- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... Applications will be accepted on an ongoing basis. Initial review will be conducted approximately 12/9/25. Then, eligible applicants...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …internal providers, and community partners to promote seamless, coordinated care. Apply utilization review criteria and evidence-based standards to ensure safe, ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. The EDRP Coordinator(s) can...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- MTC (Marion, OH)
- …use of appropriate sanitation methods. 13. Practice basic cost containment and utilization management for patient care and facility operations. 14. Maintain absolute ... and confidentiality of all medical records; observe applicable HIPAA rules. 15. Review medical files to determine all provided services are documented. 16. Closely… more
- MTC (Livingston, TX)
- …in Livingston, Texas,** has a unique and rewarding challenge for a dedicated nurse . Help us provide essential care where your expertise will directly impact the ... use of appropriate sanitation methods. + Practice basic cost containment and utilization management for detainee care and facility operations. + Maintain absolute… more
- Northwell Health (Sleepy Hollow, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria. + Submits… more
- Providence (Olympia, WA)
- **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization ... must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years -...or Associate's Degree in Nursing + 3 years - Utilization Review , Care Management, Quality Management, and/or… more
- Prime Healthcare (Lynwood, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/237903/ rn -case-manager utilization - ... to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator/ Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. ... strong psychiatric nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric… more
- Humana (Jackson, MS)
- …an impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...in an acute care setting + Previous experience in utilization management/ utilization review for a… more
- UnityPoint Health (Cedar Rapids, IA)
- …Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a ... coordinating the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of high-quality health care,… more