- Veterans Affairs, Veterans Health Administration (Albany, NY)
- … of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Dialysis Registered Nurse ( RN ) is a professional nurse with ... BSN 3-5 Years Med/Surg or Critical Care experience At least 1 year of recent registered nurse dialysis experience Caring for acute and , chronic Hemodialysis and… more
- MD Anderson Cancer Center (Houston, TX)
- …experience in a hospital or clinic setting, to include experience as a case manager, triage nurse , utilization review nurse , call center nurse , or ... SUMMARY:* The primary purpose of the Clinical Programs askMDAnderson Registered Nurse Care Manager is to provide...setting, to include experience as a case manager, triage nurse , utilization review nurse… more
- Cleveland Clinic (Cleveland, OH)
- …include: + Graduate from an accredited school of nursing + Ohio licensure as a Registered Nurse ( RN ) + Additional Multistate License (MSL) or eligible for ... 8:00am to 4:30pm. No weekend requirements. This is a remote position with occasional on-site requirements and you are...or ED + Proficiency in EPIC + Experience with Utilization Review + Expertise with electronic medical… more
- CVS Health (Annapolis, MD)
- …in state of residence + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS ... And we do it all with heart, each and every day. **Position Summary** Fully remote , Monday-Friday 8am - 5pm EST position (shifts may vary based on business needs)… more
- Humana (Austin, TX)
- …and passions. **Use your skills to make an impact** **Required Qualifications** + ** Registered Nurse ( RN )** **with current, unrestricted licensure** + BSN ... involvement in day-to-day UM activities and discussions with UM leaders. 20% 2. Review and monitor Contract Change Orders and evaluate impact on Utilization … more
- Humana (Tallahassee, FL)
- …for either shift._ **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in either Florida or a compact state ... for review depending on case findings. Educates providers on utilization and medical management processes. + Enters and maintains pertinent clinical information… more
- UnityPoint Health (Madison, WI)
- …acute care RN experience in med/surg, critical care, emergency or Utilization review . + Previous experience in clinical documentation improvement is ... preferred. + Knowledge of ICD CM/PCS coding guidelines License(s)/Certification(s): + Registered Nurse licensure required + Certified Clinical Documentation… more
- Humana (Hallandale Beach, FL)
- …+ Bachelor's degree in social work or behavioral health-related field + Active licensed Registered Nurse , RN in the state of Florida without disciplinary ... and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members and/or… more
- Humana (Frankfort, KY)
- …to make an impact** **Required Qualifications - What it takes to Succeed** + Licensed Registered Nurse ( RN ) in the state of Kentucky with no disciplinary ... for review depending on case findings. Educates providers on utilization and medical management processes. Enters and maintains pertinent clinical information in… more
- Children's Hospital Boston (Boston, MA)
- …in lab pre-analytical techniques preferred Licensure: + Current Massachusetts license as a Registered Nurse required OR + Current Massachusetts license as a ... (ASCP) Certification/Registration Required: + No certification requirement if licensed as a Registered Nurse OR + National Provider Identifier (NPI) number AND… more