- Novo Nordisk Inc. (Detroit, MI)
- …efficacy and new product development, CMR is involved. The one thing that keeps us all marching to the same beat is our patient-centered focus. At Novo Nordisk, ... relationships include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, pharmacists, blood bank staff, organized providers/IDNs, and… 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: Utilization ... activities such as development and engagement, clinical review, clinical risk management , and patient satisfaction. Serves as a resource to quality improvement… more
- GHR Healthcare (Atlanta, GA)
- …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 ... and act as a resource for members navigating the healthcare system. Data Management : Maintain accurate records and report trends or issues to improve care quality. more
- PrideStaff (Wilmington, DE)
- Job Title: Nurse Navigator Location: Wilmington, DE Schedule: Monday - Friday SUMMARY Under the direct supervision of the Chief Medical Officer, the incumbent ... work performance. RESPONSIBILITIES Promote timely access to appropriate care. Increase utilization of preventative care. Reduce emergency room utilization and… more
- University of Maryland Medical System (Largo, MD)
- …manager to maintain employee/supervisor relationships, and also assists in balancing time management for nurse manager. Assistant Manager is on-point to provide ... ill patients. In addition, our new space will allow us to expand our offerings as a community partner...strategies which support clinical pathways, discharge planning and case management .Under the direction and supervision of the Nurse… more
- University of Maryland Medical System (La Plata, MD)
- …years of clinical experience in a healthcare setting. Must have previous Case Management and Utilization experience; CCM (Certified Case Manager) or ACM ... unwavering commitment. It's our passion for people that motivates us to do great work every single day. We...benefits support a healthy, balanced lifestyle. Job Description Lead Nurse Case Manager Full-time / Day-Shift (Mon-Fri 8:30a-5p) UM… more
- Atrium Health Charlotte (Charlotte, NC)
- …part of Advocate Health, the third-largest nonprofit, integrated health system in the United States , which was created from the combination with Advocate Aurora ... Atrium Health Charlotte is seeking a Registered Nurse (RN) Home Health for a nursing job...and is the fifth-largest nonprofit health system in the United States , created from the combination of… more
- Trinity Health FirstChoice (Langhorne, PA)
- …and hundreds of primary, specialty and continuing care centers across the United States .BenefitsEmployee assistance programs403b retirement planDiscount program ... Trinity Health FirstChoice is seeking a travel nurse RN Case Management Manager for...management of patient care including discharge planning and utilization needs. Supports ministry and system goals for capacity… more
- MedPro Healthcare Staffing (Irving, TX)
- …, Agency Nurse , Travel Contract, Travel Nursing, Case Manager, Case Management , Utilization Review, Case Manager RN*Weekly payment estimates are intended for ... Bonuses up to $1,000Duties ResponsibilitiesThe role of the case management nurse (RN) is to coordinate continuity...and allied travelers in top healthcare facilities nationwide. Join us today for your very own MedPro Experience(R).If qualified… 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: ... daysEmployment Type: StaffBSW ROUND ROCK MEDICAL CENTER EXPANSION 2025Join us in an extraordinary opportunity to be at the...beginning on January 6, 2025.JOB SUMMARYThe Cath Lab Registered Nurse (RN) is a licensed professional who uses the… more
- Pacer Staffing (Atlanta, GA)
- …Required: Current unrestricted licensure in an appropriate state or territory of the United States , as a Licensed Clinical Social Worker or Registered ... Nurse US Citizenship Must be able to...Nurse US Citizenship Must be able to receive a favorable...build group engagement. Technical Skills: Thorough knowledge of Case Management , Utilization Management , TRICARE policies… more
- Pacer Staffing (Atlanta, GA)
- …regulatory requirements, and HIPAA privacy regulations. . Thorough knowledge of Case Management , Utilization Management , HIPAA Privacy and Security ... Job Summary . Provides Disease Management (DM) services to TRICARE beneficiaries. . The... (DM) services to TRICARE beneficiaries. . The DM nurse will collaboratively assess, plan, implement, coordinate, monitor and… more
- WellSpan Health (York, PA)
- Utilization Management Nurse (RN)...accommodation due to a disability, please reach out to us via email ###@wellspan.org. We will evaluate requests for ... effective and quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible for screening… 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 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Humana (Montgomery, AL)
- …a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the… more
- Cedars-Sinai (Los Angeles, CA)
- …as a condition of continued employment. **Req ID** : 4870 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem **Department** : ... nationwide that have outstanding levels of employee engagement. Join us , and discover why US News &... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- CVS Health (Montgomery, AL)
- …Must possess 1+ years of clinical experience in acute or post acute setting - Utilization Management is a 24/7 operation and the work schedule may include ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working… more
- Katmai (Usaf Academy, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... using a nurse compact state license or have a license from any United States jurisdiction (with no limitations, stipulations or pending adverse actions). +… more
- CVS Health (Chandler, AZ)
- …Following training, position is remote with occasional in office requirement.** Utilization Review - Precertification Nurse is responsible for telephonically ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs… more
