- CVS Health (Boise, ID)
- …procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors ... quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
- CVS Health (Baton Rouge, LA)
- …8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... management function. + Working environment with productivity and quality expectations. + Work requires the ability to perform...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more
- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the interdisciplinary ... and participate in developing programs, policies, and procedures for continuous quality improvement. + Ensure adherence to company and department policies regarding… more
- Sutter Health (Sacramento, CA)
- …transfers, and discharges, balancing patient needs with health system capacity. The nurse works closely with hospital leadership, physicians, and other staff to ... communication skills are essential for ensuring smooth operations and delivering high- quality patient care. **Job Description** : Video: Sutter Health: Getting… more
- UPMC (Harrisburg, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority and accountability ... employees including no cost RN-BSN/MSN options!) The Professional Staff Nurse is a Registered Nurse and a...unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . +… more
- UPMC (Mckeesport, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority and accountability ... or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . Takes personal responsibility… more
- UPMC (Greensburg, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority, and accountability ... or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . Takes personal responsibility… more
- UPMC (Farrell, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority and accountability ... UPMC Horizon is hiring a Full Time Professional Staff Nurse to support the Resource Pool Team. Shift Details:...unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . Takes… more
- UPMC (Pittsburgh, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority and accountability ... or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . Takes personal responsibility… more
- UPMC (Harrisburg, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority and accountability ... 6 will set you up to be a successful nurse . Main 6 promotes an environment of teamwork, learning,...unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management . Takes… more
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