• Utilization Review Nurse

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
    The County of Los Angeles (04/02/24)
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  • Supervisor Care Management…

    Hackensack Meridian Health (Hackensack, NJ)
    …and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance ... improvement activities for the case managers. The Supervisor Case Management is accountable for the department's designated staff caseload and plans effectively in… more
    Hackensack Meridian Health (05/07/24)
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  • Utilization Review RN

    Billings Clinic (Billings, MT)
    …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE MANAGEMENT ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is...At hire * Current Montana license as a Registered Nurse At hire * Current working knowledge of payer… more
    Billings Clinic (03/13/24)
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  • RN Supervisor Utilization Management

    Dignity Health (Rancho Cordova, CA)
    …Summary:** Under the guidance and supervision of the department Manager/Director, the Supervisor of Utilization Management is responsible and accountable for ... Ensures UM Physicians are provided the relevant information needed to accurately review a referral. Fosters the relationship between the Pre-Authorization team and… more
    Dignity Health (05/12/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (Cotton Plant, AR)
    …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +...services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials.… more
    BayCare Health System (04/16/24)
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  • Supervisor - Utilization /Care…

    MetroHealth (Cleveland, OH)
    …- Care Coordination, plans, coordinates, and evaluates all activities impacting utilization review (eg, the centralized referral/authorization area specifically ... focusing on payer verification, preadmission processing, authorization, clincial utilization management functions, etc.). Works with the manager to...Possess a current license to practice as a Registered Nurse in the State of Ohio. 5 years of… more
    MetroHealth (05/09/24)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …in New Albany OH, Chandler AZ or High Point NC. Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... health care innovators.Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan… more
    CVS Health (05/16/24)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …in New Albany OH, Chandler AZ or High Point NC Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... health care innovators.Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan… more
    CVS Health (03/06/24)
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  • Utilization Review RN

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …performance standards is required **Licenses and Certifications** + Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Must be a ... Registered Nurse with a current Louisiana license.required + Case Mgmt/Social...license.required + Case Mgmt/Social Services\CPUR - Cert Prof Util Review Must be attained within first 24 months in… more
    Blue Cross and Blue Shield of Louisiana (05/24/24)
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  • Registered Nurse Supervisor A

    Louisiana Department of State Civil Service (Jackson, LA)
    Registered Nurse Supervisor A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4042520) Apply  Registered Nurse Supervisor A Salary ... based on experience This position has a Special Entrance Rate of pay Registered Nurse Supervisor A - $39.12/hr - $3129.60/bi-weekly Premium Pay paid for each… more
    Louisiana Department of State Civil Service (03/22/24)
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  • Registered Nurse Supervisor

    Commonwealth of Pennsylvania (PA)
    Registered Nurse Supervisor - Selinsgrove Center Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4461280) Apply  Registered Nurse ... Department of Human Services is searching for a Registered Nurse Supervisor for the Selinsgrove Center. This...supervision. Critical components of this position include the continual review of nursing services, serving as a patient advocate,… more
    Commonwealth of Pennsylvania (05/25/24)
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  • Registered Nurse Supervisor A

    Louisiana Department of State Civil Service (Reserve, LA)
    REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4516357) Apply  REGISTERED NURSE SUPERVISOR A Salary ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient… more
    Louisiana Department of State Civil Service (05/22/24)
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  • Registered Nurse Supervisor

    Louisiana Department of State Civil Service (Jennings, LA)
    REGISTERED NURSE SUPERVISOR A-DAY/EVENING Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4249359) Apply  REGISTERED NURSE ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient… more
    Louisiana Department of State Civil Service (04/25/24)
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  • Registered Nurse Supervisor 1 (NY…

    New York State Civil Service (Saratoga Springs, NY)
    …HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse Supervisor 1 (NY HELPS) Occupational Category Health Care, Human/Social ... B/C service allocated to a Grade 20 or higher deemed comparable to a Registered Nurse Supervisor 1 by the Department of Civil Service.To determine if your… more
    New York State Civil Service (05/24/24)
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  • Senior Registered Nurse Supervisor

    MyFlorida (Orlando, FL)
    SENIOR REGISTERED NURSE SUPERVISOR Date: May 17, 2024 Location: ORLANDO, FL, US, 32814 The State Personnel System is an E-Verify employer. For more information ... No: 824969 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPERVISOR Pay Plan: Career Service Position...that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect… more
    MyFlorida (05/24/24)
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  • Senior Registered Nurse Supervisor

    MyFlorida (Port Saint Lucie, FL)
    SENIOR REGISTERED NURSE SUPERVISOR Date: May 25, 2024 Location: PORT SAINT LUCIE, FL, US, 34987 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 827901 Agency: Veterans Affairs Working Title: SENIOR REGISTERED NURSE SUPERVISOR Position Number: 50453511 Salary: $68,640.00 Posting Closing… more
    MyFlorida (05/25/24)
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  • Registered Nurse Supervisor 1 (NY…

    New York State Civil Service (Leicester, NY)
    …HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse Supervisor 1 (NY HELPS) Occupational Category Health Care, Human/Social ... all parenthetics), RN2 Community (including all parenthetics), Infection Control Nurse , or Registered Nurse 2 ( Utilization...Grade 20 or higher deemed comparable to a Registered Nurse Supervisor 1 by the Department of… more
    New York State Civil Service (05/22/24)
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  • Registered Nurse Supervisor

    MyFlorida (Macclenny, FL)
    REGISTERED NURSE SUPERVISOR - 60043226 Date: May 9, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 798141 Agency: Children and Families Working Title: REGISTERED NURSE SUPERVISOR - 60043226 Position Number: 60043226 Salary: $2,238.90 -… more
    MyFlorida (05/23/24)
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  • Registered Nurse House Supervisor

    HCA Healthcare (Georgetown, TX)
    …growth, we encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with your current employer? We… more
    HCA Healthcare (05/26/24)
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  • Registered Nurse Supervisor House…

    HCA Healthcare (Round Rock, TX)
    …personal growth, we encourage you to apply for our Registered Nurse Supervisor House PRN opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse Supervisor House PRN you want with your current employer? We… more
    HCA Healthcare (05/24/24)
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