- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse (RN) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: ... Utilization ReviewDiscipline: RNStart Date: ASAPDuration: OngoingEmployment Type: StaffLeads interdepartmental...assigned.#LI-Hybrid License and current registration to practice as a Registered Professional Nurse in New York State… more
- Protouch Staffing - Permanent (El Paso, TX)
- Protouch Staffing - Permanent is seeking a Registered Nurse (RN) Case Management for a nursing job in EL Paso, Texas.Job Description & RequirementsSpecialty: ... Benefits: All Standards benefits are covered. Manager of Case Management RN - El Paso, TX Job Type: Full...retrospective review of patient medical records for purposes of utilization review, compliance with requirements of external review agencies… more
- Atrium Health Charlotte (Charlotte, NC)
- Atrium Health Charlotte is seeking a Registered Nurse (RN) Home Health for a nursing job in Charlotte, North Carolina.Job Description & RequirementsSpecialty: ... Preferred Healthcare is looking for a dedicated and compassionate Registered Nurse to Join our TEAM! This...and Fri 10 hours Job Summary Serves a case management role, responsible for an assigned group of patients,… more
- LHC Group (Reno, NV)
- LHC Group is seeking a Registered Nurse (RN) Home Health Clinic for a nursing job in Reno, Nevada.Job Description & RequirementsSpecialty: ClinicDiscipline: ... evaluates, and supervises service delivery to ensure appropriateness of care and utilization of services, equipment, and supplies through activities such as random… more
- Baylor Scott & White Health (Round Rock, TX)
- Baylor Scott & White Health is seeking a Registered Nurse (RN) Cardiac Cath Lab for a nursing job in Round Rock, Texas.Job Description & RequirementsSpecialty: ... by November 2024, and start dates beginning on January 6, 2025.JOB SUMMARYThe Cath Lab Registered Nurse (RN) is a licensed professional who uses the BSWH nursing… 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
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health ... for the state the consultant resides in - 4-5 years of Remote Utilization Management experience at Payors, inpatient or outpatient - Proficiency using a MacBook… more
- Humana (Louisville, KY)
- **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 ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the state of… more
- Cedars-Sinai (Los Angeles, CA)
- …condition of continued employment. **Req ID** : 4870 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem **Department** : ... from an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:** + Minimum... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Humana (Montgomery, AL)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... interpretation and independent determination of the appropriate courses of action. The Utilization Management Registered Nurse 2 uses clinical knowledge,… 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
- 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
- AdventHealth (Tampa, FL)
- **All the benefits and perks you need for you and your family:** .Paid Days Off from Day One .Student Loan Repayment Program .Career Development .Whole Person ... Wellbeing Resources .Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in… more
- WellSpan Health (York, PA)
- …+ 5 years In leadership experience. Required + 3 years Utilization Management Experience. Preferred Licenses: + Licensed Registered Nurse Preferred ... Full Time General Summary Supervises and oversees the operations of the utilization management department. Works with hospital, regional, medical group,… more
- Actalent (Santa Barbara, CA)
- Non-profit healthcare network is looking for a utilization management registered nurse to join their team on a contract basis! Opportunity to gain ... Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one...These units include, but are not limited to, the Utilization Management , Case Management , Enhanced… more
- Centene Corporation (Madison, WI)
- …degree and 4+ years of related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse ... to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence… 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
- Providence (Spokane, WA)
- …and/or Utilization Review/ Utilization Management . + Upon hire: Washington Registered Nurse License + Education or experience in Case Management ... of Within area of practice. + Previous experience preferred in case management ; clinical nursing and/or utilization management . **Preferred qualifications**… more
- Sutter Health (Burlingame, CA)
- **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients coming in from the ED. ... **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN- Registered Nurse of California Upon Hire CCM certification preferred… 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
