- Penn State Health (Hershey, PA)
- …status, and family medical or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - DAY SHIFT - ... maintaining compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATIONS:** + Bachelors Degree...setting required. + Currently licensed to practice as a Registered Nurse by state of employment or… 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...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- AdventHealth (Kissimmee, FL)
- …Dialysis, Laboratory, and Imaging services. **The role you'll contribute:** **The Care Transitions Registered Nurse ensures that a care plan is carried out in ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- AdventHealth (Altamonte Springs, FL)
- …telephonically, also support telephonically. **The role you'll contribute:** The Care Transitions Registered Nurse ensures that a care plan is carried out ... various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons,...State of Florida or multi state license as a Registered Nurse + Basic Life Support (BLS)… more
- Geisinger (Pittston, PA)
- …within 3 years of hire - American Nurses Credentialing Center (ANCC); Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic Life Support ... and ongoing maintenance of New Manager Training Program, Ambulatory Nurse Leader program, and developing, implementing, and maintaining ongoing professional… more
- Sanford Health (Thief River Falls, MN)
- …three years of recent clinical nursing experience required. Experience in case management , utilization management , and/or coding preferred. Currently holds ... **Salary Range:** 27.50 - 44.00 **Job Summary** The Clinical Documentation Specialist (CDS) communicates with providers, case managers, coders, and other healthcare… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization ... as an employee, but as a person. As a * registered nurse ( RN )* joining our...the lives of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete… more
- LifePoint Health (Henderson, NC)
- …or local law. **Job:** **Case Management /Social Services* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager Full Time* **Location:** ... Registered Nurse ( RN ) Case Manager Up to...in the lives of those we serve. Connect with our RN recruiting specialist . Do you need more time to… more
- AdventHealth (Daytona Beach, FL)
- …documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and ... Diploma degree + State of Florida license as a Registered Nurse + Two (2) years of...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C -...Evaluation and Treatment Center is looking for a skilled RN to join our team, providing comprehensive care and ... Requisition No: 843066 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C - 60032928...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
- University of Washington (Seattle, WA)
- …joining UW Medicine** **Harborview Medical Center** has an outstanding opportunity for a ** Registered Nurse ( RN )** to join our **Outpatient Specialized ... STEP team consists of 6 team members: a program director/family education specialist , therapist, psychiatrist, registered nurse , supportive employment and… more
- MyFlorida (Chattahoochee, FL)
- REGISTERED NURSE SPECIALIST -...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… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSE SPECIALIST -F/C OPS - 60957257 Date: Dec 30, 2024 The State Personnel System is an E-Verify employer. For more information click on our ... . Requisition No: 843860 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST -F/C OPS - 60957257 Pay… more
- AdventHealth (Orlando, FL)
- …+ Associate of Science degree in Nursing (ASN) + Current valid license as a Registered Nurse in the state of Florida + Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...+ Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... near vision, visual monotony. EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state… more
- MyFlorida (Orlando, FL)
- 68026222 - REGISTERED NURSE SPECIALIST Date: Jan 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 836314 Agency: Agency for Health Care Administration Working Title: 68026222 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position Number:… more
- Louisiana Department of State Civil Service (Lafayette, LA)
- Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4788940) Apply Registered Nurse Supervisor A Salary ... development and stimulation of services of others, and the utilization of available resources in the most effective manner....for this vacancy. Job Description: This is a professional Registered Nurse Supervisor A nursing position assigned… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Nursing Job Type Part-time Description As a Registered Nurse ( RN ) at Fenway Health ... to the care team with primary responsibilities for disease management , care coordination, and advice/triage needs for the care...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- Northwell Health (Melville, NY)
- … Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts ... entry date. + Current License to practice as a Registered Professional Nurse in New York State...specialized certifications as needed. + Prior experience in Case Management , Utilization Review, and Appeals/Denials, highly preferred.… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...experience* at the level of Los Angeles County classification Registered Nurse I**. -AND- 2. A license… more