- VNS Health (Manhattan, NY)
- VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: ... and appeals or related area such as medical or utilization management requiredProficient verbal/written communication skills requiredProficient computer… 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
- Trinity Health FirstChoice (Langhorne, PA)
- …hours per weekShift: 8 hours, daysEmployment Type: TravelAre you an experienced Registered Nurse , Case Manager looking for premium compensation and maximum ... range of assignments availableHousing and meal stipendMinimum Qualifications/Requirements of a FirstChoice Nurse : Registered nurse with a license in the… 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 ... Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment...Bonuses up to $1,000Duties ResponsibilitiesThe role of the case management nurse (RN) is to coordinate continuity… 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
- 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
- McLaren Health Care (Port Huron, MI)
- …as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care,...and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in… more
- Humana (Columbus, OH)
- …related to Utilization Management and/or Behavioral Health. + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid ... + Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time… 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
- University of Virginia (Charlottesville, VA)
- Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management ... UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission… more
- Avera (Sioux Falls, SD)
- …opportunities for career growth. **Avera Health Plans is looking for a Registered Nurse (RN) - Utilization Management to join our Team!** **_Position ... pride by delivering excellent care. **Job Summary** + The Utilization Management RN is responsible for authorization...Experience** + Bachelor's degree in Nursing is preferred. + Registered Nurse with a minimum of five… 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
- Henry Ford Health System (Detroit, MI)
- …clinical experience required. + Previous utilization management or case management experience preferred. + Registered Nurse with a valid, ... Would you like to speak with a Nurse Recruiter? (https://outlook.office365.com/owa/calendar/###@henryfordhealthsystem.onmicrosoft.com/bookings/) At Henry Ford Hospital, all… more
- Centene Corporation (Jefferson City, MO)
- …2+ years supervisory experience preferred. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered ... Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates… 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
