- Actalent (Fort Lauderdale, FL)
- … Utilization Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse (UMN) who will work collaboratively with an ... reports on department activities as assigned. Essential Skills + Utilization management + Behavioral Health + Mental...review Additional Skills & Qualifications + Current unrestricted Florida RN or LPN License. + Minimum of one year… more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... reports on department activities as assigned. Essential Skills + Experience in utilization management , behavioral health, and mental health. + Proficiency in… more
- CVS Health (Salt Lake City, UT)
- …+ Direct clinical experience in a hospital setting or prior Utilization Management experience. + Valid California unrestricted independent professional ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
- Banner Health (CO)
- …Requires a level of education as normally demonstrated by a Bachelor's degree. Requires Registered Nurse ( RN ) licensure in the state of practice. Requires ... work and receive care. As an Associate Manager of RN Denials Management , you will be an...and the charging/billing is required. A working knowledge of utilization management and patient services is required.… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Shield of Minnesota Position Title: RN Specialist Complex Care Case Management Location: Remote Career Area: Health Services About Blue Cross and Blue ... and cost-effective health outcomes. Required Skills and Experiences * Registered nurse with current MN license and...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Molina Healthcare (GA)
- …services and supports (LTSS), or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... + Excellent organizational, problem-solving and critical-thinking skills. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be… more
- CenterWell (Salisbury, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home...RN ). + Home health experience is required. + Management and people leadership experience is preferred. + OASIS… more
- Baylor Scott & White Health (Temple, TX)
- …45 mins of Temple** **Status: Full Time** **Schedule: Monday-Friday 8am-12pm** **JOB SUMMARY** The Registered Nurse ( RN ) is a licensed professional who uses ... - MAJOR - Nursing - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse ( RN ) Basic Life Support (BLS): BLS or BLS… more
- Centene Corporation (Austin, TX)
- …4-6 years of related experience. Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... days of hire required + **Preferred Experience:** + Clinical Registered Nurse with experience in Acute Care...Med/Surg, Internal Medicine, LTC, SNF, or Nursing Rehab + RN Case Management and/or RN … more
- Banner Health (Phoenix, AZ)
- …where team members feel valued, supported and inspired every day. As the Registered Nurse Associate Director, you will bring your leadership experience and ... cardiac telemetry. Nursing ratio of 1:4-5 patients. The Registered Nurse Associate Director position is a...the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change… more