• RN Utilization Review

    HonorHealth (Scottsdale, AZ)
    …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
    HonorHealth (01/23/25)
    - Related Jobs
  • Utilization Review RN -…

    Providence (Mission Hills, CA)
    …empower them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License + 2 years Experience working in a ... Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently manage a diverse… more
    Providence (02/05/25)
    - Related Jobs
  • Utilization Review Case Manager…

    Covenant Health (Bangor, ME)
    …of the VP of Accountable Care Operations & Population Health Strategy the Utilization Review Case Manager will work collaboratively with other members of ... the healthcare team. The nurse case manager also acts as an advocate for...Manager conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that are housed… more
    Covenant Health (11/27/24)
    - Related Jobs
  • Registered Nurse ( RN )…

    Matrix Providers (Aurora, CO)
    Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management...Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP) + Certified Informatics… more
    Matrix Providers (11/26/24)
    - Related Jobs
  • Registered Nurse

    Cedars-Sinai (Los Angeles, CA)
    …Angeles Fair Chance Initiative for Hiring. **Req ID** : 7545 **Working Title** : Registered Nurse - Utilization Management - PER_DIEM **Department** : ... communication with payers as required Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for… more
    Cedars-Sinai (02/05/25)
    - Related Jobs
  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
    Summary The Utilization Management (UM) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and creative ... Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days... Registered Nurse 3 years of Utilization Management/Chart Review / Utilization Review more
    Veterans Affairs, Veterans Health Administration (02/01/25)
    - Related Jobs
  • Registered Nurse

    Veterans Affairs, Veterans Health Administration (Seattle, WA)
    Summary Registered Nurse ( RN ) Utilization Management (UM) delivers knowledge-based care to clients while developing technical skills. Assesses, plans, ... The Nurse Utilization Management (UM) Registered Nurse ( RN ) is responsible...care Bachelor of Science in Nursing Case Management Experience Utilization Management/ Review experience Physical Requirements: Heavy lifting… more
    Veterans Affairs, Veterans Health Administration (02/01/25)
    - Related Jobs
  • Registered Nurse

    Aspen Medical (Aurora, CO)
    JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing,...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
    Aspen Medical (01/22/25)
    - Related Jobs
  • Registered Nurse

    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 ... and patient. Responsibilities RESPONSIBILITY/DUTIES: The role of the UM RN is multifaceted and includes, but is not limited...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (02/08/25)
    - Related Jobs
  • Care Manager Registered Nurse

    UNC Health Care (Hendersonville, NC)
    …to determine the appropriateness of hospital admission based on approved criteria and standards per the Hospital Utilization Review Plan. Directs delivery of ... effectiveness through the integrating and functions of care management, utilization review and discharge planning. The Care...Required * Must be licensed to practice as a Registered Nurse in the state of North… more
    UNC Health Care (01/11/25)
    - Related Jobs