- A-Line Staffing Solutions (New York, NY)
- …Medicare, Medicaid, CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse , MCO, RN , Nurse , Managed Care, Medical ... CMS Guidelines, Utilization Review, Utilization Management , Registered Nurse , MCO, RN , Nurse , Managed Care, Medical Claims, Appeals,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... other members of the healthcare team to assure patient management that efficiently and effectively aligns with patient needs...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... organizational standardization. Participates in identifying expanded use of and improvement management utilization of NGHS continuum. Participates in identifying… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the health of our ... all campuses operated by NGHS. Collaborates with the physicians, patients, families, nursing, utilization review and other members of the health care team to ensure… more
- A-Line Staffing Solutions (Grand Rapids, MI)
- …now hiring Direct Hire Mental/Behavioral Health RNs in Grand Rapids, MI 49548. The Registered Nurse would be working DIRECTLY/PERM for a local organization and ... a permanent/direct hire opportunity, no temp/contract work Target start date: 09/09/2024 A Registered Nurse is responsible and accountable to perform the nursing… more
- 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: ... assigned.#LI-Hybrid License and current registration to practice as a Registered Professional Nurse in New York State...methodologies preferredVNS Health Job ID #R009771. Posted job title: Rn Utilization ReviewAbout VNS HealthVNS Health is… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... of system-wide opportunities as they relate to Value Analysis standardization, utilization and implementation. Facilitate Value Analysis Teams (VAT) to most… 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 & ... in the comfort of his or her own home. Registered Nurse ( RN ) Benefits: Being...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: ... commensurate with experience. Summary We are hiring a Patient Care Manager/Clinical Manager ( RN ) with Home Health experience. At St Mary's Home Health Care, a part… 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 & ... 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… more
- Legend Biotech USA, Inc. (Fort Worth, TX)
- …to: enhance proper administration, and educate on appropriate adverse identification and management . This is a field-based role that works closely with sales, ... Conducts peer-to-peer in-person and virtual educational programs through 1:1 APP/ Nurse and group presentations; Meet with identified customers in each… more
- Trusted Resource Associates (TRA) (Palm Springs, CA)
- Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Palm Springs, California.Job ... Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 09/25/2024Duration: 13 weeks40 hours per...Contract security compared to with an outside agency. The RN Case Manager is responsible to facilitating care along… more
- NorthBay Health (Fairfield, CA)
- As a Registered Nurse on the Neonatal Intensive Care Unit you will provide safe, effective, quality, excellent nursing care to our patients following Jean ... resuscitation, transitioning a newborn from intra to extra uterine life, safe utilization of medications, respiratory management of the infant to include… more
- PrideStaff (Wilmington, DE)
- …transactions in care and Annual Wellness Visits. QUALIFICATIONS Licensed and credentialed Registered Nurse 3-5 years' experience in a clinical or community ... Job Title: Nurse Navigator Location: Wilmington, DE Schedule: Monday -...performance. RESPONSIBILITIES Promote timely access to appropriate care. Increase utilization of preventative care. Reduce emergency room utilization… more
- Blanchard Valley Hospital (Findlay, OH)
- …resources. REQUIRED QUALIFICATIONS Licensed by the Ohio Board of Nursing as a Registered Nurse . Four (4) years clinical nursing experience. BCLS certification ... THIS POSITION The purpose of the role of the RN Case Manager is to develop, implement and evaluate...to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse ( RN ) license (must have a current unrestricted ... Care Management Nurse (Future Opportunities)Work from home...Looking For: Every day, Cambia's dedicated team of Care Management RN 's are living our mission to… more
- GHR Healthcare (Atlanta, GA)
- Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions that impact patient care? Join us as a ... Care Management Coordinator and play a key role in evaluating...a resource for members navigating the healthcare system. Data Management : Maintain accurate records and report trends or issues… more
- Sourcing Square US (Irving, TX)
- JOB SUMMARYThe Operating Room (OR) Registered Nurse ( RN ) is a licensed professional who uses the BSWH nursing professional practice model to coordinate ... qualification MAJOR - NursingEXPERIENCE - 2 Years of Experience CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN )Basic Life Support (BLS): BLS or… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- US Tech Solutions, Inc. (Columbia, SC)
- …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... sets/qualities: I would love to have someone with prior insurance/ utilization review experience, but I know that is not...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more
