A company is looking for a Pre-Admission Utilization Management Nurse.Key ResponsibilitiesApply utilization management principles for patient admission assessmentsCollaborate with interdisciplinary teams to support the pre-admission processEvaluate the efficiency and medical necessity of treatments and services on a case-by-case basisRequired QualificationsBachelor's degree in healthcare or related fieldMinimum of two years of experience in Case Management, Utilization Management, or Utilization ReviewKnowledge of medical terminology, anatomy, and basic disease processesActive California Nursing License (RN) without restrictionsExperience with MCG and / or InterQual criteria
Utilization Management Nurse - TX Licensed
A company is looking for a Utilization Management Review Nurse who will work remotely from Texas. ...
Utilization Management Nurse Consultant
Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Sedentary work involves periods of sitting, talking, listening and computer useRequired Qualifications1+ year varied Utilization Management experience within an Inpatient...
Utilization Management Nurse - LPN
A company is looking for a Utilization Management Nurse - LPN/LVN to perform utilization reviews and appeals in a managed care payor environment. ...
Utilization Management Nurse Consultant
Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. Applies critical thinking, evidenced based clinical cr...
Utilization Management Nurse Consultant
A company is looking for a Utilization Management Nurse Consultant. ...
Supervisor Registered Nurse (RN) - Preoperative - $36-46 per hour
Tenet-AZ Region is seeking a Registered Nurse (RN) Preoperative Supervisor for a nursing job in Avondale, Arizona. REQUIRED CERTIFICATIONS/LICENSURE: Current license to practice as a Registered Nurse in the State of Arizona. The Clinical Nurse Supervisor has direct responsibility of assigned departm...
Travel Nurse RN - Case Manager - $1,735 to $1,885 per week in Phoenix, AZ
TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Phoenix, Arizona, 85006!. Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Case Management position in. ...
Preservice Review Nurse RN - Remote
Collaborate with applicable internal stakeholders as needed to drive the clinical coverage review process (e. RN) in the applicable state, as indicated in the function description and/or job title. Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable sta...
Remote Preservice Review Nurse RN
A company is looking for a Preservice Review Nurse RN to review medical necessity requests and manage case documentation. ...
Hospice RN Case Manager - Prescott
Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Assisteo is looking for a Hospice RN to connect and care for our patients. Fulfills the obligation of requested and/or accepted case assignments. ...