- Sharp HealthCare (La Mesa, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care nursing experience or case management experience. + California Registered Nurse ( RN ) - CA...reduction in avoidable readmissions, improved patient experience, and other quality initiatives.In the emergency departments, the RN … more
- State of Colorado (Garfield County, CO)
- …of Employment & Appeal Rights Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or ... and standards of care as part of a department quality assurance activity. + Performs prescribed, specialized treatments and...is to possess current and valid licensure as a Registered Nurse from the Colorado Board of… more
- UNC Health Care (Kinston, NC)
- …preferred. + **EXPERIENCE** + Minimum 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review, care management, or ... denials management preferred. + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a Registered Nurse in the state of North Carolina. **Job… more
- State of Colorado (Golden, CO)
- …Master's degree in nursing from an accredited institution Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... Training and Staff Development, Food Services, Research and Evaluation, Quality Assurance, Contract Management, Bed Management, SB 94 Alternatives...this position is to possess and maintain a valid Registered Nurse License issued by the State… more
- State of Colorado (Grand Junction, CO)
- …of Employment & Appeal Rights Education/Licensure/Certification/Experience: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or ... support. + Perform additional duties as assigned to support high- quality healthcare across the agency. This position is 100%...a license. As an example, if you are a registered nurse with a multistate license from… more
- Molina Healthcare (Orem, UT)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- State of Colorado (Aurora, CO)
- …Conditions of Employment & Appeal Rights Minimum Qualifications: Current, valid licensure as a Registered Nurse from the Colorado Board of Nursing or any state ... Nurse I - Veterans Community Living Center Fitzsimons,...and standards of care as part of the department's quality assurance activity. Administer IV fluids (If IV certified)… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the medical ... the use of healthcare services, procedures, and facilities. The RN conducts timely reviews of inpatient and outpatient medical.../*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of… more
- State of Colorado (Jefferson County, CO)
- …Employment & Appeal Rights MINIMUM QUALIFICATIONS: Applicants must possess a valid, active Registered Nurse License issued by the State of Colorado (Department ... NURSE II - Wheat Ridge Regional Center *PAY...the work unit: This work unit exists to provide quality health care, personal hygiene maintenance and an active… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …duties as assigned. + LICENSES AND/OR CERTIFICATIONS + Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ... + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and...supporting documentation, as well as facilitates the completion of appeals in a timely manner. + Prepares trend and… more