- Penn State Health (Hershey, PA)
- …family medical or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management Specialist - ... for maintaining compliance with the CMS Conditions of Participation for Utilization Management . **MINIMUM QUALIFICATION(S):** + Bachelors Degree in Nursing… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …leadership programs + And more **Description** The ** Utilization Review (UR) Specialist ** is a Registered Nurse responsible for conducting thorough medical ... inpatient, and extended recovery admissions as required based on Emory Healthcare's Utilization Management Plan and the UR Department processes. + Ensures… more
- Blessing Hospital (Quincy, IL)
- …Possesses current State RN license. + Knowledge of third party reimbursement or utilization management skills plus strong knowledge of medical terminology. + ... patient throughput and length of stay performance of the organization. The Utilization Review RN exhibits excellence in organizational skills when managing multiple… more
- BayCare Health System (Tampa, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... Weekend + **On Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager)… more
- HonorHealth (AZ)
- …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of ... in an acute care setting. Required 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact… more
- Mount Sinai Health System (New York, NY)
- …Excel and Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. ... **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt...EOW** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and ensuring… more
- HonorHealth (AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... in UR/UM or Case Management - Required 3 years as a Registered Nurse in an acute care setting - RequiredLicenses and Certifications Registered Nurse (RN)… more
- LifePoint Health (Louisburg, NC)
- …job field* **Organization:** **Maria Parham Franklin* **Title:** *Registered Nurse Utilization Review Coordinator* **Location:** *NC-Louisburg* **Requisition ... Registered Nurse (RN) Utilization Review Job Type:...of those we serve. Connect with our RN recruiting specialist . Do you need more time to complete an… more
- LA Care Health Plan (Los Angeles, CA)
- Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed Long Term Services and Supports Location: Los Angeles, ... Job Summary The Managed Long-Term Services and Supports (MLTSS) Nurse Specialist RN II applies advanced clinical...and must adhere to regulatory mandates that apply to Utilization Management (UM) and Care Management… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- School Health Operations Specialist (Public Health Nurse III) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5047752) Apply School ... Health Operations Specialist (Public Health Nurse III) Salary $83,009.89...professional nursing level planning, facilitation, communication activities and project management necessary for the day-to-day operations of the SH… more