- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …RN ) - Community Care, aligned under Chief of Staff. Responsibilities The Community Care (CC) RN Registered Nurse ( RN ) is responsible for executing a ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (Sanford, FL)
- …is preferred + BSN is preferred + Certification in Case Management, Nursing or Utilization Review is preferred HCA Florida Lake Monroe Hospital is a 221-bed ... supporting a balance of optimal care and appropriate resource utilization . You would be part of a phenomenal team...opportunity compelling, we encourage you to apply for our RN Case Manager opening. We promptly review … more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Summary of Primary Function** In the capacity of a Registered Nurse ( RN ), the Ambulatory Care Manager will provide ... Nursing Bachelor's Degree (preferred) Specialty/Major- Nursing (BSN) **Licensing/ Certification** Registered Nurse with active License in State of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …and administrative staff at all levels of the organization. Education and Experience: + Registered nurse with BSN and 3-5 years in a managed care health ... plan setting. + Strong understanding of Utilization Review , Care Management and Medical Polices. + Knowledge of APR DRG, HCPCS, CPT, ICD-10 diagnosis and… more
- Select Medical (Phoenix, AZ)
- …Sign On Bonus_** **Full Time: Monday - Friday 8-5pm** **_Clinical license as a registered nurse or respiratory therapist or master's in social work and minimum ... and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan… more
- Select Medical (Madison, WI)
- …**Director of Case Management** $10,000 Sign On Bonus **_Clinical license as a registered nurse or respiratory therapist or master's in social work and ... and professional growth of the department, including, but not limited to: Utilization Review (UR) and resource management, discharge planning, treatment plan… more
- Fresenius Medical Center (Bellmore, NY)
- Recent dialysis RN experienced required **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation ... into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP 1. This position is… more
- Albany Medical Center (Albany, NY)
- …of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... works proactively with the Quality Improvement Teams, patient care standards, and utilization management to coordinate the appropriate use of resources to achieve… more
- Penn Medicine (Lancaster, PA)
- …needs and be sensitive of others. Credentials: + Basic Cardiac Life Support (Required) + Registered Nurse - PA (Required) + Completion of the Nurse Residency ... American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that...that established outcomes are achieved through availability and appropriated utilization + of human, material and financial resources. +… more
- CenterWell (Raleigh, NC)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...A minimum of 2 years of experience as a Registered Nurse ( RN ). + Home… more
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