- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Clinical Support Work Shift/Schedule:12 Hr Evening - MorningNortheast Georgia Health System is rooted in a foundation of improving the health of our ... communities. About the Role:Job SummaryResponsible for the systematic review of patient throughput including evaluating and implementing strategies and operational… more
- UNC Health Care (Rocky Mount, NC)
- …Carolina license without sanctions)** Preferred Certifications & Licensures + Utilization Review or other applicable certification **Professional Experience ... - acute care (acute hospital setting) + 0-2 healthcare/medical - - utilization review (or other healthcare-related experience) Preferred Experience: +… more
- Louisiana Department of State Civil Service (Jennings, LA)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient ... REGISTERED NURSE SUPERVISOR A-DAY/ EVENING Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4249359) Apply REGISTERED NURSE SUPERVISOR… more
- CVS Health (Trenton, NJ)
- …in ER, Med/Surg, and/or Critical care setting + Managed Care experience + Utilization review experience + Experience working with electronic medical record ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management… more
- CVS Health (Jefferson City, MO)
- …in ER, Med/Surg, and/or Critical care setting + Managed Care experience + Utilization review experience + Experience working with Electronic medical record ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Part Time John Theurer Cancer Center Nurse Practitioner performs the role utilizing the patient-centered coordinated care model demonstrated ... practice, consultation/collaboration, coaching/guiding, research, and ethical decision making. Part-time evening position to cover inpatient APN needs. M-F, Hours… more
- Sutter Health (Burlingame, CA)
- …and case management within a managed care environment. Comprehensive knowledge of Utilization Review , levels of care, and observation status. Awareness of ... **Organization:** Bay Administration **Position Overview:** Responsible for Utilization Management and accurate bed placement for patients coming in from the ED.… more
- CVS Health (New Albany, OH)
- …3 months. Following training, position is remote with occasional in office requirement.** Utilization Review - Precertification Nurse is responsible for ... **Fundamentals:** Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit...Friday 8:00 AM to 4:30 PM local time with evening rotation required about 2 times a month until… more
- Sharp HealthCare (San Diego, CA)
- …and internal transfer requests and direct admission requests. This position supports utilization review functions to ensure appropriate patient status and ... while ensuring compliance with all local, state and federal regulations governing utilization review activities and/or care management. Expected outcomes include… more
- Stanford Health Care (Palo Alto, CA)
- …records to ensure the necessity and appropriateness of care provided. 3. Utilization Review : Conduct thorough utilization reviews, applying evidence-based ... onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will...utilization management principles. + Experience in case management, utilization review , or related healthcare roles. +… more
- UNC Health Care (Hillsborough, NC)
- **Description** RN Utilization Manager is responsible for clinical reviews for medical necessity for both admission and continuing stay patients during the day shift ... episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to… more
- WMCHealth (Valhalla, NY)
- …implementation or investigation of the procedures specified in the Quality Management, Utilization Review and Discharge Planning Program at Westchester Medical ... NYSNA Position: Full Time Hours: 5pm to 1:30am Shift: Evening , Weekend Req #: 40031 Posted Date: Sep 04,...of which must have been in the area of utilization review , quality assurance, risk management or… more
- WellSpan Health (York, PA)
- Rehabilitation Liaison- Surgery and Rehab Hospital- Day/ Evening Location: WellSpan Surgery and Rehabilitation Hospital, York, PA Schedule: Full Time Full time (80 ... members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit… more
- HCA Healthcare (Brandon, FL)
- …step in your career path, we encourage you to apply for our RN Clinical Nurse Coordinator Med OR opening. We review all applications. Qualified candidates will ... you have the career opportunities as a(an) RN Clinical Nurse Coordinator OR you want in your current role?...and manage the surgical schedule, ensuring timely and efficient utilization of operating rooms. + Liaise with surgeons, anesthesiologists,… more
- Nuvance Health (Danbury, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure...Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with minimum of one… more
- NHS Management, LLC (Pleasant Grove, AL)
- …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... they experience along the way. We are in search of a qualified Registered Nurse Shift Supervisor: + Assists in maintaining resident care standards by supervising and… more
- Ventura County (Ventura, CA)
- …and patient care as indicated and required; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; and + ... Registered Nurse I/II and Nurse Extern -...Services + Public Health + Telemetry + Trauma + Utilization Review (UR) + None/Other 05 Please… more
- UPMC (Pittsburgh, PA)
- UPMC Your Care is hiring Nurse (RN) Clinical Care Coordinator. Your territory will be in the East Suburbs, Plum, Monroeville areas. You will be working Monday - ... no on call for these roles. Possible weekend and evening rotations might be in the future state of...1650 Metropolitan Street, 15233. Eastern Suburbs, Plum, Monroeville etcThe Nurse Clinical Care Coordinator is responsible for delivery of… more
- Commonwealth of Pennsylvania (PA)
- …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional ... of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports… more
- Health Advocates Network (Bellefonte, PA)
- …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional ... of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports… more
