- HCA Healthcare (Kissimmee, FL)
- …and improve the patient flow program effectiveness as it relates to utilization review , resource management, and discharge planning and care coordination. ... leader to physicians and employees as it relates to utilization review , resource management, patient flow, multi-disciplinary...30 days of employment start date + (RN) Registered Nurse + Associate Degree, or Bachelors Degree Preferred HCA… more
- Sutter Health (San Francisco, CA)
- …and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Working ... Center Davies **Position Overview:** Conducts preauthorization, concurrent, and retrospective utilization management review using the department's accepted… more
- US Tech Solutions (LA)
- …+ Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience. **Experience** : Utilization ... **Position Summary:** As a Prior Authorization Nurse , you work outside the walls of a...in a specialty area of the nursing field providing utilization management prior authorization reviews. Build strong direct relationships… more
- Penn Medicine (Lancaster, PA)
- …as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice Apprentice is a newly licensed new to practice RN ... basic safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice Apprentice seeks guidance to integrate concepts,… more
- Veterans Affairs, Veterans Health Administration (Tomah, WI)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... will be considered and referred as vacancies become available. The CLC Registered Nurse will focus on individual growth and development in practice with increased… more
- University of Utah (Salt Lake City, UT)
- …**Open Date** 01/07/2026 **Requisition Number** PRN43960B **Job Title** PS Clinical Nurse Specialist **Working Title** Clinical Research Nurse **Career ... Rate Range** 47600 to 90400 **Close Date** 03/31/2026 **Priority Review Date (Note - Posting may close at any...on current clinical and research information. 8. Collaborates with Nurse Manager in orientation of new employees and provides… more
- Veterans Affairs, Veterans Health Administration (Chico, CA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply ... education, orientation, competencies and providing quality improvement and outcomes utilization . Demonstrate leadership in delivering and improving holistic, home-based… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... throughout the continuum of care. Responsibilities The Community Care Nurse (CC) Coordinator Registered Nurse (RN) is...The Community Care Nurse (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach… more
- Veterans Affairs, Veterans Health Administration (Wichita, KS)
- …from the community. He/she possesses the knowledge related to VHA guidelines, utilization review criteria, current evidence-based standards of care, compliance ... Summary Robert J. Dole VA Medical Center is recruiting for a Registered Nurse for our Community Care service. Responsibilities Duties included but not limited to:… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- Summary The Certified Nurse Practitioner (NP) in Compensation and Pension (C&P) performs focused clinical assessments, reviews medical records, and provides ... Veterans Health Administration (VHA) guidelines. Conduct comprehensive clinical interviews, review service treatment and medical records, perform targeted physical… more