Clinical Nurse - Utilization Manager
Saratoga Ascend
Clinical Nurse, Medical Management/Utilization Management
Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options.
This is a great full-time opportunity with telework available. Please see the qualifications below and submit your resume if you are interested in being considered.
Required Qualifications:
- Bachelor's degree in Nursing, Master's preferred, or other clinically related Health Service degree.
- Department of Defense Program Management (PM) experience preferred, minimum 2 years within the last 5 years.
- Experience in the operations and organization of the Department of Defense Military Health System desired.
Saratoga Medical Center, Inc. is an equal opportunity employer and will not discriminate in recruiting, hiring, training, promotion, transfer, discharge, compensation or any other term or condition of employment on the basis of race, religion, color, age (over age 39), sex, national origin, or on the basis of disability if the employee can perform the essential functions of the job, with a reasonable accommodation if necessary.
$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12988 Salary Range: $88,854.00 (Min.) - $115,509.00 (...SuggestedFull time- ...-Line Staffing Solutions is seeking a Clinical Review Nurse in Alameda, California. The role is full... ..., medical necessity reviews, and utilization reviews. Candidates should have 3+ years... ...opportunity offers a chance to work in managed care, engaging with complex clinical cases...SuggestedFull time
$88.85k
...safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves... ...in Nursing Experience At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years...Suggested- ...Job Description At NorthBay Health the Clinical Utilization Review Nurse II (URN) is an experienced registered nurse who prospectively and concurrently... ...California RN License and Magnet ANCC-recognized Case Management certification (CCM, ACM-NBCM, etc.). Experience:...SuggestedDaily paidWork at officeLocal areaRemote workShift work
- ...Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great full-time opportunity with telework available. Please see the...SuggestedFull timeRemote work
$110k
Overview The Nurse Clinical Supervisor, UM Denial Compliance oversees the denial process within the utilization management (UM) department, ensuring that all denials are handled efficiently, accurately, and in full compliance with regulatory, accreditation, and health plan...Casual workRelocation package- ...serve. Summary: Provides competent clinical nursing care consistent with professional... ...Reporting and accountable to the Nurse Manager/Director. Provides professional nursing... ...educational and safety aspects of care. Utilizes healthcare organization and nursing standards...Full time
- ...wellbeing. Summary: Provides competent clinical nursing care consistent with professional... ...Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible... ...and delivering patient care utilizing the nursing process in a hospital setting...Full timeNight shift
- ...of Miami has a great opportunity for a Nurse Utilization Review Supervisor to work at UTower.... ...functions as the Supervisor for the Case Management Department under the direction of the... ...of services, timely delivery of clinical and community services to patients and...Full timeTemporary workWorldwideNight shiftWeekend work
- ...Job Description Your Role The Utilization Management team reviews inpatient stays and prior... ...for members. You will apply advanced clinical knowledge and proven management skills... ...Medicare) Bachelor of Science in Nursing or advanced degree preferred Demonstrated...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Registered Nurse/Nurse License/RN License/Case Management/Utility Management A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized... ...four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing....Immediate start
- ...Summary The Nurse Manager (NM) is responsible and accountable for all elements of the nursing... ...the Quality Safety Value (QSV) Utilization Management program. The NM is responsible... ...focused on evidence based standards and clinical practice guidelines. The NM functions as...Permanent employmentTemporary workSeasonal workImmediate startRemote workRelocation packageMonday to Friday
$108.2k - $162.41k
...Why Mayo Clinic Mayo Clinic is top-ranked in more specialties... ...Responsibilities The RN Manager, Care Management provides leadership... ...Manager effectively resolves utilization review and denial management... ...research. The American Nurses Association (ANA) Nursing Scope...Full timeWork at officeLocal areaMonday to FridayFlexible hoursWeekend work$44.33 - $68.42 per hour
...Manager Of Care Management I The Manager of Care Management I leads and collaborates... ...care management operations across utilization review, acute and emergency department... ...working collaboratively with medical staff, nursing, clinical, and revenue cycle leaders to optimize...Hourly payWork at office- ...Nurse Manager of Utilization Management Discharge Planning -lead the charge at a top-tier Bay Area hospital, driving smarter care, smoother discharges... ...Utilization Review and Discharge Planning, expect strong clinical collaboration, modern analytics, evidence-based practice...Relocation package
- ...Healthguides™ and a centralized Managed Service Organization to build... ...Be DoingUtilization Review & Clinical DeterminationsComplete timely... ...growth aligned with Illinois nursing regulations and contemporary... ...settings.Knowledge of utilization review, managed care processes...Bi-weekly payFull timeTemporary workFor contractorsLocal areaRemote work
- ...role? We invest in what matters most to nurses like you – at home, at work, and at every... ...Qualifications The Assistant Nurse Manager provides leadership through collaboration... ...collaborative relationships. Ability to utilize critical thinking and problem solving...Full timeTemporary workPart timeFlexible hours
- A leading healthcare provider in Connecticut is seeking a Nurse Manager for Care Coordination & Utilization Management. This pivotal role involves strategic and operational leadership in inpatient care coordination, working closely with physicians and hospital leadership...
- ...wellbeing. Summary: Provides competent clinical nursing care consistent with professional... ...Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible... ...and delivering patient care utilizing the nursing process in a hospital setting...Full timeNight shift
- ...s with 1+ years of experience! As a Clinical Nurse Coordinator Cardiac Neuro ICU, your voice... ...relationships with your direct manager or more formal opportunities through hospital... ...collaborative relationships Ability to utilize critical thinking and problem solving...Temporary workRelocation packageFlexible hoursShift work
$640 - $655 per day
...Placements, Inc. (HCEPInc) is seeking an Interim Assistant Nurse Manager, Utilization Management, for a W2 Contract position based in San Diego,... ...plan. Summary Provides supportive operational and clinical leadership for nursing teams, promoting collaboration, staff...Daily paidFull timeContract workInterim roleLocal areaMonday to FridayDay shift- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service... ...and efficiency, ensuring quality care based on clinical guidelines. The UMRN will work closely with various departments...Remote jobFlexible hours
- ...s with 1+ years of experience! As a Clinical Nurse Coordinator General Surgery, your voice... ...collaborative relationships with your direct manager or more formal opportunities through... ...relationships Ability to utilize critical thinking and problem solving skills...Temporary workRelocation packageFlexible hoursShift work
- ...Join a dynamic healthcare team in the Pacific Northwest region as an Acute Care Registered Nurse specializing in Utilization Review. This role involves coordinating care and managing the utilization of services for patients in acute and post-acute skilled care settings....Work at office
- ...Join a dynamic healthcare team in the Pacific Northwest region as an Acute Care Registered Nurse specializing in Utilization Review and Care Management. This role involves coordinating patient care and optimizing resource utilization for acute and post-acute skilled patients...Full timeWork at office
- ...expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide... ...all job vacancies, visit or Job Title: Nurse Case Manager - Utilization Review - Nights Requisition Number: 44170...Hourly payFull timeShift workNight shiftDay shift
- ...ACRN | Acute Care Registered Nurse - Utilization Review Join a dynamic healthcare team in the... ...specializing in Utilization Review and Care Management. This role involves coordinating care... ...cost-effective care that aligns with clinical and financial goals. As a vital...Full timeWork at office
- ...criteria, benefit plan design, clinical knowledge, and critical... ...provide, ongoing coordination and management of service delivery through... ...quality standards related to Utilization Management. Maintain and submit... ...New York State Registered Nurse (RN) required. Minimum three...Work at office
$1,100 per week
...Job Description VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start Date: TBD End Date: TBD Duration: 13 Weeks Shift: 8 Hours Days. Skills: Nursing W2 Pay Rate...Weekly payDaily paidLocal areaShift work- Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient service requests while leading a team of UM Nurses. This fully remote position demands strong communication skills and a valid California LVN or RN license. The...Remote job
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