- Humana (Charleston, WV)
- …interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 - Onsite Nurse located at the ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes...determination of the appropriate courses of action at an onsite facility. This hybrid position will have limited hours… more
- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management ...between 2-4 weeks, with opportunities to shadow team members onsite and through Teams. Pay and Benefits The pay… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Dignity Health (Carmichael, CA)
- **Responsibilities** **Day Per Diem Utilization Review Registered Nurse - Onsite Campus Position** The ** Utilization Review RN** is responsible for the ... 1 year experience. + Current CA RN licensure + ** Onsite Campus position** **Preferred:** + Bachelor's Degree in Nursing...to be successful in the role:** + Understand how utilization management and case management … more
- UNC Health Care (Kinston, NC)
- …and well-being of the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is provided ... the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of...Health Entity: UNC Lenoir Health Care Organization Unit: Care Management Work Type: Full Time Standard Hours Per Week:… more
- ChenMed (North Miami Beach, FL)
- …years' clinical work experience required. + A minimum of 1 year of utilization review and/or case management , home health, hospital discharge planning experience ... expanding and we need great people to join our team. The Acute Care Nurse (RN) is responsible for achieving positive patient outcomes and managing quality of care… more
- Access Dubuque (Dubuque, IA)
- …& Butler/ SISCO** 1 Positions ID: 4823670008 Posted On 07/29/2025 **Job Overview** ** Utilization Management CNA** **Location** : Onsite in Dubuque, IA. ... a fast-paced, professional environment? We are seeking a dedicated ** Utilization Management CNA** to join our healthcare...Nurse Aide (2p-10p, PT) Sisters of the Presentation Utilization Management Assistant Cottingham & Butler/ SISCO… more
- WellSpan Health (Gettysburg, PA)
- …in the management of patient care between visits. + Assists in the management of patient utilization of health care system and provides patient education ... serves as a nursing resource for clinical staff. Position may be onsite , hybrid or remote. **Duties and Responsibilities** **Essential Functions:** + Obtains patient… more
- UNC Health Care (Chapel Hill, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more
- Children's Hospital Boston (Boston, MA)
- …Posting Title:Per Diem RN Case Manager, Utilization Management /ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard ... + Experience as a Case Manager (Discharge Planning and or Utilization Management ) preferred. Licensure/ Certifications: + Current Massachusetts license… more
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