- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This is a 1.0 FTE (80 hours per two week pay period), ... planning, coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of… more
- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job... + At least 2-5 years of experience in Utilization Management , Appeals Management or Case ... self-directed and work independently **Desired Qualifications + Experience with a case management / utilization management software program and EPIC (MiChart)… more
- HonorHealth (Phoenix, AZ)
- …1 year RN experience for all Float Positions Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Licensure as ... practice is guided by the ANA Standard for Professional Nurse and Code of Ethics. The RN ...months of hire date OR have 10 years of Registered Nurse Experience (direct or indirect). Required… more
- Northern Light Health (Portland, ME)
- …Week: 16.00 Work Schedule: Variable *Sign On Bonus for Eligible Candidates* Summary: The Registered Nurse II is a fully competent practitioner of nursing. The ... Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care… more
- Albany Medical Center (Albany, NY)
- …field of Clinical Social Work or Nursing with experience in Case Management , Utilization Review and Discharge Planning.* BLS Certification.* Demonstrated ... principles of conflict resolution and promote consensus building.* Represents Case Management /Social Work at organizational committee meetings as directed* Serves as… more
- Parkview North Hospital (Fort Wayne, IN)
- …Must have training/knowledge in regulatory requirements/standards. Licensure/Certification Requires current Registered Nurse ( RN ) licensure or must ... Experience Recent (1 - 2 years) Quality Improvement experience in quality management , regulatory compliance, utilization review, infection control, risk … more