- University Health (Boerne, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (Pleasanton, TX)
- …Staff nurse II or above). Work experience in case management, utilization review or hospital quality is preferred. LICENSURE/ CERTIFICATIONS Current ... nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care...licensure as a Registered Nurse with the Texas State Board… more
- St. Peters Health (Helena, MT)
- The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other UR ... denials as assigned, and participation in the organizations Utilization Review Committee. In collaboration with the patient /family, physicians, and the… more
- HCA Healthcare (Kissimmee, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. + ... leader to physicians and employees as it relates to utilization review , resource management, patient ...obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate… more
- UNC Health Care (Chapel Hill, NC)
- …through the integrating and functions of point of entry case management, utilization review , and effective patient flow activities. Responsibilities: ... degree in Nursing **Licensure/Certification Requirements:** * Must be licensed to practice registered nurse in the state of North Carolina **Professional… more
- Dartmouth Health (Lebanon, NH)
- …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * ... team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or … more
- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Ventura County (Ventura, CA)
- …Health Care Agency - Ventura County Medical Center/ Santa Paula Hospital APPROXIMATE SALARIES: Registered Nurse II ( RN II): $51.30 - $61.35 per hour ... Registered Nurse II - Emergency Department...as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm...utilization management/case management, critical care, clinical documentation, or patient outcomes/quality management. ⦁ Certification in Case Management Certification… more
- Ventura County (Ventura, CA)
- … patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Registered Nurse II - ICU/DOU/Telemetry (Regular...assessment skills; independent judgment and action; and adherence to patient privacy, confidentiality, and security guidelines. Incumbents are expected… more
- Ventura County (Ventura, CA)
- … patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Registered Nurse II - Hematology Oncology... Registered Nurse II - Hematology Oncology (Regular & Per...THE POSITION: Under general direction, provides advanced skilled nursing; patient and staff education in an ambulatory care setting;… more
- Ventura County (Ventura, CA)
- …department in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing ... Medical Surgical and Telemetry Registered Nurse II - Float Pool...prescribed doctors' orders concerning treatments and medications; + Documents patient treatment and dispensing; makes patient observations;… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized… more
- Penn Medicine (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... activities with an emphasis on increasing continuity in the nurse to patient relationship, + minimizing rework...their NCLEX within 60 days of starting in their RN role.A graduate registered nurse … more
- BJC HealthCare (St. Louis, MO)
- … RN experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity + ... Must have at least one active MO or IL RN license + If candidate only has one ..., which includes the evaluation of potential under and over- utilization according to patient 's presentation and documentation.… more
- Ventura County (Ventura, CA)
- …department in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing ... Registered Nurse II - Pre-op/PACU Print...psychological well-being; + Reorients patients' post-anesthesia and assesses the patient 's airways, bleeding, pain, signs and symptoms of distress;… more
- Ventura County (Ventura, CA)
- … patient care as indicated and required. + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments. + ... Per Diem Registered Nurse III - Emergency Services...and provide nursing care to assigned patients. + Documents patient treatment and dispensing; makes patient observations;… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) -...and ancillary departments, k) leading and facilitating Complex Case Review , l) assuring patient education is completed ... dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the...and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along… more
- HCA Healthcare (Richmond, VA)
- …year, nurses at Johnston-Willis Hospital have the opportunity to make a real impact. As a ** Registered Nurse RN Case Manager** you can be a part of change. ... and improve positive outcomes for your patients as a ** Registered Nurse RN Case Manager**...a hospital setting preferred. + Previous case management or utilization review experience preferred. Johnston-Willis Hospital has… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- … needs and implements patient -centered, compassionate care. + Responsible for the utilization and continued review of patient care protocols, standards ... this incredible work. What Will You Do?As a Lead Registered Nurse at Pine Rest, you'll be...the promotion of diversity and professional excellence. The Lead RN is responsible and accountable to lead and perform… more
