- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North...opportunity.UNC Health Job ID #7870-124382. Posted job title: clinic rn utilization manager - care management… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
- CHRISTUS Health (San Antonio, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- Sentara Health (Hampton, VA)
- …and creates unlimited opportunities for development and growth. Keywords: RN , registered nurse , case management , care plan, clerical, inpatient, Indeed, ... those in-hospital patients identified in need of comprehensive case management . Promotes effective utilization and monitoring of...(BLS) - Certification - American Heart Association (AHA) RQI, Registered Nurse ( RN ) Single State… more
- University of New Mexico - Hospitals (Algodones, NM)
- …Medical necessity and manage the insurance authorization throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as needed) Shift: ... This is a Utilization Review position. We review all admissions and...negligible. Working conditions: Essential: * Minor Hazard - physical risks, dirt, dust, fumes, noise Department: Registered Nurse… more
- University of New Mexico - Hospitals (Algodones, NM)
- …Essential: * Sig Hazard: Chemicals, Bio Hazardous Materials req PPE * Subject to an annual contract and performance appraisal Department: Registered Nurse ... to base pay. Sign-on Bonus and Relocation Reimbursement available!Department: Care Management Services FTE: 1.00 Full Time Shift: Days Position Summary: Responsible… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …and all other sedentary criteria are met. Working conditions: Essential: * Minor Hazard - physical risks, dirt, dust, fumes, noise Department: Registered Nurse ... * COORDINATE - Coordinates and facilitate communication between Health Information Management , Utilization Review/Case management , Quality Management… more
- ChristianaCare (Wilmington, DE)
- …plan. Social Worker resolve psycho-social barriers and support discharge needs. Utilization Management reviews patient status for appropriateness and anticipated ... to obtaining BSN within three years of hire date. RN with experience in Case Management , Transitional...18 months of eligibility. Complete 8 continuing education credits (CEU) per year in Utilization and/or Case Management… more
- Sentara Health (Virginia Beach, VA)
- …be the healthcare choice of the communities that we serve! Keywords: RN , Registered Nurse , Case Management , Care Management , Monster, Talroo-Nursing, ... Compact License ASN, BSN, or MSN 3 years case management experience Benefits: Sentara offers an attractive array of...N-6YR - RN -Master's Level Degree, N-DN - RN -Doctorate Level Degree Registered Nurse … more
- The University of Vermont Health Network (Elizabethtown, NY)
- …Skills Required:* Minimum 2-year college degree in nursing field. BSN preferred.* Must be a Registered Nurse ( RN ), licensed in good standing in NYS. Must ... rules, and regulations, clinical practice guidelines, and quality issues related to utilization management with application for appeals and denials management… more
- Pathways Vermont (Burlington, VT)
- …Supervise three Shift Supervisors, a Services Team Lead, and an Advanced Practice Registered Nurse (APRN). Meet weekly for individual supervision, to review role ... residents receive excellent services, including: Individualized Service Plans Monitoring utilization of services, including duration, medication, incidents, external connections,… more
- WellSpan Health (York, PA)
- Utilization Management Nurse ( RN ) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible... Registered Nurse Multi State License Upon Hire Required Apply Now… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...Required Qualifications - Must have active current and unrestricted RN licensure in state of residence - 2+ years… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...quality improvement activities. Communicates to UM Manager and supervising RN , barriers to completing assignments or daily work in… more
- 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) compact licensure… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity ... Oncology, and/or elective surgical cases preferred. Essential Qualifications * Current licensed Registered Nurse ( RN ) with state licensure. Must retain… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This ... with or without notice. Primary Responsibilities + Performs concurrent utilization reviews (Acute, SNF, LTACH, ARF) and first level...of care and facilities Essential Qualifications + Current licensed Registered Nurse ( RN ) in good… more
- CVS Health (Raleigh, NC)
- …care more personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical ... management function. Required Qualifications + 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN … more
