- Elliot Health System (Amherst, NH)
- …staff. The position will function as an integral member of the Urgent Care management team and will work as part of a collaborative team of healthcare professionals ... medical staff for relevant clinical issues Collaborates and supports the Clinical Nurse Manager Teams up with the Clinical Nurse Manager to effectively control… more
- Southern New Hampshire Health (Nashua, NH)
- …and higher acuity, the ED is prepared to accommodate additional patients through utilization of hallway beds and a triage fast-track area. We support and take ... as ultrasound guided IV placement and arterial IV line management . Our robust staff of nurses, paramedics, LNAs and...the Job: In collaboration with the Unit Director and Manager and as a member of the nursing leadership… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: BSN/MSN Previous Utilization Management / Case Manager ... Summary The Registered Nurse - Utilization Case Manager position in Technology,...evidence-based care to assigned patients. The incumbent provides patient management , care coordination, and discharge / disposition planning for… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- Ochsner Health (New Orleans, LA)
- …as well as efficiently in high pressure situations. Preferred- Experience in Case Management or Utilization Review Business and Financial Knowledge as well as ... and discover your future today!** This job is a registered Nurse with a diverse medical background, who is...subject to change at Ochsner's discretion. **Education** Required - Registered Nurse Diploma or equivalent **Work Experience** Required -… more
- VNS Health (Manhattan, NY)
- OverviewManages the utilization management team to ensure that standards for service delivery and team/staff performance levels are met or exceeded. This ... or complaints, and/or approvals requiring next level authorization (eg, utilization management , high cost services, out of...+ License and current registration to practice as a registered professional nurse in New York State Required +… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... **Join Our Team of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff… more
- Beth Israel Lahey Health (Burlington, MA)
- …a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) Case ... team to ensure a timely process. Registered Nurses (RNs) with utilization review experience, case management experience, and med/surg experience are… more
- VNS Health (Manhattan, NY)
- …and updates through on-going training, coaching and educational materials. + For Utilization Management Only: + Issues Determinations, Notices of Action, and ... health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...by state or federal regulations are saved in the Utilization Management System. + Reviews, evaluates and… more
