- Houston Methodist (Houston, TX)
- …experience + Occupational health nursing experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... and reporting of occupational injuries and illnesses, return-to-work status, case management , immunization administration and compliance , safe patient handling… more
- CVS Health (Baton Rouge, LA)
- …Pointe Coupee, East Baton Rouge, West Baton Rouge, Iberville, Ascension parishes** + Registered Nurse with current unrestricted Louisiana (LA) license + 3+ ... overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage...years' clinical practice experience as an RN working with the adult population + 2+ years'… more
- Katmai (Fort Carson, CO)
- …all levels of health care management to include outside agencies. Performs utilization management activities to optimize cost, quality, and access to care. ... **Job Requirements:** **MINIMUM QUALIFICATIONS** + Associates Degree of Nursing. Registered nurse shall be a graduate from...+ Shall possess a current, active, full and unrestricted Registered Nurses ( RN ) licensed in Colorado or… more
- Insight Global (New York, NY)
- …Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements - Registered Nurse ( RN ) (NYS License ... custody who are awaiting release to their sponsors. The Nurse is responsible for the oversight, coordination and provision...provide training to staff and foster parents on proper utilization of those medical devices. . Supervise procedures for… more
- Trinity Health (Mishawaka, IN)
- …SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant), Registered Nurse ** will provide clinical oversight and coordination ... support and staff development activities that provide the bedside nurse with the knowledge, skills, and confidence to manage...and materials for wound care to facilitate cost effective utilization and compliance with vendor contracts. **JOB… more
- CVS Health (Oklahoma City, OK)
- …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... platform. + Adhere to CMS, state specific and NCQA compliance criteria as related to Transitions of Care. +...stay and identify any barriers to discharge. + Assist Utilization Management team with access to external… more
- Community Health Systems (Naples, FL)
- Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... providers and staff to drive compliance with utilization policies. The UR Nurse also contributes...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
- Saint Luke's (Lees Summit, MO)
- …directs and implements all services related to case coordination, concurrent review, and utilization management programs, ensuring compliance with TJC, state ... the Health System while owning primary oversight for Case Management at Saint Luke's East Hospital in your new...experience, 2+ years of leadership experience and either an RN license, LCSW or MSW to be considered!** +… more
- Trinity Health (Newtown, PA)
- …the overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal ... and quality standards. Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills.… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more