Utilization Management RN - CO
A company is looking for a Utilization Management RN to ensure efficient and effective delivery of health services.Key ResponsibilitiesConduct inpatient reviews for level of care and length of stayPerform prior authorization reviews for skilled nursing facilities and rehabilitation servicesEvaluate medical appropriateness of care levels based on guidelines and benefit determinationsRequired QualificationsUnrestricted compact RN licensure3+ years of managed care and / or clinical experienceBasic computer skills with MS Outlook, Word, and ExcelPrior-authorization experience is preferredExperience in a skilled nursing facility or inpatient rehabilitation facility is preferred
Utilization Management Case Manager - PA RN
A company is looking for a Case Manager - Utilization Management. ...
Travel RN -Case Management Utilization Review
Job Title: Travel RN Case Management Utilization Review. Conduct utilization reviews to assess the appropriateness of patient admissions and continued stays. Elitecare Medical Staffing is seeking an experienced Travel RN Case Manager for Utilization Review in Carmichael, CA. Current RN license for t...
California Licensed Utilization Management RN
A company is looking for an RN, Utilization Management - Remote. ...
Travel Case Management (Utilization Review) RN (Registered Nurse) in Glendale, CA - 773368
Where will care take you? How about Glendale, CA?! This traveler-friendly facility is hiring a travel RN RN (Registered Nurse) to work in Case Management (Utilization Review). Our job doesn’t stop when you sign your contract. An expert recruiter committed to your success. Support from our inte...
Utilization Management RN
A company is looking for a Utilization Management RN to oversee utilization management activities in a healthcare setting. ...
Supervisor, Utilization Management RN
The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and suppo...
Utilization Management Admissions Liaison RN II (After Hours Evening)
Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. Previous experience to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (...
Utilization Management Admissions Liaison RN II (After Hours Evening)
Previous experience to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care) criteria (MCG, InterQual), concurrent review, and discharge planning. The Utilization Management (UM) Admissions Liaison RN II is prima...
Supervisor, Utilization Management RN
Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the ...
Travel Case Management (Utilization Review) RN (Registered Nurse) in Los Angeles, CA - 774596
Gather ’round, aspiring travel clinicians! We’re hiring a RN (Registered Nurse) specialized in Case Management (Utilization Review) for this incredible opportunity in Los Angeles, CA. Let’s celebrate victories and conquer obstacles — together. An expert recruiter committed to your ...