- Elevance Health (Dearborn, MI)
- …for employment, unless an accommodation is granted as required by law. The **Medical Management Nurse ** is responsible for review of the most complex ... **Medical Management Nurse ** **Hours: Candidates will work...experience and requires a minimum of 2 years clinical, utilization review , or case management … more
- Veterans Affairs, Veterans Health Administration (Muskogee, OK)
- …Possessing intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... Veterans Act of 2016. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach to receiving,… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... expert leadership, experience, and creative approaches in providing complex patient management . Holds the responsibility of implementing an efficient approach to… more
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- …possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... Summary Overton Brooks VA Medical Center is seeking a highly qualified Nurse Community Care Coordinator that's responsible and accountable for all elements of the… more
- Sutter Health (Roseville, CA)
- …SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the ... and at the appropriate level of care. Coordinates the utilization management , resource management , discharge...within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation… more
- US Tech Solutions (LA)
- …+ Minimum 3 years nursing experience with a minimum of 1 year in utilization management / prior authorization review experience. **Experience** : ... **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a...Utilization Management . Prior Authorization Review experience **About US Tech Solutions:** US Tech Solutions… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …from the community. He/she possesses the knowledge related to VHA guidelines, utilization review criteria, current evidence-based standards of care, compliance ... and patient population served is as defined in applicable Scope of Service. The Nurse functions directly to support the activities of the local Office of Community… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …education, orientation, competencies and providing quality improvement and enhance outcomes utilization This nurse integrates knowledge, skills, abilities, and ... for the coordination of care focused on patient education, self- management , & customer satisfaction throughout the continuum of care....and Responsibilities include but ARE NOT limited to: The Nurse Inpatient Staff Registered Nurse (RN) is… more
- Veterans Affairs, Veterans Health Administration (Sebring, FL)
- …orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates outpatient nursing knowledge, skills, ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Access Dubuque (Dubuque, IA)
- …Date 20250827 End Date 20251027 Featured Job TH Ad TH Comments **Similar Jobs** Utilization Management Nurse Cottingham & Butler/ SISCO ER Medical Surgical ... Cardiac Care Nurse **Medical Associates** 1 Positions ID: oF2bxfw9 Posted...patient health care data, perform diagnostic testing, treatments, and review medical records and confer with physician/mid-level providers to… more