- Covenant Health Inc. (Alcoa, TN)
- …preferred. Licensure Requirement Must have current TN License as a Registered Nurse or Licensed Therapist/Social Worker. RN License Apply/Share Send this job ... Assures that productivity targets are met. + Coordinates the utilization management plan for physicians and nurse ...the utilization management plan for physicians and nurse practitioners with the providers and senior management. +… more
- Houston Methodist (The Woodlands, TX)
- …experience which includes two years in case management **LICENSES AND CERTIFICATIONS** **Required** + RN - Registered Nurse - Texas State Licensure - Texas ... and federal programs + Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care… more
- Sharp HealthCare (San Diego, CA)
- …Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... a designated patient population. **Required Qualifications** + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- UPMC (York, PA)
- …increasing senior management experience are required. Licensure, Certifications, and Clearances: + Registered Nurse ( RN ) + Act 34 *Current licensure ... is accountable for achieving quality patient care through appropriate leadership and utilization of human and fiscal resources. The position is accountable for the… more
- Elevance Health (Miami, FL)
- …on relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How You Will ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
- Actalent (St. Louis, MO)
- …time zones Employment Type: Full‑Time About the Role We are seeking an experienced Registered Nurse to join our team within a leading Managed Care Organization. ... Remote Clinical Review Nurse - Prior Authorization Location: Must be located...organizational standards. + Maintain up‑to‑date knowledge of clinical guidelines, utilization management policies, and industry best practices. + Support… more
- HCA Healthcare (Lake City, FL)
- …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Bachelors Degree HCA Florida Lake City Hospital ... Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Nurse Director Medical Surgical with HCA Florida Lake City Hospital, you can… more
- Albany Medical Center (Albany, NY)
- …on LEAN methodologies + Ability to improve job performance through continuing education. + RN - Registered Nurse - State Licensure and/or Compact State ... the nursing organization. + Participates in the development, implementation and utilization , and evaluation of cost effective medical center programs, policies and… more
- Community Health Systems (Siloam Springs, AR)
- …platforms, healthcare software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... for nursing operations across assigned area(s), ensuring efficient resource utilization , regulatory compliance, and quality outcomes. + Oversees the development,… more
- Arkansas Children's (Little Rock, AR)
- …, Certified Dialysis Nurse (CDN) - Nephrology Nursing Certification Commission (NNCC), Registered Nurse ( RN ) license - Arkansas or Compact State ... and high quality patient care delivery and the effective and efficient utilization of staff, supplies, and equipment. Promotes evidenced based practice and ongoing… more
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