- Evolent (Lansing, MI)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- BayCare Health System (Tampa, FL)
- …appraisals + Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review RN **Location** Tampa:St Josephs | ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/ RN responsibilities...+ **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred… more
- Catholic Health (Kenmore, NY)
- …residency program, residents will transition to a full-time, permanent job as a Registered Nurse in the critical care float pool Competency Assessments ... have an emphasis on the development of clinical and leadership skills for the novice/beginner nurse to be successful as a competent RN . Components of the program… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Infusion Registered Nurse ( RN ) assumes responsibility for the coordination of care focused on patient education, self-management, and customer ... satisfaction throughout the continuum of care, The RN is responsible and accountable for all elements of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Baystate Health (Springfield, MA)
- …Diem Hospital Case Manager** The ** RN Hospital Case Manager** is a registered nurse responsible for the coordination of clinical care, quality, and financial ... and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party payers… more
- Crouse Hospital (Syracuse, NY)
- …of care. Care Manager Position Requirements: + Must have a current New York State Registered Nurse ( RN ) license. + Graduate from an accredited nursing degree ... Coordination Services team is hiring a Care Manager to review the services delivered to patients and compare it...maintaining the quality of care. + Participates in the utilization management process using standards of care to determine… more
- ERP International (San Diego, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Health Educator** supporting **Naval Medical Center San Diego, CA ... that of other individuals performing similar services. Participate in peer review and performance improvement activities. Practice aseptic techniques as necessary.… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review -...dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
- US Tech Solutions (LA)
- …in on call rotation as indicated by staffing and business needs. **Duties:** + ** Registered Nurse with current license in LA state of employment. Additional ... **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a...nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience. **Experience**… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- Summary James A Haley is excited to recruit a Registered Nurse , Nursing Officer of the Day (NOD) . This registered nurse would be responsible and ... Administrative Officer (AOD), Transfer Coordinator, the Emergency Room, Admissions, Utilization Review , and Acute Care charge nurses...level degree in Nursing may have opportunity to become registered as a nurse with a state… more