- CHRISTUS Health (San Antonio, TX)
- Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and ... and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network… more
- Christus Health (Alamo Heights, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Christus Health (Corpus Christi, TX)
- …for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established ... and addressing staff training and development needs. Standard I. Human Resources Management Evaluates and specifies the critical resources required to accomplish the… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full Time Registered Nurse - Utilization Management Position in the Quality ... and continued stay criteria and best clinical documentation and utilization management practices to ensure efficient resource...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …at the Phoenix VA Healthcare System in Phoenix, AZ. Responsibilities The Utilization Management (UM) Registered Nurse at the PVAHCS plays a pivotal role ... nurse possess an in-depth understanding of InterQual criteria, utilization management processes, clinical documentation standards, and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... their appropriate admission status. This individual will support the Utilization Management process by maintaining effective and.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… 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
- Actalent (Santa Barbara, CA)
- …Management Nurse - REMOTE OPPORTUNITY Non-profit healthcare network is looking for a utilization management registered nurse to join their team on ... to work a 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU:...Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse (RN)** ** Utilization Manager** for a full-time position in support of the **Naval Health ... staff, newcomers, as appropriate. * Participate in all phases of the Utilization Management Program (UMP) and ensure that the UMP meets established … 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
- Emory Healthcare/Emory University (Duluth, GA)
- …+ And more **Description** **FT / PT / Days / Nights** We're seeking a ** Registered Resource Utilization Critical Care Nurse ,** who will be primarily ... direct patient care assignment as needed while the primary nurse is off unit with another patient, and assisting...nurse may assist the emergency department in the management of critical care patients awaiting inpatient bed admission… more
- VHC Health (Arlington, VA)
- Case Manager/ Utilization Review Registered Nurse Job Description Purpose & Scope: The Case Manager is responsible for the collaborative process of ... is required. Experience: Five years of experience in the healthcare field is preferred. Experience in case management is preferred. Certification/Licensure: None. more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …(https://www.elicense.ct.gov/) online (expand the 'Public Health Practitioners' grouping, select ' Registered Nurse ' and then 'Start'; + Request verification ... Utilization Review Nurse Coordinator Office/On-site Recruitment # 241015-5613FP-001 Location East Hartford, CT Date Opened 10/17/2024 12:00:00 AM Salary $86,261… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… more
- CVS Health (Sacramento, CA)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Harrisburg, PA)
- …and deliver solutions to make health care more personal, convenient and affordable. Utilization Management is a 24/7 operation and work schedule may include ... Qualifications** + 3+ years clinical practice experience as a Registered Nurse preferably in an acute setting...and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and… more
- Humana (Columbus, OH)
- **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 KY, IN, MI,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity ... and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and… more
- CVS Health (Trenton, NJ)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Raleigh, NC)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** ** Utilization Management is a 24/7 operation and work schedules may ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and… more
