- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of ... to physicians, nurses, and other health care providers on utilization management topics. + Initiates improvement of...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued ... **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for...extended stays, identifying opportunities for process improvements to enhance utilization management . + Serves as a key… more
- Penn Medicine (Lancaster, PA)
- …Medicine Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate ... we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions...**Minimum Required Qualifications:** + Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing +… more
- Katmai (Fort Carson, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... licensed in Colorado, be able to practice using a nurse compact state license or have a license from...checks. **DESIRED QUALIFICATIONS & SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- UNC Health Care (Kinston, NC)
- …applied clinical experience as a Registered Nurse required. + 2 years utilization review, care management , or compliance experience preferred. + Minimum 1 ... support the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Miami VA medical center is recruiting for a Registered Nurse - Quality Management Specialist within Sterile Processing Service. The Registered ... responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Assesses, plans, implements, and evaluates… more
- MyFlorida (Macclenny, FL)
- REGISTERED NURSE SPECIALIST - 60011390 Date: Dec 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859778 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60011390 Pay Plan: Career...Ability to analyze complex reports and determine the service utilization habits of clients and to evaluate the appropriateness… more
- Rush University Medical Center (Chicago, IL)
- …an integrated role of practice, education, administration and research. The Clinical Nurse Specialist exemplifies the Rush mission, vision, and values and ... Nurse licensure required. 2. Current state of Illinois Advanced Practice Nurse - Certified Clinical Nurse Specialist licensure required. 3. Graduate… more
- MyFlorida (Pinellas Park, FL)
- REGISTERED NURSE SPECIALIST - 64038853 Date: Dec 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 867074 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64038853 Pay Plan: Career Service Position Number:… more
- University of Southern California (Los Angeles, CA)
- The Clinical Nurse Specialist serves as a resource/consultant for all departments regarding clinical specialty, conducts/ participates in research across varied ... Essential Duties: + Consultant Clinical resource with staff on management of complex cases. Makes rounds for the purposes...the hospital and community. Facilitates the training of clinical nurse specialist students and other nursing students… more
- Immigration and Customs Enforcement (Washington, DC)
- …IHSC Medical Quality Management Unit. SUPERVISORY CONTROLS: The Clinical Senior Nurse Specialist , Medical Asset Support Team (MAST) member works under the ... clinical and administrative nursing support, and collaborating with the IHSC Chief Nurse in the Nursing Services Unit to implement initiatives aimed at enhancing… more
- Sharp HealthCare (San Diego, CA)
- …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
- MyFlorida (Clearwater, FL)
- 68061397 - REGISTERED NURSE SPECIALIST Date: Dec 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68061397 - REGISTERED NURSE SPECIALIST Pay Plan: Career Service Position...individual, team member or team leader. As assigned by management , this position is required to successfully complete the… more
- UPMC (Harrisburg, PA)
- …the most specialized and rewarding areas of pediatric medicine. Purpose: The Programmatic Nurse Specialist , a professional registered nurse , has the ... the nursing process. In collaboration with the health care team, the Programmatic Nurse Specialist applies expert clinical knowledge and skills to achieve… more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by ... the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety...AND ABILITIES REQUIRED** 1. RN with experience in risk management , quality assessment, or utilization management… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...appropriate * Collaborates with department director and professional development specialist to develop standard work and expectations for the… more
- PeaceHealth (Bellingham, WA)
- … Nurse in state of practice + Preferred: Psychiatric/Mental Health Clinical Nurse Specialist **Skills** + Strong psychiatric nursing background. (Required) + ... **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary range… more
- Geisinger (Danville, PA)
- …rewarding, lasting career with impact. Job Duties The Professional Development Registered Nurse Specialist - Ambulatory Nursing is responsible for supporting ... and ongoing maintenance of New Manager Training Program, Ambulatory Nurse Leader program, and developing, implementing, and maintaining ongoing professional… more
- AccentCare, Inc. (Round Rock, TX)
- …as needed, etc. + Reporting and management of case management model with focus on paraprofessional utilization - including correct ... Overview Clinical Support Specialist LVN LPN Location: Round Rock Office Position:...Responsibilities: + Daily completion of the following tasks: daily management of KPIs, field staff support, verbal orders, workflow,… more
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