- Logan Health (Kalispell, MT)
- …manner + Partnering with the Chief Medical Officer on utilization review initiatives, length of stay management , and patient throughput + Ensuring ... as our Manager of Clinical Documentation Integrity (CDI) & Utilization Review ! This role is ideal for...Review ! This role is ideal for a collaborative RN leader who understands the acute care clinical environment,… more
- Rochester Regional Health (Rochester, NY)
- …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... Management Data base to support the clinical review process. + Concurrently monitors resources utilization ,...required + Licensed in New York State as a Registered Nurse + For hires after 10/28/2024,… more
- Molina Healthcare (Sparks, NV)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... attitude for success **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). RN licensure… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide ... clinical care management services to identified eligible patients; coordinating care to...Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State… more
- Carle Health (Normal, IL)
- …utilization issues in appropriate locations, including but not limited to: case management / utilization review software and the multidisciplinary plan of ... Overview Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for… more
- University of Southern California (Los Angeles, CA)
- …Degree Nursing + Req 5 years Clinical experience + Req 2 years Ambulatory case management or utilization review experience within the last three years + ... populations. The role integrates the functions of complex case management , utilization management , quality ...in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA… more
- Geisinger (Wilkes-Barre, PA)
- …- occurs during your entire first year as a GN! Job Description: The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities to ... Summary Geisinger is proud to offer a Graduate Inpatient RN up to $21,000 hiring incentive for eligible candidates!...Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania… more
- VNA Health (Santa Barbara, CA)
- …in clinical education, inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary ... Schedule: 3 days/week, 12 hours/day Job Description: The Inpatient Registered Nurse provides hospice care and is...and families in the General Inpatient setting. The Inpatient RN fully supports the Core Values and is accountable… more
- Aveanna Healthcare (Pell City, AL)
- Hospice Registered Nurse RN Full Time ApplyRefer a FriendBack Job Details Requisition #: 212393 Location: Pell City, AL 35128 Category: Nursing Salary: ... care and patient needs. + Participates in quality improvement, utilization review , and infection control activities as...and Paid Holidays Qualifications: + Current license as a Registered Nurse in the State of Alabama… more
- Providence (Torrance, CA)
- …Care Honor Roll by the California Surgeon General for 2024.The The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review ,...Associate's Degree - Nursing degree/diploma upon hire. + California Registered Nurse License upon hire. + 2… more