- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for ... performance review /*License/Certifications:*/ * Possession of a valid license as a Registered Nurse issued by the State of Minnesota. **Title:** *Staff … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …improving member and community health. + Manages more complex assignments; cross-trained to review various levels of care and/or services. + Participate in ... regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with Case Management to address member… more
- UnityPoint Health (Cedar Rapids, IA)
- …+ Identifies needed interventions, and communicates and collaborates with physician and primary nurse to individualize plan of care to meet patient's needs. + ... Patient Care Coordinator role is designed predominantly for an RN , although candidates with commiserate healthcare experience may be considered. Baccalaureate… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Nurse Supervisor for NEW ED Observation Unit at Samaritan Hospital** **Pavilion Building - ... 4T** **EXEMPT** **FT Days** If you are an experienced RN looking for a **_leadership_** position in the Observation/Clinical...your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. **Position Highlights:**… more
- UNC Health Care (Morrisville, NC)
- …program. 2. **Leading People** - Operational oversight of centralized and site-specific UM teams, including utilization review nurses and support staff. ... serve. **Summary** : The **Executive System Director of Utilization Management ( UM )** is a strategic and operational leader responsible for designing, implementing,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …as assigned. Essential Qualifications * Current Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review ...URAC and NCQA. * 2+ years' experience in a UM team within managed care setting. *… more
- UTMB Health (Webster, TX)
- …testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse ( RN ).with a minimum of three (3) years ... with complicated treatment plans through multidisciplinary conferences and medical record review . + Facilitates clinical care progression of patient throughout… more
- Martin's Point Health Care (Portland, ME)
- …in a health plan UM department Required License(s) and/or Certification(s): + Compact RN License + Certification in managed care nursing or care ... been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high… more
- Molina Healthcare (Louisville, KY)
- …for state of KY or RN who must be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior ... to other clinical programs. * Collaborates with multidisciplinary teams to promote Molina care model. * Adheres to utilization management ( UM ) policies and… more
- University of Michigan (Ann Arbor, MI)
- … Care Technician Apply Now **Job Summary** Under direct supervision from a Registered Nurse or other designated supervision, provides direct patient care ... with admissions, discharges, and transfers. + Provide skin care at the direction of the RN ,...or equivalent **Desired Qualifications + Completion of a Certified Nurse Aide or Certified Medical Assistant program; basic computer… more