- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator. The UR Nurse supports the UR RN Coordinator in ... utilization functions for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse is responsible… more
- Swedish Health Services (Seattle, WA)
- **Description** ** Utilization Review RN ** **Full time 1 FTE** **Day Shift** The Utilization Review (UR) Nurse has a strong clinical ... Nursing degree (BSN) from an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years Med/Surg nursing experience in the clinical… more
- US Tech Solutions (Chicago, IL)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech… more
- US Tech Solutions (May, OK)
- …experience as an RN . 1 + years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF...months of Prior Authorization. Education: . Active and unrestricted RN licensure in state of residence **About US Tech… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in ... Weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...**Essential Duties & Responsibilities including but not limited to:** 1 ) Performs utilization review and… more
- Stanford Health Care (Palo Alto, CA)
- …to create an effective plan to address them. **Licenses and Certifications** + Nursing / RN - Registered Nurse - State Licensure and/or Compact State ... Ranked the No. 3 hospital in California and No. 1 in San Jose metro area! Stanford Clinicians are...Knowledge of principles and best practices of case management, utilization review , social work, care coordination and… more
- Mount Sinai Health System (New York, NY)
- …of care and coordination of services based on clinical needs and available resources. 3. Utilization Review : 1 . Maintains a working knowledge of the UR ... Previous experience as in homecare, long term care or utilization review preferred. + Discharge Planner or...Utilization Management - WST, Mount Sinai West **Responsibilities** 1 . Principle Duties and responsibilities include, but are not… more
- Texas Health Resources (Arlington, TX)
- ** RN / Registered Nurse - Utilization ...experience in an acute hospital setting required and + 1 Year Utilization Management required and + ... of medical necessity criteria preferred **Licenses and Certifications** + RN - Registered Nurse Current...care team. + Determine working DRG with each initial review via CareConnect1 or other Utilization Management… more
- Penn Medicine (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice is...who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice is...who started after 07 01 2020. + A graduate registered nurse may only practice professional nursing… more
- Penn Medicine (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a...for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing… more
- HCA Healthcare (Houston, TX)
- …growth, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... Do you have the PRN career opportunities as a(an) Registered Nurse RN PACU PRN... 1 year of clinical experience as a Registered Nurse in a Recovery Room setting… more
- Lancaster General Health (Lancaster, PA)
- …area or unit where the graduate registered nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully complete the Nurse ... American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a...for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing… more
- HCA Healthcare (Pasadena, TX)
- …career path, we encourage you to apply for our Registered Nurse RN PACU PRN opening. We review all applications. Qualified candidates will be contacted ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN PACU PRN... 1 year of clinical experience as a Registered Nurse in a Recovery Room setting… more
- Lancaster General Health (Lancaster, PA)
- …(2) years of placement in position for incumbents who started after 07/01/2020. + All Clinical Nurse 1 RN 's will be required to successfully complete the ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...in their RN role. + A graduate registered nurse may only practice professional nursing… more
- AdventHealth (Orlando, FL)
- …experiences you'll need to succeed:** **EDUCATION AND EXPERIENCE REQUIRED:** + Associates Degree Nursing or RN Diploma degree + Registered Nurse ( RN ) + ... Annual number of emergency cases: 89,018 **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- Community Health Network (Indianapolis, IN)
- Registered Nurse ( RN ) Case Manager - East Job Ref 2408430 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility ... full-time RN Case Manager opportunity available. The Registered Nurse Case Manager is responsible for...effectiveness through the integrating and functions of case management, utilization review and management and discharge planning.… more
- AdventHealth (Kissimmee, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... Dialysis, Laboratory, and Imaging services. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
- Fresenius Medical Center (Fort Mill, SC)
- **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an entry level designation into the Clinical Advancement Program ... CAP 2 criteria or attained through advancement from RN CAP 1 . This position is accountable...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …total rewards package: VA Nurse Total Rewards The Community Care Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more