- Trinity Health (Maywood, IL)
- …where you can grow your career and make a lasting impact. Full Time - 8-5pm (days), Registered Nurse ( RN ) and 3 - 5 years of experience required Position ... through a thorough understanding of Milliman and InterQual criteria, conducts concurrent utilization review . Interacts with insurers, third party payors, and … more
- Houston Methodist (TN)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more
- Catholic Health Initiatives (Bismarck, ND)
- **Job Summary and Responsibilities** Empowering Recovery: Registered Nurse ( RN ) - Partial Hospitalization Program (PHP) **Are you a compassionate and skilled ... Registered Nurse passionate about behavioral health and...family members, community resources, and other healthcare professionals. *Conducts utilization review : Act as a liaison with… more
- University of Rochester (Rochester, NY)
- …- Quality Assurance and Process Improvement (QA/PI) experience preferred LICENSES AND CERTIFICATIONS - RN - Registered Nurse - State Licensure and/or Compact ... of strict inclusion/exclusion criteria and protocols. Performs meticulous chart review and enters clinical data into the quality databases...State Licensure Current licensure as a Registered Nurse in NYS upon hire required… more
- BayCare Health System (Bradenton, FL)
- …care goals. + Knowledge of regulatory standards appropriate to position. **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... Career with BayCare HomeCare as a Home Care Supervisor, RN ! At BayCare, we are proud to be one...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established… more
- Albany Medical Center (Albany, NY)
- …Work Shift: Day (United States of America) Salary Range: $83,200.00 - $128,960.00 Registered Nurse ( RN ) - Full Time Pediatric Endocrine Department ... advanced practice provider (APP) and the supervision of the Nurse Manager ( RN ) and/or Nurse ...or APP and documents results in EHR + Performs review and triage of incoming test results, patient requests… more
- Baylor Scott & White Health (Temple, TX)
- …minimum qualification - EXPERIENCE - 5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Registered Nurse ( RN ) As a health care system committed ... **JOB SUMMARY** Manager Comphrensive Care Management RN manages the activities and staff responsible for...across the continuum to include case management, social work, utilization review and care coordination to achieve… more
- Bassett Healthcare (Cooperstown, NY)
- …optimum health and enjoy the best quality of life possible. What you'll do The STAT Nurse RN will provide clinical support and direct patient care in a variety ... of inpatient units during peak periods of activity. The STAT Nurse RN will provide episodic nursing care, assist with patient flow, respond to Rapid Response,… more
- Providence (Walla Walla, WA)
- **Description** The Inpatient Registered Nurse ( RN ) Care...+ 1 year - Experience in care management or utilization review in any setting or upon ... **Required Qualifications:** + Associate's Degree - Nursing degree/diploma upon hire. + Washington Registered Nurse License upon hire. + 2 years - Acute care… more