- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system… more
- ERP International (Macdill AFB, FL)
- **Overview** ERP International is seeking ** Registered ** ** Nurse ( RN )** for Full-Time positions in **Case Management** at MacDill AFB, FL. Apply online today ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- UPMC (Harrisburg, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... Registered Nurse Home Health Harrisburg Are...shifts with rotations for on-call and weekends. As an RN with UPMC Home Healthcare, you'll collaborate with our… more
- OhioHealth (Columbus, OH)
- …State of Ohio Board of Nursing, BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing **Additional Job ... Description:** RN from an accredited school of Nursing with a...**Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** UM Care Coord-South Central Hu Join us! if your… more
- University of Rochester (Rochester, NY)
- …record. Other duties as assigned. **MINIMUM EDUCATION & EXPERIENCE** + Associate's degree Registered Nurse ( RN ) required + Bachelor's degree in Nursing ... through query processes. + Provides oversight for EPARC, including UM work queues and unbilled work queues. + Communicates...HDM, Cobius, and Sharepoint preferred **LICENSES AND CERTIFICATIONS** + RN - Registered Nurse -… 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 connectivity ... the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... within hospital Preferred + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred **Where You'll Work** Virginia Mason… more
- Providence (Olympia, WA)
- …people, we must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years of Nursing **Preferred Qualification:** ... **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with...blended with well-developed knowledge and skills in Utilization Management ( UM ), medical necessity and patient status determination. This individual… more
- UPMC (West Mifflin, PA)
- UPMC Home Health is Hiring a Casual Registered Nurse ( RN ) for the McKeesport, Clairton and Surrounding Areas Are you a nurse looking for a rewarding ... care in the comfort of their homes. 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
- Tenet Healthcare (Detroit, MI)
- …Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a ... RN Utilization Review - Case Management - 2506004107...an authorization process Closes open cases on the incomplete UM Census Completes the Medicare Certification Checklist on applicable… more