RN Supervisor Utilization Management
A company is looking for a Supervisor, Utilization Management to oversee clinical review teams ensuring appropriate care for members.
Key ResponsibilitiesSupervise day-to-day activities of the utilization management teamMonitor compliance with performance, quality, and efficiency standardsProvide coaching, guidance, and training to team membersRequired Qualifications and EducationGraduate of an Accredited School of Nursing or Bachelor's degree4+ years of related experience, preferably in utilization managementRN - Registered Nurse - State Licensure requiredCertification as a Managed Care Nurse (CMCN) required within 1.
5 years for specific servicesUS citizenship and current National Agency Check government security clearance required for certain positions
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 Weekend Supervisor
RN WEEKEND SUPERVISOR POSITION SUMMARY. We are looking for a skilled RN Weekend Supervisor to become a part of our facility's compassionate care-giving team. The RN Weekend Supervisor is responsible for making sure those values are reflected in his or her staff at all times. RN WEEKEND SUPERVISOR BE...
RN Utilization Management Nurse
A company is looking for a RN Utilization Management for a remote position. ...
Utilization Management RN
Job Title & Specialty Area: Utilization Management RN. Analyzes patient records to determine legitimacy of admission, treatment, and length of stay in health-care facility to comply with government and insurance company reimbursement policies: Analyzes insurance, governmental, and accrediting agency...
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. ...
RN Supervisor Double Weekend
Needing an outstanding Registered Nurse Supervisor who will provide basic care and directing nursing staff. The RN is expected to develop the plan of care and collaborate with physicians, therapists and nursing assistants. The RN will also monitor assigned staff to ensure that all safety regulations...
Case Management Utilization Review RN - REMOTE
Assists in the development of physician profiles to identify over/under utilization patterns. RN license required; Certification in Case Management (CCM) strongly preferred. Collaborates with the multidisciplinary team to assist patient with benefits management. Identifies and plans strategies to op...
Case Management Utilization Review RN - REMOTE
Assists in the development of physician profiles to identify over/under utilization patterns. RN license required; Certification in Case Management (CCM) strongly preferred. Collaborates with the multidisciplinary team to assist patient with benefits management. Identifies and plans strategies to op...
Director of Nursing Outpatient Full Time
The Ambulatory Surgical Services Director of Nursing is responsible for the day-to-day operations of the operating room and implements process initiatives to improve efficiency of services and patient experience. Director of Nursing at Baylor Scott and White Surgicare at North Dallas. The Director N...
Licensed Clinical Social Worker (Virtual)
Remote Licensed Clinical Social Worker (LCSW). Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance!. We are excited to begin helping you if you are a fully-licensed Clinical Social Worker at ...