- Children's Mercy Kansas City (Kansas City, MO)
- …and 1-2 years experience Adult nursing care experience + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon ... hire + One of the following: Licensed RN - Kansas, Registered Nurse ...upon hire. Children's Mercy is smoke and tobacco free. CM is committed to creating a workforce that supports… more
- HCA Healthcare (Kansas City, MO)
- …the UR physician to adhere to the self-denial process. **What qualifications you will need:** + ( RN ) Registered Nurse + Registered Nurse Diploma, or ... optimal care and appropriate resource utilization. + Responsible for ensuring other RN CM in department are using IQ criteria appropriately. + Conduct reviews… more
- ChenMed (Houston, TX)
- …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent and admission or...a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in… more
- PruittHealth (Atlanta, GA)
- …with long-term care population **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Licensed Registered Nurse with current, unrestricted license in state of ... application of model of care practice guidelines and Case Management ( CM ) Standards of Practice. Implement appropriate interventions to manage multiple physical,… more
- HCA Healthcare (Fredericksburg, VA)
- …Graduate of an accredited school of nursing; bachelor's degree preferred. + Licensed a Registered Nurse in the Commonwealth of Virginia or has a Compact license. ... for benefits may vary by location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can… more
- Providence (Medford, OR)
- …weekends as needed.** The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes ... **Description** **Care Manager RN at Providence Medford Medical Center in Medford,...must empower them. **Required Qualifications:** + Upon hire: Oregon Registered Nurse License. + 3 years Acute… more
- LA Care Health Plan (Los Angeles, CA)
- …for health plan compliance with UM or CM . Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted California ... Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management...for Quality Assurance (NCQA) requirements for Utilization Management or CM . Knowledge of Department of Health Care Services (DHCS)… more
- Trinity Health (Troy, NY)
- …to meet those needs **What you will need:** + A current license to practice as a Registered Nurse in the State of New York + ASN required, BSN preferred from an ... on M/S units. Will work closely with Hospitalist and CM /UM assigned to unit. Here at St. Peter's Health...that the plan of care is evaluated + The RN is directly accountable to the Nurse … more
- Blue KC (MO)
- …of URAC and NCQA(R) guidelines and state and federal regulations. + Valid and active Registered nurse ( RN ) in Missouri and Kansas. + Case Management ... management and clinical transplant experience + Valid and active Registered nurse ( RN ) licensure in...keyboarding skills + Intermediate level knowledge of FACETS UM, CM and claims applications. + Experience in working with… more
- Houston Methodist (Houston, TX)
- …Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse ( RN ) who comprehensively conducts point of entry and ... and/or case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -...or ACM-NBCM or CDCES or CHPN-HPCC or CMGT-BC or CM -ABOHN or CMCN or ANCC-NCM **KNOWLEDGE, SKILLS, AND ABILITIES**… more