• CHRISTUS Health (Wake Village, TX)
    Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating, coordinating, processing, screening, and documentation of ... patient entry into the CHRISTUS Health System. The Registered Nurse Clinical Care Coordinator will collaborate...required. Experience Minimum of two (2) years' experience in Case Management and/or Utilization Management is required.… more
    JobGet (11/11/24)
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  • Utilization Review Case

    Covenant Health (Nashua, NH)
    …and procedures. + Maintains/enhances professional development/skills required to function as a Utilization Review Case Manager + Completes all mandatory ... team. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to...to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required… more
    Covenant Health (10/31/24)
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  • RN - Utilization Review

    LifePoint Health (Danville, VA)
    * Registered Nurse , RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...**Job:** **Nursing* **Organization:** ** **Title:** * RN - Utilization Review Case Manager* **Location:**… more
    LifePoint Health (09/10/24)
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  • Case Manager - Utilization

    Trinity Health (Mason City, IA)
    …its goals **Hours:** Monday-Friday 0630-1430; no weekends or holidays **About The Job** The Utilization Review Case Manager responsibilities include case ... **What We Are Looking For** Education [formal]: + Licensed registered nurse in the state of Iowa....of Iowa. + Bachelor's Degree required. BSN preferred + Utilization management focused certifications that are recognized in the… more
    Trinity Health (09/06/24)
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  • RN - Utilization Review - HS…

    Baptist Memorial (Jackson, MS)
    Summary The Utilization Review Nurse is...Summary: Position: 19738 - RN - Utilization Review Facility: MBMC - Hospital Department: HS Case ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...against standard criteria per payer guidelines + Prioritizes observation case review + Assists with level of… more
    Baptist Memorial (10/17/24)
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  • Registered Nurse

    Mohawk Valley Health System (Utica, NY)
    Registered Nurse - Utilization Review Nurse - Full Time - Days Department: CASE MANAGEMENT Job Summary Reports to and is under direct supervision ... regulatory compliance. Education/Experience Requirements Required: + Minimum of two (2) years utilization review / case management experience or social work… more
    Mohawk Valley Health System (10/28/24)
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  • Utilization Review /Clinical…

    Sharp HealthCare (San Diego, CA)
    …BBS Licensed Marriage and Family Therapist (LMFT) - CA Board of Behavioral Sciences; California Registered Nurse ( RN ) - CA Board of Registered Nursing ... practices. **What You Will Do** Perform admission and concurrent review of patients, based upon needs regardless of payor...BLS Healthcare) - American Heart Association -REQUIRED + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (11/06/24)
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  • Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most ... Manager follows the UR process as defined in the Utilization Review Plan in accordance with the...Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management… more
    Cedars-Sinai (11/06/24)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review / case management/clinical/or combination; 2 of ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse more
    US Tech Solutions (10/31/24)
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  • Utilization Review Specialist - PRN

    Munson Healthcare (Traverse City, MI)
    …team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work environment includes ... 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan....+ Minimum of three years clinical experience required. Previous utilization review and/or case management… more
    Munson Healthcare (11/09/24)
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