- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …care coordination, and transition of care between settings. Required Skills and Experience * Registered nurse with current MN license and with no restrictions. * ... Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health...* 1+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Penn Medicine (Philadelphia, PA)
- …(Outlook, Canopy, CERME, ECIN, shared drive, Internet) **Credentials:** + Registered Nurse - PA (Required) + PA RN Licensure required. Education or ... hospice, community resources, transportation, and quality data collection and risk management referral. **Responsibilities:** + Utilization management … more
- MyFlorida (St. Augustine, FL)
- …all verbal orders, including telephone orders from attending physicians, are reviewed by a registered nurse . If no RN is available, receive all telephone ... SENIOR REGISTERED NURSE SUPV - 50950032 Date:...resident's status, and providing supervision and guidance to the RN , LPN, CNA, and other Allied Health Care Professionals.… more
- MyFlorida (St. Augustine, FL)
- REGISTERED NURSE - 50950152 1 Date: Jan...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization of ... . Requisition No: 865268 Agency: Veterans Affairs Working Title: REGISTERED NURSE - 50950152 1 Pay Plan:...the art smoke free facility + On-site Pharmacy **OPS RN Weekend Warrior Program available at the rate of… more
- Nuvance Health (Danbury, CT)
- …in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum ... *Description* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions...the interdisciplinary care team * Current working knowledge of utilization management , performance improvement and managed care… more
- UCLA Health (Santa Monica, CA)
- …+ CA RN License and BLS certification + Recent experience in case management , utilization management and discharge planning + Minimum of three years ... safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital care.… more
- Baystate Health (Springfield, MA)
- …a Magnet Hospital for Nursing Excellence is looking for a medical telemetry inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... **Certifications:** Basic Life Support - American Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of Massachusetts… more
- Baystate Health (Springfield, MA)
- …(BMC), a Magnet Hospital for Nursing Excellence is looking for a medical inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... Support - American Heart AssociationAmerican Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of MassachusettsState… more
- Rochester Regional Health (Rochester, NY)
- …Support - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education ... utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and...required + Licensed in New York State as a Registered Nurse + For hires after 10/28/2024,… more
- HCA Healthcare (Englewood, CO)
- … of patients within the continued stay criteria. **What qualifications you will need:** + ( RN ) Registered Nurse + BLS + Minimum of 2 years experience ... patient through the continuum of care, including discharge planning. Oversee utilization management process including verification of insurance coverage,… more