- CVS Health (PA)
- …skills, both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...Some holidays may be required - Must obtain CA RN license within 6 months of hire - 12.5%… more
- UNC Health Care (Smithfield, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... for case management scope of services including: Utilization Management services supporting medical necessity and...One (1) year hospital acute or behavioral health case management experience preferred. Active and valid RN … more
- Emory Healthcare/Emory University (Decatur, GA)
- …and more! **Description** The ** Utilization Review (UR) Specialist** is a Registered Nurse responsible for conducting thorough medical necessity reviews to ... extended recovery admissions as required based on Emory Healthcare's Utilization Management Plan and the UR Department's...experience. **Licensure -** Must have a valid, active unencumbered Registered Nurse license approved by the Georgia… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Utilization Management + **Schedule:** PRN, Rotating, Weekend coverage (rotating), coverage for two holidays per year. This ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Cedars-Sinai (Los Angeles, CA)
- …necessity reviews with accepted criteria required **Req ID** : 14141 **Working Title** : Registered Nurse - Utilization Review Case Manager - PER DIEM ... Association or American Red Cross required + Certified Case Management RN preferred **Experience:** + A minimum...- 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Utilization Management PRN/OCC,Hours Vary, Day Shifts Covenant Health Overview: Covenant Health is the region's top-performing ... a Forbes "Best Employer" seven times. Position Summary: The RN Utilization Management I will...management experience. Licensure Requirement: Current licensure as a Registered Nurse ( RN ) as issued… more
- UnityPoint Health (West Des Moines, IA)
- …Weekends( Sat/Sun) 0730-1600 + Job ID: 177255 Overview UnityPoint Health is seeking an RN Utilization Management Specialist to join our team! Under the ... Manager of Utilization Management , the RN Utilization Management Specialist serves...payer source regulatory requirements - as needed. Qualifications + Registered Nurse - licensed in Iowa. Will… more
- Cedars-Sinai (Los Angeles, CA)
- …one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent ... Eye/Hand/Foot Coordination **Req ID** : 14355 **Working Title** : Registered Nurse - Utilization Review Case...Review Case Manager - 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
- UNC Health Care (Chapel Hill, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more