- Providence (Olympia, WA)
- **Description** The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric care management services for at ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review ,...Associate's Degree in Nursing degree/diploma upon hire. + Washington Registered Nurse License upon hire. + 2… more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board...of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …skills Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... Applications will be accepted on an ongoing basis. Initial review will be conducted approximately 12/9/25. Then, eligible applicants...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Molina Healthcare (Covington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... Experience Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. MULTI… more
- Molina Healthcare (North Las Vegas, NV)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... room. Previous experience in managed care Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **WORK… more
- LA Care Health Plan (Los Angeles, CA)
- …adjudication process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject matter expert ... of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted… more
- Penn Medicine (Lancaster, PA)
- …placement in position for incumbents who started after 07/01/2020. + A graduate registered nurse may only practice professional nursing under supervision and if ... the graduate registered nurse holds a current temporary practice... nurse is practicing. + All Clinical Nurse 1 RN 's will be required to… more
- HCA Healthcare (Lone Tree, CO)
- …excellence through every patient and family interaction **What qualifications you will need:** + ( RN ) Registered Nurse HCA HealthONE, one of the largest and ... operations, functions and staff in alignment with the annual Utilization Management Program Description as well as...personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review … more
- Saint Luke's (Lees Summit, MO)
- …plans, directs and implements all services related to case coordination, concurrent review , and utilization management programs, ensuring compliance with ... Capacity Leadership Team for the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new role as Case … more
- Baystate Health (Springfield, MA)
- …to this role. **Education:** Bachelors Degree in Nursing (Required) **Certifications:** Registered Nurse - State of MassachusettsState of MassachusettsState of ... management as outlined in the evidence based practice guidelines + Uses Utilization Analysis / Management principles, insures that patient's site of care… more