- The University of Vermont Health Network (Plattsburgh, NY)
- …New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge planning experience preferred.3. Three years of broad ... Please Note: This is an onsite position supporting the Emergency Department at Champlain...Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... registered nurse holds a current temporary practice permit.... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to successfully… more
- Lancaster General Health (Lancaster, PA)
- …NCLEX within 60 days of starting in their RN role. + A graduate registered nurse may only practice professional nursing under supervision and if the graduate ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...area or unit where the graduate registered nurse is practicing. + For Magnet designated RN… more
- Lancaster General Health (Lancaster, PA)
- …of no longer accepting nurses with temporary practice permits** + **A graduate registered nurse may only practice professional nursing under supervision and if ... that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates...the graduate registered nurse holds a current temporary practice… more
- Fresenius Medical Center (San Diego, CA)
- …Manager for patients with various shifts and work hours. **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an entry ... Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- UNC Health Care (Hendersonville, NC)
- …care and cost effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care Manager must be highly ... based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of notifications...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
- Lancaster General Health (Lancaster, PA)
- …weekend day every 6 weeks. Shift to be determined. **1 year of Registered Nurse NICU experience is required.** **POSITION SUMMARY:** Assume responsibility and ... as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... on FTE), with 2 year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only. The Medical Infusion RN will provide… more
- Lancaster General Health (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices as a full partner ... with 2 year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only. **_Penn Medicine Lancaster General Health is… more
- Lancaster General Health (Lancaster, PA)
- …physiologic, psychological, and cognitive functions, through patient/provider office visits, nurse visits, and telephone triage. Collaborates with Physician and ... physiologic, psychological, and cognitive functions, through patient/provider office visits, nurse visits, and telephone triage. Collects and manages comprehensive… more
- Lancaster General Health (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients and ... improvement activities with an emphasis on increasing continuity in the nurse to patient relationship, minimizing rework and redundancies; constantly seeks ways… more
- Lancaster General Health (Lancaster, PA)
- …and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources. + Educates patients and ... improvement activities with an emphasis on increasing continuity in the nurse to patient relationship, minimizing rework and redundancies; constantly seeks ways… more
- Lancaster General Health (Lancaster, PA)
- …requirements being one of the following: ** RN :** - Current licensure as a Registered Nurse , issued by the Pennsylvania Board of Nursing. - Bachelor's degree ... Other duties as assigned. **JOB REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** ** RN or Social Worker** is required for this role,...+ Bachelor's degree in Nursing (BSN). + Knowledge of utilization review or managed care. + Care… more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... Case Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health… more
- Adecco US, Inc. (Dallas, TX)
- We are seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX! This Nurse should have a ... an acute care hospital setting, minimum of 2 years Utilization Management/ Review in an acute care setting,...and being a team player is a must! The Utilization Management Nurse will provide precertification of… more
- MTC (Calexico, CA)
- …use of appropriate sanitation methods. 6. Practice basic cost containment and utilization management for patient care and facility operations. 7. Maintain absolute ... of all medical records; observe applicable HIPAA rules. 8. Review medical files to determine all provided services are...summons and other legal writs. 24. Regular and predictable onsite attendance is required. 25. Promote the development of… more
- UNC Health Care (Chapel Hill, NC)
- …is to improve the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a Utilization Manager/Clinical ... of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional… more
- LA Care Health Plan (Los Angeles, CA)
- …requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Utilization Management Nurse Specialist RN...setting. Performs telephonic and/or on site admission and concurrent review , and collaborates with onsite staff, physicians,… more
- Universal Health Services (Palmdale, CA)
- …www.swhealthcaresystem.com . Job Summary: The Southwest Healthcare is seeking a Registered Nurse Clinical Documentation Improvement Specialist for our Palmdale, ... Critical Care or Medical/Surgical preferred. Certifications/Licenses: + Current license as a Registered Nurse in the State of California required. + Current… more
- The Cigna Group (Philadelphia, PA)
- …**Supervisory Responsibilities** : + None **Qualifications** : + Current Licensure as a registered nurse , in the state of residency. in good standing. + ... management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience...computer knowledge- able to type 35WPM + Knowledge of utilization review requirements and procedures + Knowledge… more
