- Children's Hospital Boston (Boston, MA)
- …or Utilization Management) preferred. Licensure/ Certifications: + Current Massachusetts license as a Registered Nurse ( RN ) + A certification as a Certified ... 80451BRJob Posting Title:Per Diem RN Case Manager, Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard… more
- Highmark Health (Monroeville, PA)
- …also building relationships across the organization in a community setting. **GENERAL OVERVIEW:** Registered nurse who is proficient in the coordination of care ... contractual requirements. + Documents, monitors, intervenes/resolves and reports clinical denials/ appeals and retrospective payer audit denials. Collaboratively formulates plans… more
- Trinity Health (Des Moines, IA)
- …Denials management. **MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa. + Five (5) years ... Family! We are looking to hire a Utilization Review RN ! Responsible for the review of inpatient and outpatient...Collaborates with MercyOne Post Denials team to determine potential appeals or downgrades and documents in STAR. + Ensures… more
- Trinity Health (Des Moines, IA)
- …72 hours biweekly Day Shift **General Requirements:** + Iowa licensure as a Registered Nurse . + Member of a professional healthcare organization. **Education:** ... the MercyOne Family! We are looking to hire a RN Clinical Integration Specialist. The purpose of the Clinical...and Medicaid Services (CMS), Iowa Department of Inspections and Appeals (IDIA), The Joint Commission (TJC),etc.), in conjunction with… more
- Trinity Health (Berwyn, IL)
- …of managerial experience. + CPR (Cardiopulmonary Resuscitation) certification. + Current Registered Nurse License State of Illinois + Specialty certification ... **Description:** The Lead Case Manager position reports to the Manager of Nurse Care Management. Their specific duties include: + Recruiting, interviewing, hiring,… more
- State of Georgia (Colquitt, GA)
- …experience within the last seven years to include one year working as a registered nurse in a long-term care facility. + Required Active License/Certifications: ... placement + Reports any faculty absences, student grievances and appeals , and other matters in accordance with college procedures;...RN , CPR, and GA Nurse Aide Program… more
- City and County of San Francisco (San Francisco, CA)
- …+ EXPERIENCE: One (1) year (equivalent to 2,000 hours) of experience as a Registered Nurse on a psychiatric inpatient unit, psychiatric emergency service clinic ... from this recruitment may be used to fill 2328 Nurse Practitioner - Psychiatric Nursing Specialty positions for the...appropriate salary step, please include your complete and verifiable registered nursing employment history (up to 21 years) on… more
- Sacramento County (Sacramento, CA)
- …status. + None + Basic Life Support (BLS) / Cardiopulmonary Resuscitation (CPR) + Registered Nurse in California + Advanced Cardiac Life Support + Certified ... Licensed Vocational Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448956) Apply Licensed Vocational Nurse D/CF Salary… more
- UNC Health Care (Chapel Hill, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... revenue by working with payors for insurance authorizations, denials, and appeals + Delivers mandated federal notices to patients/ patient representatives related… more
- Johns Hopkins University (Baltimore, MD)
- …division in fulfilling its mission. **Minimum Qualifications** + Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner. ... our ambulatory GI practices located at White Marsh and Bayview. The Nurse Practitioner works collaboratively within a multidisciplinary health team to optimize team… more