- Baylor Scott & White Health (Dallas, TX)
- …least (3) three years of professional experience is required. + You must hold a valid Registered Nurse License ( RN ). As a health care system committed to ... vary based on position type and/or level **Job Summary** + You will review patient cases for medical necessity and establish service suitability. You'll educate the… 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 ... management functions. This includes but is not limited to review and authorization of services, utilization of...on complex cases and special projects. **This position is hybrid with responsibility to be onsite as determined by… more
- Commonwealth Care Alliance (Springfield, MA)
- …complexities that require intensive care management and care delivery. Within the CIC Program, the Registered Nurse ( RN ) serves as an integral member of an ... and based on the fluctuating needs of the defined panel of members, the Registered Nurse will engage in regular assessments, visits at regularly scheduled… more
- Idaho Division of Human Resources (ID)
- Senior Registered Nurse ( RN ) - MED Posting Begin Date: 2025/08/19 Posting End Date: 2025/09/16 Category: Nursing Work Type: Full Time Remote: Flexible ... Health and Welfare has an exciting opportunity for aRegistered Nurse Senior ( RN )with the Bureau of Clinical...for this position. + Licensed as a Professional or Registered Nurse in Idaho as defined by… more
- Bassett Healthcare (Cooperstown, NY)
- …needs. The RN contributes to the support of patients through interdisciplinary teamwork. + Registered Nurse I: The RN I status is only appropriate for a ... hire. + Salary Range: $39.01- $58.51 per hour + Registered Nurse II: The RN ...as measured by periodic random preceptor and supervisory chart review as per probationary appraisal schedule + ( RN… more
- Rochester Regional Health (Rochester, NY)
- …and was named among the top 10% in the nation for cardiology services. SUMMARY: As a Registered Nurse ( RN ), you're the engine and the heart of patient care ... Support (BLS) certification PREFERRED QUALIFICATIONS + Acute care, chart review , utilization , or nursing triage experience strongly...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- HCA Healthcare (Round Rock, TX)
- …at St. David's Round Rock Medical Center! **Job Summary and Qualifications** **The Registered Nurse ( RN ) CM is responsible for promoting patient-centered ... discharge plan in collaboration with the multidisciplinary team. The RN CM facilitates the progression and transition of care...encourage you to apply for our Registered Nurse Case Manager opening. We review all… more
- McLaren Health Care (Indianapolis, IN)
- …Two(2)yearsclinicalnursingexperience. + One (1) year previous case management or utilization review experience. **Preferred:** + BSN. + ... We are looking for a Case Manager, RN , to join us in leading our organization...care, disease management and PCP treatment plans. Monitors member's utilization patterns for identification of high risk, and under… more
- CareFirst (Baltimore, MD)
- …+ Proficient in Microsoft Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\ RN - Registered Nurse - State Licensure and/or ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...experience. **Experience:** 5 years Experience in a clinical and utilization review roles. 1 year demonstrated progressive… more
- BayCare Health System (Tampa, FL)
- …Requirement:** Every Third Weekend + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions… more
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