- Beth Israel Lahey Health (Plymouth, MA)
- …a difference in people's lives.** **Job Description:** Are you a case management / utilization review professional passionate about improving care delivery ... **Care Transitions Department** and seeking an experienced **Manager of Utilization Review & Denials Management **...plays a vital role in ensuring seamless, patient-centered care. ** RN - Utilization Review ** This… more
- Veterans Affairs, Veterans Health Administration (MO)
- … nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Austin, TX)
- …on authorization trends, turnaround times, and team performance. **Required Qualifications** + Registered Nurse ( RN ) with an active and unrestricted ... in state of residence + 5+ years of experience in prior authorization, utilization management , or related healthcare operations. + 3-5 years leadership… more
- CareFirst (Baltimore, MD)
- …in addition to the required work experience. **Licenses/Certifications Upon Hire Required** : + RN - Registered Nurse - State Licensure And/or Compact State ... Licensure RN - Registered Nurse in MD, VA or Washington,...Care Management , Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications** : + Knowledge… more
- Intermountain Health (Butte, MT)
- …Service + Patient Education + Communication + Prioritization **Minimum Qualifications** + Current Registered Nurse ( RN ) license in state of practice. + ... Management Certification + Demonstrated experience in case management , utilization review , value-based care,...and Excel software. **Physical Requirements:** **Minimum Qualifications** + Current Registered Nurse ( RN ) license in… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+ Months Contract (Possible temp to hire)** **Job Description:** + Must be an RN in SC and have an active and unrestricted SC RN license. + ... prioritize effectively and have critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + A… more
- WMCHealth (Valhalla, NY)
- …two (2) years of Utilization Management or Appeal Management related experience Training/License: Current NYS RN license. Thorough knowledge of ... the results. + Maintains familiarity with the laws, regulations, and interpretation of utilization review and discharge planning. Remains up to date on changes… more
- Magellan Health Services (Boise, ID)
- …Professional Counselor - Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - ... the management , direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care … more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - Active State Licensure And/or ... Compact State Licensure RN - Registered Nurse in MD,...Care Management , Home Health, Discharge Coordination and/or Utilization Review . **Preferred Qualifications:** + Bilingual -… more
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