- University of Maryland Medical System (Lake Arbor, MD)
- …Qualifications Licensure/Certification/Registration Required: Current license in good standing as a Registered Nurse in Maryland or a compact state. Preferred: ... to a Nursing Director - or other senior clinical leader, the Assistant Nurse Manager (ANM), is accountable for the delivery of patient care services in support… more
- University of Maryland Medical System (Bel Air, MD)
- …technology, and an exceptional patient experience. A community-based, integrated, non-profit health system , our vision is to become the preferred, integrated health ... system creating the healthiest community in Maryland. We are...complete, accurate and compliant records. Works collaboratively with the Director , Population Health, management team within the Population Health… more
- Point32Health (Canton, MA)
- …perform the job** **Education, Certification and Licensure** + Master's degree preferred. + RN ( Registered Nurse ) with unrestricted MA license preferred. + ... are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, leading,… more
- Dignity Health (Bakersfield, CA)
- …- Master's degree in nursing or equivalent experience required. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of federal, state and local ... Arizona, with a clear and current CA RN license.** **Position Summary:** The Director of Utilization Management is the senior lead over the utilization … more
- CareFirst (Baltimore, MD)
- …is required in addition to the required work experience. **Licenses/Certifications:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... location based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the … more
- Prime Healthcare (Ontario, CA)
- … Review or Case Management with a large Health Plan + An active CA Registered Nurse license + Current BCLS (AHA) certificate upon hire and maintain current ... Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Corporate Director of Clinical Utilization Management (UM)… more
- Catholic Health Initiatives (Lexington, KY)
- …both inside our hospitals and out in the community. **Responsibilities** The Utilization Management (UM) Director is responsible for the market(s) development, ... implementation, evaluation and direction of the Utilization Management Program and staff in support of the...processes appeals and reconsiderations. In collaboration with the Division Director Care Coordination, the UM Director develops… more
- SSM Health (St. Louis, MO)
- … ( RN ) - Illinois Department of Financial & Professional Regulation (IDFPR) + OR + Registered Nurse ( RN ) Issued by Compact State + OR + Registered ... and ministries in identifying process improvement opportunities. Oversees the system utilization management committee with physician leadership....- Missouri Division of Professional Registration + OR + Registered Nurse ( RN ) - Oklahoma… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …+ Master's Degree **Licenses and Certifications Preferred:** + NJ State Professional Registered Nurse License or NJ Licensed Social Worker **Job ID** ... third party payers and communicate potential or identified concerns to the treatment team, Director of Utilization Management, and the Medical Director . +… more
- Carle (Urbana, IL)
- …of multidisciplinary team members and the medical staff. + Collaborates with the System Director Utilization Management and Clinical Denial Management. + ... Administration or + Bachelor's Degree in Nursing CERTIFICATION & LICENSURE REQUIREMENTS + Registered Professional Nurse ( RN ) License Illinois upon hire and… more
- BrightSpring Health Services (San Antonio, TX)
- …Education: Degree from an accredited school of nursing Qualifications:* Must be a Licensed Registered Nurse ( RN ) in good standing and currently licensed by ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at… more
- Dignity Health (Bakersfield, CA)
- …Master's Degree - Masters Degree in healthcare or business related field. + Current Registered Nurse ( RN ), Social Worker (SW) or equivalent licensure ... is built out, the PHSO will align to a system strategy set in partnership with our national Population...+ Provides leadership oversight to the Managed Care - Director of Utilization Management (UM) ensuring partnership… more
- Banner Health (Phoenix, AZ)
- …commitment to the latest health care advancements and excellent patient care. As the **Associate Director Registered Nurse RN Operating Room** , you will ... unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating quality and process… more
- Banner Health (Tucson, AZ)
- …and ratings of hospitals' performance in 20 procedures and conditions. As the **Associate Director Registered Nurse RN Intraop, supporting our new ... unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating quality and process… more
- Banner Health (Torrington, WY)
- …wealth of recreational opportunities. Torrington Community Hospital is looking for a full-time Registered Nurse Associate Director to oversee the Surgical ... a state-of-the-art emergency department, electronic medical records and a computerized OB system designed to reduce the chances of complications during labor and… more
- Banner Health (Sterling, CO)
- …or admiring unique public art. Sterling Regional MedCenter is looking for a full-time Registered Nurse Associate Director in Sterling, Colorado. In this ... unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating quality and process… more
- Access Dubuque (Dubuque, IA)
- Registered Nurse ( RN ) - Cardiovascular...reflects a flat structure. The professional registered nurse reports to the Clinical Director , who in ... standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to… more
- Trinity Health (Dubuque, IA)
- …Therefore, the nursing organization reflects a flat structure. The professional registered nurse reports to the Clinical Director , who in turn reports to the ... standards and guidelines, relevant statutes, rules, and regulations. Standard 15. Resource Utilization The registered nurse utilizes appropriate resources to… more
- Banner Health (Casa Grande, AZ)
- …is based at the Banner Casa Grande campus. Our multidisciplinary team of Nurse Managers, Registered Nurses, Paramedics, ED Technicians, Case Management, Social ... to our patients. We are looking for an Associate Director to help lead this amazing team of patient...clinical expertise of one of the nation's leading health systems . The state-of-the-art facility cares for patients through all… more
- Pipeline Health System, LLC (Gardena, CA)
- Case Manager Registered Nurse RN - Per Diem...and in the required information system . + The RN CM reports to the Director /Manager of the ... (CM) performs a wide variety of tasks and functions. These include utilization review, discharge planning, care coordination and variance management to assure the… more
