- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and… more
- Sanford Health (Fargo, ND)
- …care facility preferred. Currently holds an unencumbered license in one of the following: Registered Nurse ( RN ), Licensed Practical Nurse (LPN), ... promoting home health services through education and referral recruitment. Must have RN , OT, or PT license **Job Summary** Responsible for identifying potential… more
- UPMC (Pittsburgh, PA)
- …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ). Preference will be given to LSW, CSW ... or human services field and master's degree OR licensed RN . OR Paramedic/EMT with 6-8 year of experience. Preference...CSW. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more
- UPMC (Pittsburgh, PA)
- …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ) *Current licensure either in the state ... or human services field and master's degree OR licensed RN (BSN preferred) OR Paramedic/EMT with 6-8 year of...experience. + Three years of experience in behavioral, clinical, utilization management , home care, discharge planning, and/or… more
- University of Miami (Miami, FL)
- …or responsibilities as necessary. CORE QUALIFICATIONS + Bachelor's degree in relevant field + Registered Nurse Licensure ( RN ), BLS, and ACLS Provider Card. + ... The Manager, Nursing promotes and restores patients' health by developing day-to-day management and long-term planning of the patient care area, directing and… more
- Mohawk Valley Health System (Utica, NY)
- …field. Licensure/Certification Requirements REQUIRED: + Active New York State Licensure as a Registered Nurse ( RN ). PREFERRED: + National Board Certification ... ensure the integration of service line planning into nursing, resource management strategic planning and operational budgets. Lead program planning, implementation… more
- Elevance Health (Las Vegas, NV)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes.... review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
- Catholic Health Initiatives (Lake Jackson, TX)
- …experience or Master's degree with Clinical experience preferred Required License and Certification: Registered Nurse : TX ( RN :TX) Basic Life Support - CPR ... employees. 6.Has an identified council structure with an elected Staff Nurse Professional Practice Council representative. Conducts unit council meetings monthly… more
- BronxCare Health System (Bronx, NY)
- …assist the department's leadership develop strategies for denial prevention, improved utilization management , documentation of medical necessity and identify ... avoidable day and barriers to discharge processes pertaining to utilization management . - Liaisons and coordinates with...department physician advisors and clinical staff. Qualifications - NYS Registered Nurse required - The Appeal Manager… more
- Trinity Health (Columbus, OH)
- …in lieu of an RN . + Licensure/Certification: Current license to practice as registered nurse in the State of Ohio. Registered Health Information ... Specialist (CCS) will be considered in lieu of a RN . + Experience: Minimum of 5 years acute care...5 years acute care medical or surgical experience required; Utilization /Case Management , managed care, or Clinical Documentation… more