- Select Medical (Madison, WI)
- …functions and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management , discharge planning, ... ** $10,000 Sign On Bonus **_Clinical license as a registered nurse or respiratory therapist or master's...resource management . + Demonstrating compliance with facility-wide Utilization Management policies and procedures. + Coordinating… more
- Henry Ford Health System (Detroit, MI)
- …+ Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of ... and the ability to work in a fast-paced environment. Licenses and Certifications: + Registered Nurse ( RN ) with a valid, unrestricted State of Michigan… more
- Pacific Medical Centers (Renton, WA)
- …Care Management RN is responsible for the supervision of case management (CM) and utilization management (UM) functions of US Family Health ... USFHP Medical Director(s) to develop and implement strategic case management and utilization management yearly...be RN ) And + Upon hire: Washington Registered Nurse License + 5 years Clinical… more
- Brockton Hospital (Brockton, MA)
- …responsibilities. EDUCATION: + RN with Master's Degree + Current License as Registered Nurse in the Commonwealth of Massachusetts EXPOSURE CATEGORY: It is ... management experience Proven experience in coordinating discharge planning and utilization review experience required. Prior management experience… more
- St. Luke's Health System (Boise, ID)
- …Luke's is truly a great place to work. The **Director of Clinical Review Management ** provides strategic and operational leadership across multiple settings and ... operating units to lead the organization's utilization management function in support of SLHS...: City** _Boise_ **Category** _Nursing Leadership_ **Work Unit** _Clinical Review Management System Office_ **Position Type** _Full-Time_… more
- PeaceHealth (Bellingham, WA)
- …may be considered and + Preferred: Utilization management /quality management experience **Credentials** + Required: Registered Nurse in state ... **Description** PeaceHealth is seeking a RN Care Management for a Full...needed to justify continued hospitalization. Maintains any applicable care management databases. + Performs concurrent review to… more
- Kadlec (Richland, WA)
- …recent inpatient clinical experience in an acute care facility. + Previous Case Management , discharge planning or utilization review experience. **Why Join ... care. Has the overall accountability for the integrated responsibilities of case management ; utilization management , discharge planning, facilitation and… more
- Independent Health (Buffalo, NY)
- …with regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... credentials preferred. + Four (4) years of clinical experience required. Utilization Management experience preferred. + Comprehensive knowledge and experience… more
- US Tech Solutions (LA)
- …+ Minimum 3 years nursing experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience** : ... as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA...Utilization Management . Prior Authorization Review experience **About US Tech Solutions:** US Tech Solutions… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible for conducting ... physician and/or physician advisor. This individual will: + Perform utilization review by completing a timely and...patient and hospital financial risk. + Initiate and facilitate RN to RN discussion and/or Physician to… more