- Humana (Juneau, AK)
- …**Use your skills to make an impact** **Required Qualifications** + 2+ years Utilization Management experience + Active RN license in the state(s) in ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- HCA Healthcare (San Antonio, TX)
- …is strongly preferred. Minimum License, Certificates, or Registrations: 1. Current TX RN license required. 2. Nurse or Health Informatics Certification ... corporate/division/facility projects related to clinical informatics, including: * standardization * utilization * integration * optimization The CIC is the critical… more
- J&J Family of Companies (Horsham, PA)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... appropriate patients to access CARVYKTI. CTELs facilitate successful CARVYKTI(R) product utilization of the sites by advising them on order management, operations,… more
- Penn State Health (Hershey, PA)
- …center environment. This executive role oversees Care Management, Care Coordination, Utilization Management, Social Work, and Outpatient Care Management (Adult & ... ambulatory, and community-based care management programs + Leadership of utilization management, length-of-stay optimization, and payer alignment + Integration of… more
- IQVIA (Indianapolis, IN)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... patients to access CARVYKTI. You will facilitate successful CARVYKTI(R) product utilization of the sites by advising them on order management, operations,… more
- UnityPoint Health (Sioux City, IA)
- …action plans as needed. + Uses and encourages innovation in resource utilization , assures fiscally efficient operations + Monitors outcomes and reviews programs and ... with evidence based practice standards. + Ensure compliance with the state Nurse Practice act, state board of nursing regulations and regulatory agencies standards.… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …individuals facing mental health challenges, while working behind the scenes? If so, ** Utilization Management** might be the perfect fit for you\! In this role, ... Excel in a **fast\-paced, dynamic environment** \. **Our Ideal Candidates will have an RN or Social Work license and:** + **3 years** \- Clinical behavioral health /… more
- Cleveland Clinic (Coral Springs, FL)
- …the use of surgical instrumentation and knowledge of surgical procedure. + Assist RN Circulator to ensure proper room utilization through decreased turnover time ... following the guidelines set by the Association of Perioperative Registered Nurses (AORN). You will also be cross-trained as...directed by surgeon, identifies origin of each specimen to RN Circulator. + Follow standard policy and procedure for… more
- Billings Clinic (Townsend, MT)
- …Wage: $17.00 to $21.25 per hour Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the ... within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for...to a Level II or III staff person, LPN, RN , physician and/or non-physician provider * Practices within scope… more
- HCA Healthcare (Gainesville, FL)
- …physicians, patients, families, hospital staff, and outside agencies + Performs utilization management reviews and communicates information to third party payors + ... ongoing focus on quality and efficiency Requirements: + Florida RN license and/or approved multistate RN license...is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida North Florida Hospital… more