- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Veterans Affairs, Veterans Health Administration (San Juan, PR)
- Summary The Registered Nurse - Utilization Management will demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal ... members of the interdisciplinary team. Responsibilities The Utilization Management Registered Nurse at the San Juan VA...reporting, and providing education based on best documentation and UM practices. The nurse collaborates on treatment… more
- Katmai (Fort Carson, CO)
- …Degree of Nursing. + Current, full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college or university ... Provide a comprehensive utilization review (UR) and utilization management ( UM ) program for all TRICARE eligible beneficiaries within the...years within the last four (4) years as a registered nurse in utilization management. + One… more
- US Tech Solutions (Wichita, KS)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE...with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:**… more
- Actalent (Atlanta, GA)
- …Customer Service, Claims, Contracts and Benefits - Appeals, and Risk Management. Essential Skills + Registered Nurse ( RN ) with a valid license in GA or ... Utilization Review ( Registered Nurse ) Job Description This role...Compact. + 1+ years of experience in Utilization Management ( UM ). + 1+ years of experience in managed care.… more
- UPMC (Wellsboro, PA)
- UPMC Home Health is Hiring a Registered Nurse ( RN ) for all of Tioga County and Surrounding Areas Are you a nurse seeking a fulfilling career that allows ... Rotation of on-call and rotation of weekend As an RN with UPMC Home Health, you'll collaborate with our...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- University of Miami (Miami, FL)
- …worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of ... team to provide quality care to designated patients. The RN works within the scope of practice within the...are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains… more
- Healthfirst (WV)
- …+ Occasional overtime as necessary + Additional duties as assignedMinimum Qualifications: + RN , LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and//or ST license + For ... CASAC positions only: Credentialed Alcohol and Substance Abuse CounselorPreferred Qualifications: + Masters degree in a related discipline + Experience in managed care, case management, identifying alternative care options, and discharge planning + Certified… more
- Elevance Health (Washington, DC)
- …management experience is a must for this position. + A current unrestricted RN license issued by the Commonwealth of Virginia is very strongly preferred. + ... Experience monitoring associate productivity (ie metrics) is preferred. + Prior experience in Medicaid, FIDE, and LTSS markets is very helpful. + Your must be computer literate and be comfortable using a variety of applications, especially Word and Excel. +… more
- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13841 **Working Title** : Registered Nurse - Care Coordinator - Per Diem 8 Hour Days **Department** ... Science degree in Nursing required **License/Certifications:** + Valid CA RN license required + Certified Case Management preferred or...with 2 or more year of care management experience ( UM or DC Planning). + 1 year of previous… more