- CVS Health (Harrisburg, PA)
- …behavioral health clinical experience in a hospital setting required for either BH or RN -1+ years of utilization review / utilization management required ... they work (LMSW, LCSW, LISW, LPC, LMFT etc.) or Registered Nurse in state of residence -3+...(ie concurrent review , pre-certifications) for BH or RN **Preferred Qualifications** -Experience working with geriatric population and… more
- Centene Corporation (Harrisburg, PA)
- …Health Professional (LMHP) required or + Board Certified Behavior Analyst (BCBA) required + RN - Registered Nurse - State Licensure and/or Compact State ... Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with...Licensure RN - Registered Nurse - State Licensure and/or Compact State… more
- BayCare Health System (St. Petersburg, FL)
- … Management or 6 years of clinical nursing **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + Directing and coordinating the… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State...Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal… more
- State of Michigan (Lansing, MI)
- …requirement. Medicaid Utilization Analyst 12 Two years of experience as a Registered Nurse P11 or equivalent may be substituted for the education ... To identify psychotropic medication regimens that require additional physician review according to policy, the Utilization Reviewer...OR at least two years of experience as a Registered Nurse P11 or equivalent. If so,… more
- Health Care Service Corporation (Albuquerque, NM)
- …appropriate for treatment within the Autism Spectrum Diagnoses (ASD). **JOB REQUIREMENTS:** ** Registered Nurse ( RN ) or Masters-level Behavioral Health ... decision making skills.** **PC and database experience.** **PREFERRED JOB REQUIREMENTS:** ** Utilization review experience.** **3 years clinical experience in… more
- CenterWell (Shelby, NC)
- …reliable transportation. + A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home health experience is strongly preferred. + Management ... of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN… more
- CenterWell (Atlanta, GA)
- …**Required Experience/Skills:** + A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home health experience is required. + Management and ... of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN… more
- AmeriHealth Caritas (Washington, DC)
- …(BSN) preferred + Minimum of 3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit (ICU), Emergency Department (ED), ... reviews within a managed care organization preferred **Licensure** + Active and unencumbered Registered Nurse license in the District of Columbia + Valid and… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …that honors service through care. Minimum Qualifications Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state license ... issued by a Nursing Licensure Compact (NLC/eNLC) state to practice as a registered nurse plus one of the following: Three years of experience as a licensed … more