- Health eCareers (Tempe, AZ)
- …minutes). * Training provided internally following background clearance. PandoLogic. Category:Healthcare, Keywords: Utilization Review Nurse , Location:Tempe, ... Utilization Review Clinician / Clinical Review Nurse - Prior Authorization Openings: 1... Nurse to support the Behavioral Health Utilization Management (BH UM) team for AZCH… more
- Geisinger (Wilkes-Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger South Wilkes-Barre)Location: Wilkes-Barre, PennsylvaniaJob Category: Inpatient RN - Registered ... Program - occurs during your entire first year as a GN!Job Description:The Registered Nurse assesses plans, organizes, performs, and evaluates nursing activities… more
- Health eCareers (Memphis, TN)
- …Clinical Documentation Integrity Specialists (ACDIS). the RN shall serve as the Registered Nurse Advisor (CDI RNA). CDI RNA supports CDI activities by ... as appropriate.The Clinical Documentation Integrity Specialist (CDIS) is a registered nurse ( RN ) accountable for...patient caregivers and Facility HIMS coding staff and Revenue Utilization Review Team to ensure clinical documentation… more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management ... II + Six (6) months of experience in Utilization Management Per Diem RN III ... VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem Registered Nurse II/III - Utilization Management VCMC… more
- Tufts Medicine (Burlington, MA)
- …to the utilization of resources, coordination of care across the continuum and utilization review and management . The position develops and leads the ... in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/Case… more
- Centene Corporation (Columbus, OH)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...position open to candidates nationwide.** **Candidates must have a Registered Nurse ( RN ) license for… more
- Centene Corporation (Sacramento, CA)
- …Expert knowledge of industry regulations, policies, and standards preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... **Candidates must reside in in the state of California** ** RN highly preferred** **Role is supporting Concurrent Review...in CCR is highly preferred** **Position Purpose:** Directs the utilization management team to ensure the appropriate… more
- Centene Corporation (Phoenix, AZ)
- … utilization management . + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines + Reviews ... Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- Alameda Health System (Oakland, CA)
- Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical ... in Utilization Management is required. Full time employment as a registered nurse within the last 36 months is mandatory. Six years of clinical… more
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