- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Actalent (Memphis, TN)
- Exciting Remote PAC Utilization Review Nurse Opportunity thats remote! Must have experience working in the managed care / insurance industry. This is a ... and to proactively obtain patient status updates. + Work alongside the Supervisor , and work closely with Market Engagement Directors to efficiently address potential… more
- BJC HealthCare (St. Louis, MO)
- … experience performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity ... quality of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization … more
- Centene Corporation (Phoenix, AZ)
- …for this remote position.** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and ... of BH utilization management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- BayCare Health System (Clearwater, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials....Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- Louisiana Department of State Civil Service (Reserve, LA)
- REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4889859) Apply REGISTERED NURSE SUPERVISOR A Salary ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient… more
- HCA Healthcare (Brownsville, TX)
- …growth, we encourage you to apply for our Registered Nurse House Supervisor PRN opening. We review all applications. Qualified candidates will be contacted ... you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with...patient care. These duties include providing effective distribution and utilization of personnel with emphasis on staffing for nursing… more
- AmeriHealth Caritas (Newtown Square, PA)
- …to document and assess patient cases efficiently. + Strong understanding of utilization review processes, including medical necessity criteria (eg Interqual), ... + Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work Monday through Friday,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …clinical procedures for nurses providing care to trauma patients, performs all utilization review and risk management activities. 3. Supervises, develops, and ... Nurse Practitioner Supervisor Pedi EndocrinologyHACKENSACK UNIV. MEDICAL GROUPHackensack, New Jersey Apply… more
- Stanford Health Care (Palo Alto, CA)
- …- 5+ years of experience as an RN - 3+ years of experience in case management/ utilization review Why work at Stanford Medicine | Stanford Health Care (SHC)? - ... on a rotating basis with other managers when on-call Supervisor is unavailable. + Develops and oversees relationships and...Knowledge of principles and best practices of case management, utilization review , social work, care coordination and… more