- Careerbuilder-US (Atlanta, GA)
- Job Title: Utilization Review Nurse I Location: 100% Remote Duration: 3 months (Possibility of extension) Shift timings: 8:00 AM to 5:00 PM EST (Mon-Fri) Pay ... the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities… more
- TalentBurst, Inc (Irving, TX)
- …insurance providers and vendors to obtain approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members ... with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst Health & Life… more
- Supplemental Health Care (Syracuse, NY)
- …visit Supplemental Health Care Job ID #1164260. Posted job title: Registered Nurse Utilization Review .About Supplemental Health CareAt Supplemental Health ... Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York.Job Description &… more
- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job Description ... 13 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelImmediate need for Utilization Review RNs for a Connecticut Healthcare Network. After orientation,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Aequor (New York, NY)
- …York State Prefer minimum of 1-3 years relevant experience in case management, utilization review and/or quality assurance Experience in acute episodic care, ... in a smooth transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such as triage, counseling,… more
- US Tech Solutions, Inc. (Columbia, SC)
- …Preferred/Nice To Have skill sets/qualities: I would love to have someone with prior insurance/ utilization review experience but I know that is not very common. ... Job Title: Licensed Practical Nurse Location: Columbia, SC 29219 Duration: 06 months...any of the following in support of medical claims review and utilization review practices:… more
- MUSC (Charleston, SC)
- …Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Required Licensure, Certifications, ... Job Description Summary The Nurse Case Manager (NCM) I reports to the...as a clinical expert related to discharge planning, resource utilization , and case management.Entity Medical University Hospital Authority (MUHA)Worker… more
- Kaiser Permanente (Fontana, CA)
- …general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management.Working knowledge ... Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job...risk and/or patient safety which are identified during case review or other activities.Reviews, analyses and identifies utilization… more
- MUSC (Charleston, SC)
- …Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Case Management certification preferred. ... with 2-year commitment. Fair Labor Standards Act Status: Salaried Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management and… more
- MUSC (Charleston, SC)
- …Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Required Licensure, Certifications, ... Days. 8:00a:4-:30p. Fair Labor Standards Act Status: Hourly Job Summary/Purpose: The Nurse Case Manager (NCM) I reports to the Manager of Case Management… more
- Community Health Plan of Washington (Medford, OR)
- …organization. * Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or ... behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective… more
- ResCare Community Living (Canton, OH)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... meetings* Chairs committees as applicable (eg safety, infection control, incident/accident review , human rights, etc.).* Participates in the development of the… 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: Virtual ... click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a...location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office… more
- Pine Rest Christian Mental Health Svc (Grand Rapids, MI)
- …leader, delegating/coordinating staff assignments and promoting staff development.Responsible for the utilization and continued review of patient care protocols, ... are honored to be a part of this incredible work.What Will You Do?As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in the healing… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... Center of Excellence in Minimally Invasive Surgery and Robotic Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...with members on their medications and durable medical equipment, review member care plans, address home care needs, and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Direct Contracting, pay for performance) and measures related to efficient utilization and cost.Participates in the development/ review /revision of standard work ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...with members on their medications and durable medical equipment, review member care plans, address home care needs, and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia...admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or… more
- UT Health Tyler (Tyler, TX)
- …to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here's how ... and service of patients across the continuum promoting quality care, effective utilization of resources and assuming a leadership role with the interdisciplinary… more
