- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and… 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 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
- LifePoint Health (Athens, TN)
- …RegionalMedical Centeris currently seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is ... **Job:** **Nursing* **Organization:** **Starr Regional Medical Center* **Title:** * Intake Nurse and Utilization Specialist * **Location:**… more
- McLaren Health Care (Bay City, MI)
- …and Responsibilities:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... denied cases. 5. Assists with monitoring the effectiveness/outcomes of the utilization management program, identifying and applying appropriate metrics,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- … (LVN)** **Location: Pearland Administrative Office, Main Campus** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...Nursing RN. **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... in an acute care setting Required 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact… 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 ... licensed in Colorado, be able to practice using a nurse compact state license or have a license from...checks. **DESIRED QUALIFICATIONS &** **SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, ... Summary The Managed Long Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical...and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management… more
- MyFlorida (Marianna, FL)
- REGISTERED NURSE SPECIALIST - 67039438 - Sunland - Day Shift Date: Sep 24, 2024 The State Personnel System is an E-Verify employer. For more information click on ... Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - 67039438 - Sunland -...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C - 60005472 Date: Sep 8, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 797758 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60005472 Position Number: 60005472 Salary:… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST - F/C - 67056731...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the ... . Requisition No: 837602 Agency: Agency for Persons with Disabilities Working Title: REGISTERED NURSE SPECIALIST - F/C - 67056731 APD/ DDDP CHATTAHOOCHEE, FL Pay… more
- Hackensack Meridian Health (Neptune, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management /Review Committee for documentation completeness and compliance ... and serve as a leader of positive change. The Clinical Documentation Specialist Registered Nurse facilitates improvement in the overall quality, completeness… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST OPS - 60955422 Date: Sep 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 772103 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST OPS - 60955422 Position Number: 60955422 Salary: $45.00… more
- Northwell Health (New York, NY)
- …and transfer of patients to the facility. Job Responsibility + Promotes optimum utilization of hospital beds; conducts rounds and meets with staff regarding bed ... is complete, and ensures hand-off of communication to accepting nurse . + Ensures beds are assigned based on level...of technical experience and 0-2 years of leadership / management experience, required. + 5 years RN experience, required.… more
- ManpowerGroup (Rancho Cucamonga, CA)
- … Department. + Communicate with providers in consultation with the Utilization Management Nurse , regarding authorizations, modifications, denials, ... **Job Title: Utilization Management Outpatient** **Duration: 6 months**...three (3) years of experience as a data entry specialist or coordinator + High school diploma or GED… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60953529 Date: Sep 7, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 817418 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS - 60953529 Pay Plan:...knowledgeable of and utilize the principles of Total Quality Management . The employee in this position spends a minimum… more
- Cambridge Health Alliance (Cambridge, MA)
- Nurse Practitioner - Clinical Specialist II (APRN), Psychiatry Apply (https://careers.chaproviders.org/clinical- specialist -2-psychiatry) Refer a Friend Back ... is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In keeping… more
- Sanford Health (West Fargo, ND)
- …three years of recent clinical nursing experience required. Experience in case management , utilization management , and/or coding preferred. Currently holds ... credit added to wage ** **Job Summary** The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …position requires registered nursing bedside experience. JOB SUMMARY: The Value Analysis Specialist plays a crucial role in optimizing cost-efficiency and quality in ... the procurement and utilization of medical supplies and equipment. This position requires a dedicated professional who can evaluate, analyze, and recommend… more