- Actalent (San Bernardino, CA)
- Description: As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care ... to acute inpatient stay and post-acute facility stay. The Utilization Review RN Coordinates continuing...working with health plan auditors preferred. - Current CA Registered Nurse ( RN ) license. -… more
- CVS Health (Frankfort, KY)
- …care more personal, convenient and affordable. **Position Summary** This is a fully ** remote ** Utilization Review Clinical Consultant with a schedule of ... Kentucky state licensure (LCSW, LPCC, LMFT, LPAT) or a Registered Nurse ( RN ) with active...schedule based on business needs **Preferred Qualifications** + Managed care/ utilization review experience + Ability to multitask,… more
- Banner Health (Tucson, AZ)
- …to employment settings by including remote and hybrid opportunities. As a Registered Nurse in Obstetrics, you will serve as a Telephonic Case Manager ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
- AmeriHealth Caritas (Florence, SC)
- ** REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... Counties preferred are York, Florence, Darlington, Williamsburg and Horry. RN required. ** Remote to qualified candidates living...is required and must hold a current and unrestricted ** Registered Nurse ( RN )** license in… more
- Molina Healthcare (Scottsdale, AZ)
- **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review ... to work some weekends and holidays. This is a remote position and you may work from home._** **_Further...meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience**… more
- University of Miami (Miami, FL)
- … Utilization Management, has an exciting opportunity for an Utilization Review Case Manager to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- …providing quality improvement and outcomes utilization consultation. Inpatient Staff Registered Nurse ( RN ) executes position responsibilities that ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Kansas City VA... includes but are not limited to: Inpatient Staff Registered Nurse ( RN ) is responsible… more
- HCA Healthcare (Mcallen, TX)
- …Do you want to join an organization that invests in you as a(an) Supervisor Registered Nurse Case Manager? At Rio Grande Regional Hospital, you come first. HCA ... a difference. We are looking for a dedicated Supervisor Registered Nurse Case Manager like you to...needs. + Accountable for reviewing, monitoring and reporting hospital utilization of resources through concurrent review according… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- Summary The Nurse Referral Coordination Team (RCT) Registered Nurse ( RN ) ) is responsible for executing a streamlined approach to receiving, triaging, ... and populations. Responsible for the documented outcomes at the VN-0610-III Registered Nurse FS#-544-57469F FLSA-Exempt BUS Code-1276 Vetted-7/15/24 Functional… more
- Veterans Affairs, Veterans Health Administration (Bedford, MA)
- …considered and referred as vacancies become available. This OCA may be used to fill a Registered Nurse ( RN ) position that is located in the one of following ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a...CLC-2C CLC-62C CLC-62D CLC-78C The Community Living Center (CLC) Registered Nurse ( RN ) is responsible… more
- AmeriHealth Caritas (Greenville, SC)
- …Bachelor of Science in Nursing (BSN) is required and must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South Carolina or ... **Care Manager II Registered Nurse (BSN) - Foster Care...in the state of South Carolina - Upstate Counties. RN required. Your career starts now. We're looking for… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …This position is full-time at 40 hours per week. The Inpatient Mental Health (MH) Registered Nurse ( RN ) provides and leads the provision of competent, ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a...Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse… more
- Veterans Affairs, Veterans Health Administration (Loma Linda, CA)
- Summary The Referral Coordination Team (RCT) Registered Nurse ( RN ) is responsible for executing a streamlined approach to receiving, triaging, & directing ... 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
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …office after complete review of the EDRP application. Responsibilities The Registered Nurse -Resource Pool position is located in Nursing, Operations at the ... comprehensive total rewards package: VA Nurse Total Rewards The Resource Pool Registered Nurse ( RN ) demonstrates proficiency in practice based on… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- Summary The Discharge Planner Registered Nurse ( RN ) position reports to the Centralized Nurse Staffing Office and Utilization Management Nurse ... designee. It is a care coordination role within the Utilization Management program at VA San Diego healthcare System...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …after complete review of the EDRP application. Responsibilities Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- SSM Health (St. Louis, MO)
- … ( RN ) - Illinois Department of Financial & Professional Regulation (IDFPR) + OR + Registered Nurse ( RN ) Issued by Compact State + OR + Registered ... **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** PRIMARY RESPONSIBILITIES...- Missouri Division of Professional Registration + OR + Registered Nurse ( RN ) - Oklahoma… more
- Insight Global (Philadelphia, PA)
- …Active RN License or Active LPN License 2-3 years of clinical experience ( Utilization management or utilization review ) Strong computer skills Ability to ... looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY ...Previous HEDIS review experience or experience with Utilization Review , Quality, Medical Record auditing Bachelors… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …office after complete review of the EDRP application. Responsibilities The Registered Nurse is responsible for managing and delivering care for patients. ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Veterans Affairs, Veterans Health Administration (Austin, TX)
- Summary The VA Central Texas Health Care System is seeking a Registered Nurse for Special Procedures at the Austin Outpatient Clinic. This position is eligible ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more