- Trinity Health (Mishawaka, IN)
- …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... the success of this position. In addition, the wound care nurse may provide consultative and educational...for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN… more
- Houston Methodist (Houston, TX)
- …the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... hospital. Provides education to physicians, nurses, and other health care providers on utilization management topics. +...and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236088/ rn -case- manager ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management...dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the ... effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's… more
- BayCare Health System (Tampa, FL)
- …**Weekend Requirement:** Occasional + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities include:** +...Management or + Required 3 years Registered Nurse + Preferred experience in Critical Care … more
- Beth Israel Lahey Health (Cambridge, MA)
- …to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported quality data by leading the ... on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of...reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts,… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted...direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …families, internal providers, and community partners to promote seamless, coordinated care . Apply utilization review criteria and evidence-based standards to ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- Saint Francis Health System (OK)
- …in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the ... Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2...and benefits of patients to validate accurate level of care utilization . Investigates and prepares appeals for… more
- Providence (Mission Hills, CA)
- …must empower them. **Required Qualifications:** + Associate's Degree in Nursing. + California Registered Nurse License upon hire. + 2 years of experience working ... Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse… more