- CVS Health (Annapolis, MD)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function + Gathers clinical information and applies… more
- Northwell Health (Riverhead, NY)
- …to another level of care according to regulatory standards. + * Performs concurrent utilization management + Conducts chart review for appropriateness ... license to practice as a Registered Professional Nurse in New York State. + Case Management... and clinical pathways, variance analysis and trending, quality management / utilization review and home care/discharge planning, preferred.… more
- Ascension Health (Wichita, KS)
- …and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification ... offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review. +.../ Registration: + Licensed Registered Nurse credentialed from the Kansas Board… 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
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... as an employee but as a person. As a registered nurse ( RN ) joining our...a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator*… more
- Northwell Health (Staten Island, NY)
- …Responsibilities: + Facilitates patient management throughout hospitalization + Performs concurrent utilization management using evidence based medical ... **Req Number** 162425 Registered Nurse Case Manager - FlexStaff...necessity criteria + Submits data to management regarding case management and/or quality initiatives… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...level-of-care placement. * Uses EMR and MCG Criteria for utilization management and quality screening. * Identifies… more
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday, 8:00AM-4:30PM. + **Facility:** St. Agnes Hospital + **Location:** ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- Northwell Health (Sleepy Hollow, NY)
- …Responsibility + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical ... necessity criteria. + Submits data to management regarding case management and/or quality initiatives....entry date. + Current License to practice as a Registered Professional Nurse in New York State… more
- Mayo Clinic (Rochester, MN)
- …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an ... Functions of the RN Case Manager include: Utilization Review, including concurrent admission status and... utilization management , care coordination, resource utilization , and clinical documentation. The RN Case… more
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