- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management** for a temporary contract position in support of ... experience Licensure:** Current, full, active, and unrestricted license to practice as a RN from any state Life Support Certification:** Possess a current AHA OR ARC… more
- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management. + One (1) year of experience in ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... **Department:** Utilization Review **Daily Work Times:** 8:00am-4:30pm **Hours Per...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
- Ascension Health (St. Charles, IL)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Illinois Board of Nursing ... **Details** + **Department:** Utilization Review + **Schedule:** Part-Time, Partially Remote, Monday...Required professional licensure at time ofhire. **Additional Preferences** Valid RN license in Illinois **Why Join Our Team** Ascension… more
- Commonwealth Care Alliance (Boston, MA)
- …CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring… more
- Dartmouth Health (Lebanon, NH)
- …leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * ... Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. (Based on 40 hours per week, otherwise pro rata) * FTE/Hours per pay period:.01 hrs/per week (per diem/temp) * Shift:Rotating * Job ID:35880 Dartmouth Health offers a total compensation… more
- Community Health Systems (Naples, FL)
- Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN ...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
- Trinity Health (Troy, NY)
- …and perceiving our world and that these differences often lead to innovative solutions. ** Registered Nurse Professional Utilization Management Nurse - ... St. Peter's Hospital--Full-TIme Days** If you are looking for an RN position in Case Management and a regular Monday-Friday schedule is your preference, this could… more
- UNC Health Care (Kinston, NC)
- …+ Minimum 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review, care management, or compliance experience ... denials management preferred. + **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a Registered Nurse in the state of North Carolina. **Job… more
- BJC HealthCare (St. Louis, MO)
- …2 full weeks, Monday - Friday from 8am-4:30pm. **Requirements** : + 2 years of RN experience performing care for hospitalized patients + 2 years of Utilization ... Must have at least one active MO or IL RN license + If candidate only has one ...medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and… more