- CommonSpirit Health (Lakewood, CO)
- …discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management , and patient advocacy. + Assure medical ... License in Applicable State of Employment required + 1 year of nursing or case management experience required. + Experience working with EMR preferred. + Working… more
- Trinity Health (Grove City, OH)
- …affordability. -Serve as a subject matter expert in your area, guiding drug utilization management and educational efforts. -Advocate for patients and pharmacy ... scheduling & assignment; + Participates in & contributes to the performance management /review process + Manages or contributes to the daily performance, daily… more
- VNA Health (Santa Barbara, CA)
- …education, inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and ... - 7:30PM, 3 days per week, rotating weekends Job Description: The Inpatient Registered Nurse provides hospice care and is skilled at assessing pain and other complex… more
- Molina Healthcare (San Antonio, TX)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... 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 of high… more
- Molina Healthcare (San Diego, CA)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM - 08:30AM PACIFIC HOURS NON EXEMPT, 3 days a week will… more
- LifeCenter Northwest (Bellevue, WA)
- Director, Organ Utilization Job Details Job Location Bellevue HQ - Bellevue, WA Position Type Full Time Salary Range $140000.00 - $210000.00 Salary Job Posting ... Date(s) Start Date 11/19/2025 Description and Qualifications The Director, Organ Utilization (Director), is responsible for overseeing the processes and teams that… more
- Dignity Health (Bakersfield, CA)
- …emphasis will be on care coordination communication and collaboration with utilization management nursing physicians ancillary departments insurers ... (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience. + California RN license +… more
- Trinity Health (Mishawaka, IN)
- …a compassionate and detail-oriented **RN** **Case Manager** to coordinate patient care, utilization management , and discharge planning. This role ensures quality ... in the State of Indiana + Bachelor's degree in Nursing (BSN preferred) + 3-5 years of clinical ...nursing experience; critical care experience preferred + Case management certification preferred + Strong communication, critical thinking, and… more
- HCA Healthcare (Houston, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) RN Nursing Informatics PRN you want with your current employer? We have an ... caring group of colleagues. Do you want to work as a(an) RN Nursing Informatics PRN where your passion for creating positive patient interactions is valued?… more
- Corewell Health (Dearborn, MI)
- …care management , human resource utilization , and the operational management of the nursing units. Provides clinical and administrative direction to ... Skilled Nursing and Rehabilitation in Dearborn provides expert medical...communication, leadership, organizational and people skills. + MI Practical Nurse (PN) or + MI Registered Nurse … more