- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …skills Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... CONTINUOUS ANNOUNCEMENT. Applications will be accepted on an ongoing basis. Initial review will be conducted approximately 12/9/25. Then, eligible applicants will be… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …internal providers, and community partners to promote seamless, coordinated care. Apply utilization review criteria and evidence-based standards to ensure safe, ... efficient, and high-quality outcomes. Identify Veterans requiring disease management and connect them to appropriate internal or external resources. Communicate… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Bone Marrow Transplant (BMT) Oncology Nurse Navigator 2 is a registered nurse (RN) who works collaboratively ... with physician practices and multi-disciplinary teams as to promote the effective utilization of services and coordination of care for patients within the Section of… more
- US Tech Solutions (LA)
- …+ Minimum 3 years nursing experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience** : ... **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a...Utilization Management . Prior Authorization Review experience **About US Tech Solutions:** US Tech Solutions… more
- Trinity Health (Mishawaka, IN)
- …and severity of hospital acquired pressure ulcers. + Participates with materials management in the review selection of all specialty supplies, dressing, ... inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination for inpatient would… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary The Advanced Practice Nurse (APN), Women's Health Veterans Program Manager (WHVPM) provides executive leadership and assumes continuing and substantial ... Veterans' Hospital and its outlying clinics. Responsibilities The Advanced Practice Nurse (APN), Women's Health Veterans Program Manager (WHVPM) provides executive… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Advanced Practice Nurse (APN) Certified Nurse Anesthetist (CNA) is a Certified Registered Nurse Anesthetist (CRNA). The CRNA provides a full ... training, & certification.. The CRNA provides advanced clinical practice, consultation, and management . Responsibilities A Career At VA Salt Lake City Health Care… more
- HCA Healthcare (El Paso, TX)
- …of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical ... opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be a part of...review of patient medical records for purposes of utilization review , compliance with requirements of external… more
- Roper St. Francis (Charleston, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess,… more
- Roper St. Francis (Summerville, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess,… more