• Utilization Review RN

    LifePoint Health (Danville, VA)
    * Registered Nurse , RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...and harassment in employment." **Job:** **Nursing* **Organization:** ** **Title:** * Utilization Review RN Case more
    LifePoint Health (12/09/24)
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  • Registered Nurse ( RN

    LifePoint Health (Warrenton, VA)
    …federal, state or local law./ **Job:** **Nursing Management* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager* **Location:** ... Sign On Bonus for experienced candidates (new hires)* The RN Case Manager monitors and manages patient...*Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge… more
    LifePoint Health (12/26/24)
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  • Mgr Utilization Review RN

    Baylor Scott & White Health (Richmond, VA)
    …and members. **Key Success Factors** + Demonstrable knowledge in discharge planning, case management, utilization review and different care levels. ... type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
    Baylor Scott & White Health (12/26/24)
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  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    …career path, we encourage you to apply for our Case Manager Registered Nurse RN PRN opening. We review all applications. Qualified candidates will be ... the career opportunities as a(an) Case Manager Registered Nurse RN PRN you...Utilization Management Plan + As a member of Case Management team you will apply the rules of… more
    HCA Healthcare (12/24/24)
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  • Registered Nurse - Case

    Bon Secours Mercy Health (Newport News, VA)
    …**This is a PRN position at Mary Immaculate Hospital** **Licensing/ Certification** + Acute Registered Nurse ( RN ) (required) + BLS Basic Life Support - ... rules and regulations and Conditions of Participation for DC Planning and Utilization Review , and address opportunities or potential concerns with leadership.… more
    Bon Secours Mercy Health (10/14/24)
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  • Registered Nurse Operating Room

    HCA Healthcare (Reston, VA)
    …Surgery Center we support our colleagues in their positions. Join our Team as a Registered Nurse Operating Room and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Operating Room opening and continue...Nurse Operating Room opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
    HCA Healthcare (11/29/24)
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  • RN -Clinical Manager, Home Health

    CenterWell (Roanoke, VA)
    …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (10/30/24)
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  • RN Clinical Consultant, Claims Shared…

    Guardian Life (Richmond, VA)
    case management to facilitate collaboration toward RTW goals. Utilization of independent vendors to perform independent medical assessments. Specifically define ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
    Guardian Life (12/20/24)
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  • Exclusive Posting for Community Health Team…

    University of Virginia (Haymarket, VA)
    …the payor side will also be considered. Licensure: Licensed to practice as a Registered Nurse in the Commonwealth of Virginia PHYSICAL DEMANDS Job requires ... hospital or ambulatory clinic environment dealing with payors in a Utilization / Case Management/Pre-Arrival role where prior authorizations, prior certifications,… more
    University of Virginia (11/16/24)
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  • Operating Room RN

    HCA Healthcare (Dulles, VA)
    …and personal growth, we encourage you to apply for our Operating Room RN opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a(an) Operating Room RN today with StoneSprings Surgicenter. **Benefits** StoneSprings Surgicenter, offers a total… more
    HCA Healthcare (11/07/24)
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  • RN Manager Trauma Program

    HCA Healthcare (Blacksburg, VA)
    …coordination and implementation of the Trauma Quality Management Plan. Participates in case review and implementation and adherence monitoring of practice ... for monitoring and improving the financial performance and resource utilization of the Trauma Center. + Complies with and...quality of care provided. Develops quality filters, audits, and case reviews to identify trends and events. + Supports… more
    HCA Healthcare (10/10/24)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …experience as a Certified Professional Coder required. + Three to five years of case management utilization review , or compliance related work experience in ... as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State… more
    Childrens Hospital of The King's Daughters (10/26/24)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Richmond, VA)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care… more
    Highmark Health (12/12/24)
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  • Director Med Surg

    HCA Healthcare (Salem, VA)
    …BSN from a school of nursing or within 1 year of employment. * Valid VA RN Licensure, **OR** Registered Nurse with "multi-state privilege" granted to them by ... annual strategic plans, Professional Practice Model, Shared Governance bylaws, Nurse Residency Program, educational programs, clinical ladder, and essential Nursing… more
    HCA Healthcare (11/16/24)
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  • PRN Operating Room Nurse

    HCA Healthcare (Reston, VA)
    …and personal growth, we encourage you to apply for our PRN Operating Room Nurse opening. We review all applications. Qualified candidates will be contacted for ... have the career opportunities as a PRN Operating Room Nurse you want with your current employer? We have...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (12/15/24)
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  • PRN Operating Room Nurse

    HCA Healthcare (Dulles, VA)
    …and personal growth, we encourage you to apply for our PRN Operating Room Nurse opening. We review all applications. Qualified candidates will be contacted for ... the PRN career opportunities as a(an) PRN Operating Room Nurse you want with your current employer? We have...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (11/06/24)
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