- CenterWell (Madison, FL)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Actalent (Minnetonka, MN)
- …to assess the medical necessity of post-acute stays. Essential Skills + Expertise in utilization management and utilization review . + Experience in acute ... Utilization Management Nurse Job Description As...inpatient rehabilitation, and long-term acute care hospitals. Responsibilities + Review and document prior authorization and concurrent stay requests.… more
- CenterWell (San Juan, PR)
- …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent… 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
- Children's Home Healthcare (Albuquerque, NM)
- …for Home Health services from insurance company. 7. Attend quarterly Utilization Review meetings as designated by the Director of Professional Services. ... NOT APPLY IF YOU DO NOT HAVE A VALID RN LICENSE* Children's Home Healthcare is now...CPR + At least 2 years experience as a Registered Nurse + At least 1 year… more
- CenterWell (Austin, TX)
- …and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part...skills to make an impact** **Role Essentials** + Active RN license + Possession of or ability to obtain… more
- Molina Healthcare (Orem, UT)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet ... (Team will work on set schedule) Looking for a RN with experience with appeals, claims review ,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Registered Nurse Care Manager, Quality Management PRN/OCC,Hours and Shifts Vary Fort Loudoun Medical Center Overview: Fort Loudoun Medical Center is ... care to every patient, every time. Position Summary: The RN Care Manager II is responsible for integrating evidenced...management services within the scope of practice as a registered nurse meeting all required standards both… more
- HCA Healthcare (Kissimmee, FL)
- …patient safety. + Other duties as assigned. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + Bachelor's in Nursing ... + 1+ year of prior case management experience + Registered Nurse - Currently licensed as a...opportunity compelling, we encourage you to apply for our RN Case Manager PRN opening. We promptly review… more
- HCA Healthcare (Orange Park, FL)
- **Description** **Introduction** Do you have the PRN career opportunities as a ** Registered Nurse ( RN ) Case Manager** you want with your current employer? We ... expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse ( RN ) Case Manager...this PRN position. + Certification in Case Management or Utilization Review is preferred. + InterQual experience… more