- CommonSpirit Health Mountain Region (Westminster, CO)
- …pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow ... pre-and post-operative care for orthopedic, abdominal, and general surgeries. 5 West appeals to anyone interested in broadening their skillset as we receive overflow… more
- BelovED Community & Empowerment Academy Charter Sc (Jersey City, NJ)
- …three campuses, an Elementary School, Middle School, and High School. We are hiring a School Nurse to serve all of our students. You will be working on a team of 4 ... Jersey City, Hoboken and New York City. If this appeals to you, then apply today! We have achieved...staff is part of the Pension in New Jersey. Nurse Responsibilities + Carrying out written orders of the… more
- US Tech Solutions (Columbia, SC)
- …be extended. + Skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy ... line of business. + Previous Medicare experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or Appeals .… more
- City and County of San Francisco (San Francisco, CA)
- …email means that the online application was not submitted or received. Nurse Specialist, Critical Care, evaluates individual nursing care needs of selected patients ... and implementing plans for meeting such needs. The Clinical Nurse Specialist performs other related duties as assigned/required. Minimum...may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department… more
- Walgreens (Deerfield, IL)
- …and merchandise. + Provides support within the scope of practice for a nurse and escalating to pharmacist for patient specific medication questions, including side ... Care Management. + May have other responsibilities delegated as specific to nurse specialty and as designated by the specific department, other responsibilities as… more
- Idaho Division of Human Resources (Nampa, ID)
- Utilization Review and Nurse Educator - SHW Posting Begin Date: 2025/09/22 Posting End Date: 2025/10/20 Category: Nursing Work Type: Full Time Location: Nampa, ID, ... (SHW) inNampa, Idaho! We are currently seeking a dedicated and experiencedRegistered Nurse Seniorto take on a critical role in our Utilization Review, Performance… more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- …organization, Cummins is your kind of place. * If being part of a learning organization appeals to you, get in touch with us. * If you seek an employer with ethical ... in multiple counties throughout central and west central Indiana. The Advanced Practice Nurse , under the supervision of a Staff Psychiatrist, will augment our staff… more
- Omaha Children's Hospital (Omaha, NE)
- …be considered. Children's Nebraska has an exciting opportunity to join our ** Nurse Practitioner Critical Care** **Transport** team! Our **Pediatric Nurse ... helicopter and a Pilatus PC-12 fixed-wing aircraft. The Pediatric Nurse Practitioner Transport Provider is responsible for managing the...activities and is home to a world-class zoo that appeals to children and adults alike. Greater Omaha has… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Staff Nurse *to join our Utilization Management department in a*/*FLOAT*/*/assignment to support Inpatient, Psych and the ... Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical necessity, appropriateness,… more
- Commonwealth Care Alliance (Boston, MA)
- …intensive care management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral member of an interdisciplinary team for medical ... needs of the defined panel of members, the Registered Nurse will engage in regular assessments, visits at regularly...as approved + Supports escalation of member grievances and appeals + Supports the procurement of network providers and… more