure as a Registered Nurse (RN). + Basic Life Support (BLS) certification through the ... patient's hospital stay or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review , providing clinical… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Sutter Health (Burlingame, CA)
- …**EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN- Registered Nurse of California Upon Hire CCM certification preferred ... and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of… 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: ... Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource...in determining what cases to refer for second level review to external physician consultants and internal UVA UR… more
- New York State Civil Service (Malone, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 Utilization Occupational Category Health Care, Human/Social ... NY Zip Code 12953 Minimum Qualifications LICENSED AND CURRENTLY REGISTERED IN NYS AND ONE YEAR POST RN LICENSURE...YEAR POST RN LICENSURE NURSING EXPERIENCE DEVOTED EXCLUSIVELY TO UTILIZATION REVIEW . PART-TIME UTILIZATION … more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA ... procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 Utilization Occupational Category Health Care, Human/Social ... 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… more
- Dartmouth Health (Lebanon, NH)
- … Utilization Management is responsible for day to day operations of the utilization review program at multiple Dartmouth Health system hospitals covering a ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - BLS certification… more
