- CVS Health (Columbus, OH)
- …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position ... Summary** The Team Lead plays a key role in supporting the daily operations of the team and serves as a vital resource for both staff and leadership. While this role does not include direct supervisory responsibilities, it requires a strong understanding of… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …nursing education, orientation, competencies and providing quality improvement and enhance outcomes utilization . The nurse has advanced knowledge and skills in ... Summary The Cincinnati VA is recruiting for a Registered Nurse (Vascular Access). The Vascular Access Nurse ...Registered Nurse (Vascular Access). The Vascular Access Nurse has advanced knowledge and skills in assessing, inserting,… 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 ... and Responsibilities include but ARE NOT limited to: The Nurse Inpatient Staff Registered Nurse (RN) is...limited to: The Nurse Inpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …education, orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities, and ... EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based care to… more
- Vighter Medical Group (Glendale, CO)
- …the Office of Community Care (OCC) in Glendale, Colorado. As a Case Manager / Utilization Review Nurse , you'll play a key role in coordinating and reviewing ... Type Full Time Job Shift Any Education Level Registered Nurse (RN) Travel Percentage None Category Health Care Description...required. What You'll Do As a Case Manager / Utilization Review RN, you will: + Conduct clinical reviews… more
- Actalent (Rancho Cordova, CA)
- Job Title: Utilization Review Nurse Job Description The Registered Nurse will review cases for medical necessity across all levels of care, ensuring that ... ensure quality review. + Collaborate with healthcare teams to facilitate effective utilization management. + Employ MCG criteria and electronic medical records (EMR)… more
- Hartford HealthCare (Willimantic, CT)
- …is*your moment.* **Job:** **Nursing* **Organization:** **Windham Hospital* **Title:** *Registered Nurse Case Manager (RN) - Utilization Management* **Location:** ... Works under the direction of the Manager of Continuing Care and Utilization Management and in collaboration with physicians, social services, and other hospital… more
- Lawrence General Hospital (Lawrence, MA)
- …referrals and facilitates appropriate discharge plans. + Works in conjunction with Utilization Review Nurse , Social Worker and Clinical Care Leader to ... the range to support future salary growth. As the Complex Care Nurse Manager provides evidence-based assessments, tools, information, and resources that enhance and… more
- Dana-Farber Cancer Institute (Attleboro, MA)
- …the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and ... and direction, and promotes professional growth for self and staff. The Nurse Director acknowledges the inherent value of nursing collegiality to the advancement… more
- Centene Corporation (Tallahassee, FL)
- …a fresh perspective on workplace flexibility. Centene is hiring a Remote Registered Nurse Supervisor - Utilization Management (Dual Program). The ideal candidate ... will have prior experience in utilization management, including prior authorization and concurrent review, along with previous leadership or supervisory experience,… more