RN Supervisor - Clinical Review & Utilization
COMAGINE HEALTH
COMAGINE HEALTH is seeking a Supervisor, Clinical Review based in Alabama. This role requires an active RN license and involves the supervision of clinical staff conducting utilization reviews. A successful candidate will have at least 3 years of clinical experience, 1 year in a supervisory role, and knowledge of medical management processes. The company offers a supportive work environment focused on improving healthcare delivery and patient outcomes. #J-18808-Ljbffr COMAGINE HEALTH
- ...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift.The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical necessity...SuggestedDaily paidLive inRemote workShift workDay shift
- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...SuggestedFull timeRemote work
- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs,... ...authorization and review processes. Candidates must have a strong clinical nursing background with 5 years of experience and hold...SuggestedRemote work
$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that... ...expense, determine medically appropriate services and define clinical criteria for decision making. The role includes...SuggestedHourly payLocal areaRemote work- ...Role This role requires that the employee is an active RN and based in Alabama. The Supervisor, Clinical Review plays a critical role in providing operational supervision of clinical staff who conduct utilization review and/or specialty reviews. The Clinical Review supervisor...SuggestedContract workRemote work
- ...healthcare organization is seeking a Care Manager RN for a remote role primarily serving the... ...This per diem position involves crucial utilization management activities, ensuring... ...Washington RN license along with 3 years of clinical experience. The role offers competitive hourly...Hourly payDaily paidRemote workDay shift
$29.05 - $67.97 per hour
Molina Healthcare in Bellevue, Washington, is looking for a Registered Nurse (RN) with at least 2 years of clinical nursing experience. You will utilize your clinical knowledge to review documentation for medical necessity and appropriate levels of care. The position involves...Hourly pay$101.74k - $163.8k
Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP002821 Posted... ...management inpatient medical necessity reviews and transitions of care (TOC) efforts,... ..., you: Hold a current, unrestricted RN license in the State of Washington. Have...Full timeTemporary workPart timeWork experience placementWork at officeRemote workTrial periodFlexible hours$29.05 - $67.97 per hour
...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted in state...Hourly payWork experience placementWork at office- Job Description - RN Shift Coordinator D/N - 7East Medical Care... ...managing and evaluating unit based clinical care and ensuring that... ...discharge and all clinical issues. Utilize multidisciplinary approach to... ...Stop, Think, Act and Review in order to self-check behavior...Full timeFor contractorsWork experience placementShift workRotating shift
$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG... ...education and experience. Registered Nurse (RN). License must be active and unrestricted in state...Hourly payWork experience placementWork at office$48.66 - $77.84 per hour
...EvergreenHealth is seeking an experienced RN to join the Care Management Team. We... ...for status per defined criteria and reviews for appropriate utilization of resources. Ensures continuity and... ...progress and recommends appropriate clinical interventions to nursing staff and...Hourly payDaily paidLive inShift work$110k - $125k
...Overview RN Clinical Manager - Home Healthcare $10,000 Sign-on Bonus! Full-time, days Associate or bachelor's degree in... ...Organizes clinical operations for the care center. Reviews requests for services and determines patient eligibility/suitability...Full timeImmediate startRelocation packageShift work$95.51k - $152.73k
...EvergreenHealth Heart Care Supervisor Wage Range: $95,514 - $152,... ...designated health system known for clinical excellence, collaboration,... ...record (EMR) subjective, reviews and edits patient social and... ...Oversees hiring and training of RN's and Medical assistants. #...Immediate startFlexible hoursShift work$102k
...Operations & Maintenance has an outstanding opportunity for a Utility Shutdown Manager. Work Schedule 100% FTE Monday - Friday Day... ...The hiring process will consist of a scored evaluation and oral review of the applicant’s training and experience and knowledge of standard...Full timeTemporary workFor contractorsWork at officeRemote workMonday to FridayShift workDay shift$102k
...Operations & Maintenance has an outstanding opportunity for a Utility Shutdown Manager. **WORK SCHEDULE**100% FTE Monday - Friday Day... ...The hiring process will consist of a scored evaluation and oral review of the applicant’s training and experience and knowledge of standard...Full timeFor contractorsWork at officeRemote workMonday to FridayShift workDay shift- Dialysis Clinical Manager - Registered Nurse - RN page is loaded## Dialysis Clinical Manager - Registered Nurse... ...completion of the Annual Standing Order Review and Internal Classification of... ...clinic financials including efficient utilization of supplies or equipment and...Hourly payWork experience placementWorldwide
- ...in an environment that allows you to thrive both personally and professionally. Position Overview We are seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess the medical necessity and quality of healthcare services through prospective, concurrent...Full timeContract workRemote work
- ...of their lifestyle.**Job Summary**### The Clinic Manager (CM) is an essential part of the... ...maximizing client outreach and increasing clinic utilization.* Identifies and recommends actions to... ...nursing program* Active nursing license (RN)* Minimum 3 years of clinical experience...Relief
- King County is seeking a Hospital and Mental Health Residential Treatment Utilization Management Supervisor to manage the Utilization Management of Hospital & Mental Health Residential Treatment. This leadership role requires a Master's Degree in a relevant field and 2+...
$100k
...than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and... ...Practical Nurses (LPN) and Registered Nurses (RN). • Prepare recommendations for hiring and termination for review and approval by the Home Health Administrator...Full timeWeekend work$145k - $160k
...exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership... ...in hospice care, home health, or clinical operations management. If you’re a natural... ...goals and standards for performance; reviews and monitors progress regularly and redirects...Daily paidFull timeContract workTemporary workPart timeInterim roleWork at officeLocal areaImmediate start$47.64 - $88.19 per hour
...research centers. Fred Hutch operates eight clinical care sites that provide medical oncology,... ...of the Registered Nurses (RN), the Clinical Nurse Coordinator (CNC) will... ...resources Prescription refills Result reviews Indirect Patient Care Supportive...Hourly payH1bVisa sponsorshipRelocation packageFlexible hoursShift work$800 per week
Summer Health Care Manager (RN) - $800/week Job Category: Overnight & Summer Camp Requisition... ...available at the nurse’s station for open clinic hours determined by camp schedule.... ...check of campers on their arrival in camp and review ALL health records, discussing particular...Full timeTemporary workSummer workSeasonal workLocal areaNight shiftAfternoon shift$33.92 - $58.15 per hour
...Nurse Reviewer I Virtual : This role enables associates to work... ...pharmacy services, along with clinical expertise, research,... ...diagnostic imaging services by utilizing appropriate policies, clinical... ...background. Current unrestricted RN license in applicable state(s...Full timeTemporary workWork experience placementWork at officeLocal area1 day per week- ...Registered Nurse Case Manager in Seattle, WA. In this role, you will utilize AI-powered tools to enhance patient care and reduce... ...compassionate assistance. You must have a nursing degree and a valid RN license, with a minimum of one year of nursing experience. Join...
$44.3 per hour
...90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social,... ...and flu vaccine organization Home Health RN Clinical Manager - Posting #25578 Hourly... ...recommendations for hiring and termination for review and approval by the Home Health...Hourly payFull timeWork at officeWeekend work- ...and accelerate all aspects of an organization's total enterprise reinvention. Role Summary Advise clients on network strategy, utilization performance, and provider market challenges across Medicaid, rural, and financially pressured environments. The successful...Live inWork at officeLocal areaWork from home
- ...previous illness(es). Provides professional nursing care by utilizing all elements of nursing process. Assesses and evaluates... ...Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain...Local areaImmediate start
$268k - $414k
...responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. This individual will interact... ..., Behavioral Health Providers, and other clinical professionals who consult on various processes and...Minimum wageWork experience placementLocal areaRemote work
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