- Geisinger (Danville, PA)
- …of department and service line policies. Participates in departmental strategic planning, utilization management , and implementation of the strategic plan. Acts ... (Required) ExperienceMinimum of 2 years-Clinical (Required) Certification(s) and License(s)Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania;… more
- Irving Coppell Surgical Hospital (10819) (Irving, TX)
- …preferred, with a strong background in leadership roles. Licensure/Certification: Current Registered Nurse (RN) license in TX; Certification in perioperative ... Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR),… more
- VitalCore Health Strategies (Hopkinton, MA)
- …Insurance Employee Assistance Program and Discount Center 401K EEO Keywords: Utilization Management , RN, Nurse , Administrative, #INDMA Compensation ... in Correctional Healthcare, has a Full-Time opening for a Utilization Management RN at the Regional Office...of an accredited School of Nursing Licensure as a Registered Nurse in the state of employment… more
- VitalCore Health Strategies (Nashville, TN)
- …REQUIREMENTS Bachelor's degree in healthcare administration/related field. Licensed Registered Nurse . Minimum of two (2) years of management experience in ... has an opening for a Health Services Administrator / Registered Nurse at Davidson County Downtown Detention...hire and annual orientation and training activities. Ensures site utilization and compliance with all VitalCore and applicable client… more
- The Laurels of Fulton (Chesaning, MI)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The Laurels of Fulton offers one ... with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse (RN) AANC certification a plus. RAC-CT… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …limited to experience, education, and other business and organizational considerations. Department: Utilization Management - UH FTE: 1.00 Full Time Shift: Days ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse ... and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * ACCOUNTABILITY - Supervise… more
- The Laurels of Huber Heights (Huber Heights, OH)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The Laurels of Huber Heights offers ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse (RN) or Licensed Practical … more
- Unknown (Huber Heights, OH)
- …assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse , MDS Nurse . The Laurels of Huber Heights offers ... PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management...American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse (RN) or Licensed Practical … more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …experience, education, and other business and organizational considerations. Department: Utilization Management - UHFTE: 1.00Full TimeShift: DaysPosition ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …* Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse ... and facilitate communication, problem solving, decision-making, crisis intervention, resource utilization , and conflict management * ACCOUNTABILITY - Supervise… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: ... Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act...on health system needs + Current New York State Registered Nurse License PREFERRED QUALIFICATIONS: +… more
- Katmai (Fort Carson, CO)
- …Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Hartford HealthCare (Willimantic, CT)
- …* Registered Nurse Case Manager (RN) - Utilization Management * **Location:** *Connecticut-Willimantic-Windham Community Memorial (10183)* **Requisition ... the direction of the Manager of Continuing Care and Utilization Management and in collaboration with physicians,... experience preferred. *LICENSURE/CERTIFICATION* * Current license as a registered nurse in the State of Connecticut.… more
- McLaren Health Care (Port Huron, MI)
- …as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate ... for timeliness, appropriateness and completeness as pertains to the utilization management process including level of care,...and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse (RN) ⦁ Bachelor's degree in… more
- Cognizant (Salem, OR)
- …- Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan + 3 years' experience in ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Utilization Management Full Time, 80 Hours Per Pay Period, Day Shifts Covenant Health Overview: Covenant Health is the region's ... Forbes "Best Employer" seven times. Position Summary: The RN Utilization Management I will perform utilization...management experience. Licensure Requirement: Current licensure as a Registered Nurse (RN) as issued by the… more
- McLaren Health Care (Flint, MI)
- …to help people live healthier and more satisfying lives. We are looking for a Utilization Management RN, to join in leading the organization forward. MHP is a ... service to all our members. **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to… more
- UNC Health Care (Kinston, NC)
- …clinical experience as a Registered Nurse required. + 2 years utilization review, care management , or compliance experience preferred. + Minimum 1 year ... management preferred. + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a Registered Nurse in the state of North Carolina. **Job Details**… more
- Catholic Health (Kenmore, NY)
- …Work Schedule: Days with Weekend and Holiday Rotation Hours: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the ... of experience working in an Acute Care Hospital Setting + Proficiency in utilization management and regulatory requirements preferred + Experience in working… more
