- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour ... they are discharged from the hospital by assessing their needs, coordinating care , communicating with health plans, including concurrent review to determine… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …referral management services for beneficiaries in the Defense Health Network. Registered Nurse will have overall responsibility for timely review of Right of ... First Refusal (ROFR) requests, review of Specialty Care Referrals, sustaining up-to-date Specialty Clinic Referral Review...RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Cardiovascular Center- CVC 5,...to deliver the safest and highest quality of health care . Applicants are expected to review the ... opportunity employer. **Job Detail** **Job Opening ID** 269110 **Working Title** REGISTERED NURSE (Cardiovascular Center- CVC 5, Adult Intermediate… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Utilization Management ( UM ) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and creative ... qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: Master's prepared Registered Nurse . 5 years Utilization Management Experience… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE ( Cardiovascular Center- CPU...to deliver the safest and highest quality of health care . Applicants are expected to review the ... equal employment opportunity employer. **Job Detail** **Job Opening ID** 270971 **Working Title** REGISTERED NURSE ( Cardiovascular Center- CPU - EP Lab) **Job… more
- US Tech Solutions (Wichita, KS)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . +... Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
- University of Miami (Miami, FL)
- …. CORE JOB SUMMARY The Registered Nurse 2 delivers patient-family centered care in ... of quality, safety, and service while ensuring population-specific patient care . The Registered Nurse 2...necessary. Serves as mentor and role model Compliance with UM , Hospital and department policies and procedures Other duties… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of a ... team to provide quality care to designated patients. The RN works...are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains… more
- University of Miami (Miami, FL)
- …not require direct physician involvement as per physician orders and within the scope of RN licensure 7. Renders dire ct patient care by assisting providers with ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sign on Bonus:… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... be moved to work remote. + Prefer 2 yrs. UM and/or appeals experience. + Experience with prior insurance,...+ Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review … more