- Vanderbilt University Medical Center (Lebanon, TN)
- …that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary ... difficulty. * Clinical Applications Systems (Novice): Possesses fundamental proficiency in utilization review systems, clinical support systems and business… more
- Saint Francis Health System (Tulsa, OK)
- …as needed by the department; limited benefit offerings. Days Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum of 1 year of… more
- Munson Healthcare (Traverse City, MI)
- …degree in nursing (must have RN license or social work license). If Registered Nurse , must be licensed to practice in Michigan. Also, for those hired ... facilitate the progress of completing complex post-acute services + Interface with utilization review specialists to stay current on patient's eligibility for… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... or actions might be indicated * Experience/proficiency in the review and the utilization of EPIC and/or...+ 403 (b) retirement plan + Paid Time off ( flex PTO) + Tuition Reimbursement and adoption assistance (maximums… more
- Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
- …require evening, weekend and/or holiday shifts on a rotating basis. Required Qualifications: + Registered Nurse License in MA + Bachelor's degree in Nursing from ... are currently hiring a Clinical Care Manager - OBAT RN based in Framingham. As part of a team-based...sponsorship for this position* *Part Time 20 Hours, can flex into a Full Time Opportunity if Interested* Essential… more
- Mount Sinai Health System (New York, NY)
- …Additional Detail** + Licensure: New York State License with current registration as a registered nurse . + State Certification: Certified by the New York State ... Practitioner-Neonatal Intensive Care Unit-Mount Sinai Hospital-Full Time - Flex Shift** A nurse practitioner (NP) as...follows: a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Mount Sinai Health System (New York, NY)
- …REQUIREMENTS** 1. Licensure: New York State License with current registration as a registered nurse . 2. State Certification: Certified by the New York State ... 6910 of the New York Education Law is a RN who has earned a separate certification as an...follows: 3. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR… more
- Northern Montana Hospital (Havre, MT)
- …Minimum Data Set, Resident Assessment Protocols, and care plans. Participate in LTC Utilization Review meetings and maintain current knowledge of the Medicare ... an accredited School of Nursing and hold a current RN /LPN license to practice professional nursing in the State...and proficient in RAI process Health, dental, life, and FLEX /HSA benefits available with 403-b option. Salary is commensurate… more
- Motion Recruitment Partners (Durham, NC)
- …May outreach directly to members identified as high risk, high cost, or high utilization cases. * May review alternative treatment plans for case management ... Duration: 6 + Months **Required Skills & Experience** + RN with 3 years of clinical and/or case management...available benefits and the need for benefits exception or flex benefit options, where eligible. * May evaluate medical… more
- Houston Methodist (Houston, TX)
- …performance that demonstrates progressive leadership abilities **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure ... and other areas according to department specifications. + Manages utilization management (UM) programs including Medical Claims Review...and/or Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… more