- CDPHP (Latham, NY)
- …New York State license is required) + In lieu of behavioral health license, Registered Nurse with valid New York State license, with experience treating ... alternative services to the medical directors. This position is remote with the potential for meetings on-site at CDPHP...a hospital setting required. + Minimum one (1) year quality/ utilization management experience in health care setting… more
- 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