• The University of Vermont Health Network (Plattsburgh, NY)
    Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
    JobGet (06/01/24)
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  • UNC Health (Chapel Hill, NC)
    UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... years of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North Carolina.Professional Experience… more
    JobGet (06/01/24)
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  • CHRISTUS Health (San Antonio, TX)
    …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
    JobGet (06/02/24)
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  • CHRISTUS Health (San Antonio, TX)
    …practice and operations for assigned areas; Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
    JobGet (06/02/24)
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  • Dana-Farber Cancer Institute (Boston, MA)
    …required, one of which must be in Nursing.Licensed as a Registered Nurse in the Commonwealth of Massachusetts.Hematology-Oncology experience required.Management ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
    JobGet (05/30/24)
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  • Dana-Farber Cancer Institute (South Boston, MA)
    …degree required, one of which must be in Nursing. Licensed as a Registered Nurse in the Commonwealth of Massachusetts. Hematology-Oncology experience required. ... the highest quality patient experience while maximizing provider time and space utilization . The Nurse Director uses extensive theoretical, evidence-based, and… more
    JobGet (06/01/24)
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  • Hillcrest Hospital South (Tulsa, OK)
    …Assistant performs CNA duties as well as clerical duties under the direction of a registered nurse ( RN ) and the unit manager. Assists with patient care ... patient arrival, pulls and prepares chart; Orders and monitors utilization of selected supplies: office, nutritional supplements, forms and...include at least one year of experience as a Unit Secretary with or without nurse assistant or CNA… more
    JobGet (06/01/24)
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  • Hillcrest Hospital South (Tulsa, OK)
    …ResponsibilitiesPerform PCT duties as well as clerical duties under the direction of a registered nurse ( RN ) and the unit manager. Assist with patient ... staff to patient arrival, pull and prepares chart.Order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart… more
    JobGet (06/01/24)
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  • Hillcrest Hospital South (Tulsa, OK)
    …ResponsibilitiesPerform CNA duties as well as clerical duties under the direction of a registered nurse ( RN ) and the unit managerAssist with patient care ... staff to patient arrival, pull and prepare chart; order and monitor utilization of selected supplies: office, nutritional supplements, forms and retrieval chart… more
    JobGet (06/01/24)
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  • UT Health Tyler (Tyler, TX)
    …and federal regulations related to case management services. Qualifications Job Requirements: Registered Nurse - Diploma, Associates Degree or BSN Licensure ... The Manager of Case Management has overall responsibility for hospital utilization management, transition management and operational management of the Case… more
    JobGet (05/29/24)
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  • Comhar Inc. (Philadelphia, PA)
    …psychiatry, psychologist, professional counselor, marriage and family therapist, certified registered nurse practitioner with a mental health certification ... with school, camp and community organizations in developing partnershipsPromote individuals' utilization of community resources and peer supports outside of the… more
    JobGet (06/02/24)
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  • Registered Nurse

    Glens Falls Hospital (Glens Falls, NY)
    utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New York State *Skills and ... of hire. Exceptions may be made for Associate's degree RN with relevant experience and obtains certification in case...can be foundhere. **Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review… more
    Glens Falls Hospital (04/26/24)
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  • Registered Nurse

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time ** Registered Nurse ( RN ) Utilization Management** in support of the30th Medical Group at Vandenberg ... 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
    ERP International (05/17/24)
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  • Registered Nurse 2…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 2 Utilization (NY HELPS) Occupational Category Health Care, ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning. Substitution: a bachelor's degree… more
    New York State Civil Service (05/24/24)
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  • Registered Nurse

    McLaren Health Care (Detroit, MI)
    …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days**...Assigned:** 1. Performs a variety of concurrent and retrospective utilization management-related reviews and functions to ensure that appropriate… more
    McLaren Health Care (04/16/24)
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  • Registered Nurse

    University of Washington (Seattle, WA)
    …artistic pursuits, and natural beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three years ... Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open Until Filled Salary: $7375 - $13,396 per month Shift:… more
    University of Washington (05/23/24)
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  • Registered Nurse RN

    Ascension Health (Minooka, IL)
    …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Illinois Board of Nursing ... health care services regarding admissions, case management, discharge planning, and utilization review. + Review admissions and service requests within assigned unit… more
    Ascension Health (05/31/24)
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  • Remote Pre-Access Utilization Management…

    Insight Global (New York, NY)
    Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements - Valid Compact RN License -- please look up here https://www.nursys.com/LQC/LQCTerms.aspx and… more
    Insight Global (05/14/24)
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  • RN - Registered Nurse Senior…

    Geisinger (Danville, PA)
    …of 5 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic ... and recommends policies as they relate to readmissions and utilization review activities. + Reviews inpatient level of care...meeting + Required experience: Minimum of 5 years of RN work experience in Health Insurance and Managed Care.… more
    Geisinger (05/26/24)
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  • Registered Nurse Supervisor 1 (NY…

    New York State Civil Service (Leicester, NY)
    …RN2 Community (including all parenthetics), Infection Control Nurse , or Registered Nurse 2 ( Utilization ).70.1 TRANSFER QUALIFICATIONS:One year of ... NY HELP Yes Agency People With Developmental Disabilities, Office for Title Registered Nurse Supervisor 1 (NY HELPS) Occupational Category Health Care,… more
    New York State Civil Service (05/22/24)
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