- 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
- UTMB Health (Dickinson, TX)
- …information and records at all times. + Practices basic cost containment and utilization management for patient care and facility operations. + Prioritizes and ... Testing. + Assists with patient activities and care as assigned by the charge nurse /designee as indicated by the patient's plan of care. + Provides for patients'… more
- CareFirst (Baltimore, MD)
- …the field of Medical Surgical, Mental Health, Durable Medical Equipment, and/or Utilization Management , including some experience in research methodology and ... protocol and regulatory standards. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree in Nursing , Public Health, English or related field directly related to… more
- AdventHealth (Fletcher, NC)
- …+ Performs the functions of the clinical supervisor, intake, scheduling, quality review, utilization management medical records as needed. + Ensures the agency ... providing care to patients and that an RN (Registered Nurse ) is available after hours (24/7) to address patient...or other related healthcare operations. + Bachelor's degree in nursing or other healthcare related field or four years… more
- Cleveland Clinic (Cleveland, OH)
- …of Professional Nursing + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) Certification through the American Heart Association ... ideal future caregiver include: + Bachelor's of Science in Nursing (BSN) + CTM, ACM, CCM or AHA Certification...approved entity + Two years of recent experience in utilization review, quality or care management +… more
- Molina Healthcare (Albany, NY)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At ... managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more