- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse (RN) to...to serve America-s military family by aligning exceptional healthcare workers like you with rewarding career opportunities. Come home… more
- Travelers Insurance Company (Buffalo, NY)
- …**What Is the Opportunity?** This position is responsible for conducting in-house utilization review with emphasis on determining medical necessity for ... do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual...to the compensable injury and for adhering to multi-jurisdictional Utilization Review criteria. **What Will You Do?**… more
- Lowe's (Charlotte, NC)
- …clinical position. + 3-5 Years of Experience as a Case Manager or Utilization Review Nurse in worker 's compensation + Experience in a clinical position + ... including psychosocial factors, for catastrophic and complex cases on workers ' compensation injuries. Responsible for ensuring that employees receive appropriate… more
- Apex Health Solutions (Houston, TX)
- …Certification requirements, as well as carrying out day today pre-authorization functions. The Utilization Review Nurse will also be responsible for issuing ... Licensed Vocational Nurse required and current unrestricted Certification in Utilization Review / Utilization Management preferred Qualifications: One (1)… more
- Ochsner Health (New Orleans, LA)
- …hospital-based experience in discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in ... + Maintains knowledge of the conditions of participation as it relates to utilization review and discharge planning. + Maintains open communication with all… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …Preferred Experience: Master's prepared Registered Nurse 3 years of Utilization Management/Chart Review / Utilization Review experience Extensive ... Summary The Utilization Management (UM) Registered Nurse (RN)...application of UM methods and expertise in medical necessity review criteria. This position requires strong analytical skills and… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …satisfaction throughout the continuum of care. Duties include but not limited to: The Nurse Utilization Management (UM) Registered Nurse (RN) is responsible ... Summary Registered Nurse (RN) Utilization Management (UM) delivers...care Bachelor of Science in Nursing Case Management Experience Utilization Management/ Review experience Physical Requirements: Heavy lifting… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- Summary The Utilization Management Registered Nurse makes decisions that reflect distinct and contributory supporting roles of nursing; is responsible for ... quality of patient care as well as the appropriateness of services provided. The UM Nurse Reviewer is a generalist and reports directly to the Nurse Manger. The… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …of acute/critical care experience preferred. 3 years of case management, utilization management, disease management, auditing or retrospective review experience ... Advocates for fiscal responsibility in the management of care through effective utilization of resources. Provides education to rotating resident physicians on the… more
- Avera (Parkston, SD)
- **Location:** Avera St Benedict Hospital ** Worker Type:** Regular **Work Shift:** Rotating days/evenings/nights/weekends (United States of America) **Pay Range:** ... $25.50 - $45.75 **Position Highlights** Great opportunity for an RN or Social Worker to join our team! **Student Loan Repayment:** Positions may be eligible for… more