- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization ... their appropriate admission status. This individual will support the Utilization Management process by maintaining effective and.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the state of… more
- Cedars-Sinai (Los Angeles, CA)
- …condition of continued employment. **Req ID** : 5044 **Working Title** : Registered Nurse - Utilization Management 8 Hour Days Per Diem **Department** : ... fro an accredited nursing program required. Bachelors Degree in Nurse preferred. California RN License required. **Experience:** + Minimum... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- Dartmouth Health (Lebanon, NH)
- Overview The Manager of Utilization Management is responsible for day to day operations of the utilization review program at multiple Dartmouth Health system ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - BLS certification… more
- Stanford Health Care (Palo Alto, CA)
- …adoption assistance! **This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse (UM RN) will be ... the institution, navigating the complexities of patient care and resource utilization management , and education. Primary responsibilities include: 1.… more
- McLaren Health Care (Detroit, MI)
- **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible ... Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure...projects as needed. _Required:_ + State licensure as a registered nurse (RN) + Bachelor's degree in… more
- WellSpan Health (York, PA)
- …+ 5 years In leadership experience. Required + 3 years Utilization Management Experience. Preferred Licenses: + Licensed Registered Nurse Preferred ... Full Time General Summary Supervises and oversees the operations of the utilization management department. Works with hospital, regional, medical group,… more
- Sharp HealthCare (San Diego, CA)
- …Qualifications** + Bachelor's degree + Prior experience in Quality Improvement/ Utilization Management + California Registered Nurse (RN) - CA Board ... **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of...processing and works as a liaison to Sharp Risk Management for the identification of potential risk issues. +… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …Louis Health Care System (VASTLHCS), St. Louis, Missouri. The Registered Nurse Case Manager ( Utilization Management ) demonstrates leadership, experience, ... and creative approaches in providing complex patient management in delivering and improving holistic care through collaborative...Nurse Total Rewards The primary purpose of this Registered Nurse Case Manager (RNCM) is to… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse (RN)** ** Utilization Manager** for a full-time position in support of the **Naval Health ... staff, newcomers, as appropriate. * Participate in all phases of the Utilization Management Program (UMP) and ensure that the UMP meets established … more