- TalentBurst, Inc (Irving, TX)
- TalentBurst, Inc is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.Job Description & RequirementsSpecialty: ... and vendors to obtain approved certification for services. The RN Utilization Review Nurse collaborates...tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \… more
- Home Care Solutions (Thompsons Station, TN)
- …meet patient needs. Adheres to and participates in the agency's utilization management model. License Requirements Current RN licensure in state of practice ... The Registered Nurse in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... Veterans/DisabilitySaint Francis Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg Virtual NursingAbout Saint… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... Protected Veterans/DisabilitySaint Francis Healthcare System Tulsa Job ID #JR14143. Posted job title: Rn , Registered Nurse Endoscopy - Day ShiftAbout Saint… more
- Almost Family (Fond Du Lac, WI)
- … registered nurse in the field of aging or disabilities. TX: Must be a registered nurse ( RN ) licensed in Texas and have at least one year experience ... for home care services and establishment of frequencies and utilization for new admissions. Works closely with the Agency...other staff as directed. License Requirements Must be a Registered Nurse licensed in the state of… more
- Central Missouri Home Health (Jefferson City, MO)
- We are hiring for a full-time Home Health Patient Care Manager RN to join our passionate team in Jefferson City, MO! This is an office position. At Capital Region ... new orders and updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going forward. Writes and… more
- Sharp HealthCare (San Diego, CA)
- …Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... care and supports other members of the System Centralized Utilization Management team to ensure final status...clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA… more
- Centene Corporation (Salem, OR)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. **(Location must reside in Oregon)** + Monitors… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …annual bonus eligibility, and more! **Responsibilities** **Job Summary / Purpose** 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...**Required Licensure and Certifications:** Current unrestricted licensure as a Registered Nurse in the state of Washington… more
- Trinity Health (Darby, PA)
- …with the RN Care Coordination Manager, provides support to the utilization management , denials and appeals process for the THMA South hospitals. ... Full time **Shift:** Day Shift **Description:** The Appeals and Utilization Management Coordinator under direction and in...processing and accuracy of patient stay claims data, denials management , and appeals. Assists RN Manager with… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, ... coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the... RN licensure in MN + 3-5 years utilization review or case management experience in… more
- McLaren Health Care (Detroit, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department: Utilization Management ** **Daily Work Times: 9:00am-5:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 80** Position Summary: Responsible for… more
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible… more
- Hackensack Meridian Health (Brick, NJ)
- …community resources, and utilization management + NJ State Professional Registered Nurse License required + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The **Care Management , Care Coordinator** , ** Utilization Management ** is a member of the healthcare team… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to...**Licenses and Certifications Required** : + NJ State Professional Registered Nurse License + AHA Basic Health… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management , RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of ... Inc. at https://www.mdwise.org/ **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Hackensack Meridian Health (Edison, NJ)
- **Overview** The Care Management , Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. AHA Basic Health… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
