- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based ... to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards,...+ A minimum of three years of experience in utilization management , preferred + Team leading or… more
- AdventHealth (Killeen, TX)
- …Higher Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + 5 years ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Registered Nurse Work Experience Preferred + Certified Case Manager (CCM)… more
- HCA Healthcare (Tomball, TX)
- …Healthcare Tomball we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Case Manager PRN and access programs to assist ... gain certifications and job skills. Apply today for our Registered Nurse RN Case Manager...utilization **What qualifications you will need:** + Current RN License in the State of Texas or Multi-State… more
- UPMC (Pittsburgh, PA)
- …within one year of hire or 1 year health plan management experience required + Registered Nurse ( RN ) + Act 34 *Current licensure either in the state ... Plan is seeking a full-time Professional Care Manager, Supervisor to join our Utilization Management (UM) Clinical Operations team. This position follows a… more
- Hartford HealthCare (Hartford, CT)
- …Glastonbury, Enfield, Farmington, West Hartford and Avon offices. Bachelor's Degree required . CT- Registered Nurse ( RN ) license- preferred * Minimum of 2 ... The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely collection, documentation,… more
- AdventHealth (Mansfield, TX)
- …AND EXPERIENCE REQUIRED:** Associates Degree Nursing or RN Diploma degree or higher Registered Nurse ( RN ) License Two (2) years of medical/hospital ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Registered Nurse experience This facility is an equal opportunity employer… more
- Community Health Systems (Gadsden, AL)
- …**Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization review , case management , or discharge planning preferred ... **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating...coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves… more
- AdventHealth (Tampa, FL)
- …Qualifications The expertise and experiences you'll need to succeed: .Associate Degree Nursing or RN Diploma degree. .Florida Registered Nurse ( RN ) ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily....Two (2 ) years of medical/hospital Registered Nurse experience This facility is an equal opportunity employer… more
- Ochsner Health (Slidell, LA)
- …surgery clinic, clinical research or medical records. **Certifications** Required - Current RN License in the state of practice **Knowledge Skills and Abilities ... operative, and postoperative data components for the Program through the effective utilization of the hospital medical record systems. + Responsible for the accurate… more
- Community Health Systems (Bentonville, AR)
- …**Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization review , case management , or discharge planning preferred ... **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating...coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves… more
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