• US Tech Solutions, Inc. (Columbia, SC)
    …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... Job Title: Licensed Practical Nurse Location: Columbia SC 29229 Duration: 3+ Months...and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims… more
    JobGet (05/09/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …conflicts as they occur. With support from Charge Nurses and Educators, the Nurse Manager directly supervises the clinical nursing and ancillary nursing ... and must exercise sound, independent judgment in adapting and applying leadership and clinical principles to specific situations. The Nurse Manager relies on… more
    JobGet (05/18/24)
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  • Medical Solutions (Glendale, CA)
    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... with tax-free stipend amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people… more
    JobGet (04/29/24)
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  • Signet Health (Greensboro, NC)
    …Behavioral Health Services Greensboro, NC Signet Health, a national behavioral health management company, is currently recruiting for a full-time seasoned Nurse ... salary range of $100,000.00 - $120,000.00, depending on qualifications/experience. The Nurse Manager reports to the Behavioral Health Executive Director at the… more
    JobGet (05/16/24)
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  • Signet Health (Little Rock, AR)
    …Little Rock, AR \u202f Signet Health, a long-time national behavioral health management company, is recruiting an experienced Nurse Director to manage ... AR. We seek a seasoned and dynamic professional with related management experience to oversee our hospital-based, behavioral health inpatient department.\u202f\u202f… more
    JobGet (05/15/24)
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  • Fresenius Medical Care (West Springfield, MA)
    About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... or chronic kidney disease. -Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
    JobGet (05/19/24)
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  • Cambia Health Solutions, Inc (Renton, WA)
    …creating a person-focused health care experience.Are you an RN who has experience with utilization and care management ? Do you enjoy conducting needs analysis to ... Clinical Learning and Development Specialist or Senior DOEWork...degree in Behavioral Health preferred for behavioral health care management ); or Registered nurse (RN) license (must… more
    JobGet (05/17/24)
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  • Comhar Inc. (Philadelphia, PA)
    …registered nurse practitioner with a mental health certification or clinical social worker.Be licensed in this Commonwealth as a behavior specialist and ... Health Services (IBHS) has an immediate opening for an License Clinical Supervisor. License Clinical Supervisor Salary: $55,000-$57,000The License IBHS… more
    JobGet (05/16/24)
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  • Signet Health (Louisville, KY)
    …payroll, labor productivity, audits, incident reports and others as assigned. (from nurse supervisor description) Utilizes clinical /quality metrics to implement ... OverviewSignet Health, a national behavioral health management company, is currently recruiting for a full-time... company, is currently recruiting for a full-time seasoned Nurse Program Director to manage the Geriatric psychiatric inpatient… more
    JobGet (05/08/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team… more
    JobGet (05/16/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …support from Charge Nurses, educators, and other nursing support personnel, the Nurse Manager directly supervises the clinical nursing and ancillary personnel ... and is required to frequently apply a set of management principles to ensure smooth operations of the department....sound, independent judgment in adapting and applying leadership and clinical principles to specific situations. The Nurse more
    JobGet (05/08/24)
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  • Sentara Health (Hampton, VA)
    …candidates! Sentara CarePlex Hospital located in Hampton, VA is hiring a Registered Nurse , for the Endoscopy. Shift: Days Department Hours: 0600 - 1730 Call ... circulating in the GI lab, assisting the proceduralist, scope reprocessing, and management of the patient pre-procedurally and post procedurally. Requirements - one… more
    JobGet (05/19/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the health ... Following admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or other certifications:… more
    JobGet (05/14/24)
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  • Sentara Health (Hampton, VA)
    …Coordinator, Endoscopy, Same Day Surgery, Emergency Department, Intensive Care Unit, Pain Management , New Graduate, AHEART, Rotation, RN, Registered Nurse , #new ... - on Bonus. Sentara CarePlex Hospital located in Hampton, VA is hiring a Registered Nurse for the Medicine Unit. Hours: 7:00 AM - 7:00 PM Shift: Weekend Days… more
    JobGet (05/19/24)
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  • Wellstar Health System, Inc. (Avondale Estates, GA)
    …Registered Nurse (RN) - Acute Pulmonary -Full-time - Day Shift OverviewThe RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed ... others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders… more
    JobGet (05/19/24)
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  • The University of Vermont Health Network (Plattsburgh, NY)
    …summarization supports the Medical Center's performance improvement/quality program, risk management , clinical pathway development and outcome measurement using ... achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and… more
    JobGet (04/12/24)
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  • RestoraCare Staffing (Houston, TX)
    …Health Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge planning or other ... RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a...and PC skills Current working knowledge of discharge planning, utilization management , case management , performance… more
    JobGet (04/25/24)
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  • APN Consulting, Inc (New York, NY)
    …lieu of Registered Nursing degree). Required Experience: Minimum 0-2 years of clinical practicePreferably hospital nursing, utilization management , and/or ... both member and provider, participation in IDTs, personal queue management and clinical reviews. Required Years of...-LPN NY & NY RN Summary: Works with the Utilization Management team primarily responsible for inpatient… more
    JobGet (05/19/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …active participation in appropriate regional, state and national professional health management and clinical associations.In conjunction with Service Line ... Job Category:Executive Leadership, Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation… more
    JobGet (04/29/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …or other certifications: Current Georgia License to practice in a clinical profession (ie Registered Nurse , Pharmacist, Therapist, etc.) if ... solutions to improve patient care.Knowledge and expertise in patient care management , clinical quality analytics, and value-based reimbursement/accountable care… more
    JobGet (04/29/24)
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