A company is looking for a Utilization Management RN to oversee utilization management activities in a healthcare setting.
- Key ResponsibilitiesFacilitate Utilization Review (UR) compliance and optimal reimbursement during patient hospital staysServe as a resource for UM clinical and support staff, providing guidance on complex casesParticipate in a collaborative team approach while managing daily assignments for timely reviewsRequired QualificationsBachelor's degree in Nursing or obtained within five years of hire;
- RN with 15+ years may be considered in lieu of educationAdvanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferredCurrent Registered Nurse license in Washington State or Multistate License endorsement (MLS)Five years of clinical experience required;
utilization management and / or insurance industry experience preferred
RN Care Manager Utilization Management
Key Responsibilities:Review utilization of resources to reduce unnecessary lengths of stay and overutilization of hospital servicesCommunicate with healthcare team, payers, and others to promote cost-effective outcomesMentor staff, collaborate with on-site care management team, and maintain educatio...
Supervisor Utilization Management RN
Key Responsibilities:Oversee daily operations of the Clinical Team, ensuring data integrity and compliance with regulatory standardsConduct reviews of inpatient and outpatient services to determine medical appropriateness and coordinate care plansEngage with members to assess needs and support them ...
RN Supervisor Utilization Management
A company is looking for a Supervisor, Utilization Management to oversee clinical review teams ensuring appropriate care for members. US citizenship and current National Agency Check government security clearance required for certain positions. ...
Travel Registered Nurse - $1,455 to $1,604 per week in Tuscaloosa, AL
Host Healthcare is an award-winning travel healthcare company with an immediate opening for this .Passionate and transparent team members have made Host Healthcare the agency of choice for new and experienced travelers looking for opportunities far away and close to home.Starting the day you apply, ...
Travel Registered Nurse - Stepdown - $1,653 per week in Birmingham, AL
TravelNurseSource is working with Medical Talent to find a qualified Stepdown RN in Birmingham, Alabama, 35205!. ...
Travel Nurse RN - Case Manager - $1,731 to $1,920 per week in Tuscaloosa, AL
Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. ...
RN Utilization Review - Oregon Licensed
A company is looking for a Utilization Review Registered Nurse (RN) for a remote position. ...
Registered Nurse (RN) - CriticalCare
Maternity Leave (requires return towork). Current License in the State ofGeorgia as a Registered Nurse or NLC/eNLC MultistateLicense. Critical Care RN, All PiedmontLocations, Multiple ShiftsAvailable. Piedmont leaders arein your corner, invested in your success. ...
Registered Nurse- RN
Plus, our nurses have the opportunity to advance their clinical leadership skills through our Clinical Career Ladder, including growth into, but not limited to, Charge Nurse, Nurse Supervisor, Unit Manager, Clinical Educator, Assistant and Director of Nursing. You now have the ability to earn an eve...
Registered Nurse / RN Case Manager
Registered Nurse / RN Case Manager. Our Hospice Registered Nurse (RN) Case Managers are the heart of our organization! In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optima...