- McLaren Health Care (Mount Clemens, MI)
- …: 80 hours **Schedule** : 7:30am to 3:30pm **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the nursing ... + Graduate of a Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from American Heart Association (AHA), American Red Cross… more
- HCA Healthcare (Fort Walton Beach, FL)
- …Florida Fort Walton-Destin Hospital, our nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want to create your own personal ... established productivity guidelines. + Manages operating expenses, including the utilization of supplies and equipment. Identifies cost reduction opportunities and… more
- Trinity Health (Forest City, IA)
- …Join the MercyOne Family! We are looking to hire a Clinic Nurse Supervisor at our **MercyOne Forest City Family Medicine** Clinic As a ... Clinic Nurse Supervisor at MercyOne, you will support the delivery...Assists in the development of the clinic budget. Monitors utilization of staff and supplies and makes appropriate adjustments… more
- Arnot Health (Elmira, NY)
- Job Description MAIN FUNCTION:The Registered Nurse is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated ... the environment/instrumentation, and other health care team members. The Registered Nurse is expected to perform their duties according to established standards… more
- McLaren Health Care (Mount Clemens, MI)
- …Bi-Weekly Hours:** 48 **Daily Work Times:** 7:00p- 7:30a **Position Summary:** The Registered Nurse delivers quality nursing care through the utilization of the ... Degree from a Certified Nursing program. + Current State of Michigan Registered Nurse license + BLS certification from American Heart Association (AHA), American Red… more
- Dartmouth Health (Lebanon, NH)
- …standards and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources Responsibilities 1. Facilitates the development of ... and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. 4. Communicates information to the health care team and… more
- Actalent (Jacksonville, FL)
- "Immediate Hiring for " Utilization Review RN" Job Description: + Perform concurrent reviews to assess member's overall health. + Review the type of care being ... and appropriate setting of care. Qualifications: + 4+ years experience in utilization management and utilization review /managed care/hospital setting as an… more
- US Tech Solutions (RI)
- …+ Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE ... and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF... management review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST… more
- Evolent (Springfield, IL)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and procedures.… more
- ChenMed (Colonial Heights, VA)
- …+ Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education and identify needs. + Enhances a ... decisions re: goals of care, palliative care and hospice. + Utilization /Financial Management-managing resource utilization and reimbursement for services. +… more