Utilization Management Nurse
PacificSource
PacificSource in Missouri seeks a qualified health services professional with nursing or behavioral health experience to coordinate care and ensure appropriate utilization for members. The role requires an active RN license or equivalent credential and may involve case management across inpatient, residential, and outpatient settings. Responsibilities include collecting member data, documenting case notes, reviewing referrals, and coordinating with multidisciplinary teams to support member #J-18808-Ljbffr
$75.3k - $135.4k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... .... Supervises day-to-day activities of utilization management team. Monitors and tracks UM... ..., and/or retrospective clinical review nurses and ensures compliance with applicable...SuggestedFull timePart timeWork at officeRemote workFlexible hours- 3M HEALTHCARE is seeking a Utilization Review RN to ensure high-quality, cost-efficient medical outcomes through utilization review and management. The role involves chart review, collaboration with physicians, care coordinators, social workers, and revenue cycle teams...SuggestedRelief
- Centene Management Company LLC is seeking a seasoned nurse leader to supervise the Prior Authorization, Concurrent Review, and/or Retrospective Review teams, ensuring high‑quality, compliant utilization management for members. The role supports remote work within the continental...SuggestedRemote job
- SSM Health is seeking a Manager of RN Utilization Management to oversee system-wide UM activities and lead a high-performing team. The role blends clinical nursing expertise with strategic leadership to optimize care coordination, utilization review, and regulatory compliance...SuggestedRemote jobWeekend work
- ...Hospice Registered NurseThe Hospice Registered Nurse (RN) utilizes the nursing process to provide compassionate, specialized end-of-life... ...terminally ill patients, focusing on quality of life, pain management, symptom control, comfort care and dignity rather than curative...Suggested
$31.5 per hour
...information about 5 Sutherland: Intermediate Care Registered Nurses provide advanced illness management and health promotion for patients who require... ...intermediate acuity of care. Intermediate Care Registered Nurses utilize the nursing process and knowledge of scientific...Work experience placementSeasonal work- ...supervisor for their Prior Authorization team within the Medical Management/Health Services department. The role ensures quality care for... .... The ideal candidate will hold a Bachelor's degree in Nursing, possess 4+ years of related experience, and have an active RN...Remote workFlexible hours
- ...Chronic Disease Management Nurse The Chronic Disease Management Nurse is responsible for providing care management services to patients... ...direction, and support in achieving member self-care competence. Utilize motivational interviewing skills to build patient engagement...Work experience placementWork at officeRemote work
- PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to... ...policies, procedures and training. Provides nursing support to patients and staff. Assists with... ...manner and the facility capacity is utilized efficiently. As needed, assist with patient...Work at officeLocal areaImmediate start
- ...Nurse Admissions Coordinator Linden Woods Village is an innovative, beautiful, 5 star, boutique style senior living community... .... Schedule: This position is part of a strong nurse management team, utilizing a very high ratio of nurse managers to residents to oversee...Full timeTemporary workShift workWeekday work
- ...Position Type: Full TimeEducation Level: Nursing License - UnencumberedJob Shift: DaysJob... ...Coordinator reports to the PACE Center Manager. This position is responsible for coordinating... ...team to manage and prioritize utilization of home care staffing resources to reflect...Live inWork at officeShift work
$54.14k - $85.92k
.../ Year Job Category Licensed Practical Nurse, Registered Nurse, Community Health Care... ...Coordinator at KC CARE is responsible for managing and coordinating patient care services... ...with healthcare standards and regulations utilizing the Patient-Centered Medical Home model...Work at officeShift work- ...Transplant Nurse (RN) Care Coordinator - Blood & Marrow Transplant The Transplant... ...living donation/transplantation, and will utilize that knowledge to coordinate the care of... ...Demonstrates understanding of post-transplant management including medications, complications,...Part time
- A healthcare system in Kansas is seeking a dedicated Registered Nurse for the Renal Unit. The RN will utilize the nursing process to deliver patient care, collaborate with healthcare teams, and maintain a safe environment. Responsibilities include coordinating health services...
- Ambulatory Clinic Nurse Care Coordinator (RN)- Spine center Our nurses are leaders and... ...Essential Job Functions Responsible for management of patient flow, triage, and direct... ...outcomes, defining appropriate resource utilization, and working with the provider to set patient...Full timeWork at officeShift work
- ...RN – Med SurgRegistered nurses in this specialty practice primarily on hospital units and care for adult patients who are acutely ill... ...or are recovering from surgery.Assist physicians with patient management.Provide care for patients before and after surgical procedures....Locum
$40 per hour
...Empower Healing & Inspire Hope as a Registered Nurse in Addiction & Mental Health Care at the Recovery Village Kansas City. FT Night... ...Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance...Immediate startShift workNight shift- ...VitalCaring, care isn't just what we do - it's who we are. If you're a nurse who wants to use your full clinical skillset, think critically,... ...- way to practice. You have the opportunity to lead decisions, manage complexity, and help patients recover and thrive in their own...ReliefFlexible hours
- ...Grand Worker Type: Regular Job Summary The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care and activities... ...and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job...Hourly payTemporary workImmediate startFlexible hoursShift workNight shift
$40 per hour
...Description Empower Healing & Inspire Hope as a Registered Nurse in Addiction & Mental Health Care at the Recovery Village Kansas... ...Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance...Immediate startShift workNight shift$45 - $47 per hour
...Join to apply for the Home Health Registered Nurse, RN role at TieTalent 1 day ago Be among the first 25 applicants Join to apply for... ...team-based environment, our home health registered nurse case managers lead and collaborate to provide management and delivery of patient...Hourly payDaily paidFull timeFlexible hoursDay shift- ...collaborate with a multidisciplinary team to deliver symptom management and treatment support. The role includes rotating schedules with... ...on safety, quality, and patient education. BSN preferred; initial nursing diploma/AD required with RN licensure. #J-18808-Ljbffr...Night shiftRotating shift
- ...BBH Burrell Behavioral Health in Independence, MO seeks a Manager, HealthCare Home to oversee the daily operations of the Healthcare Home Team, coordinate clients, and lead Nurse Care Managers in collaboration and excellence. You will facilitate health education groups...
$2,218 per week
...FlexCare Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Kansas City, Kansas. Job Description & Requirements... ...leader in travel nursing, allied health, and therapy talent management solutions for top healthcare facilities throughout the U.S....Zero hours contractImmediate startShift workNight shift- ...SUMMARY: Under the direction of leadership, the Nurse Navigator provides individualized clinical care coordination for patients with... ...navigations plans, coordinates services, promotes self-management, and facilitates timely access to appropriate care to improve clinical...Work at office
- ...have the career opportunities as a Hospice Manager of Clinical Services RN you want with... ...plan, maintaining our quality model, and utilizing services appropriately to achieve optimal... ...Certified Hospice and Palliative Care Nurse preferred Reliable transportation and...Temporary workLocal areaFlexible hours
- ...advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give... ...the Cardiovascular Services Director, Manager and CV Prep and Recovery Supervisor, the... ...and their family members. The liaison utilizing age appropriate guidelines to...Temporary workWork at officeFlexible hours
- ...career opportunities as a(an) Registered Nurse Surgery you want with your current employer... ...are valuable to this position and are utilized in providing patient care. The nurse provides... ...care under the direction of the Nurse Manager/Director in conjunction with the OR team....Full timeTemporary workPart timeRelocation packageFlexible hoursShift work
$100k
...developing others? We're looking for a Clinical Manager to join our dynamic clinical leadership... ...in coaching, mentoring, and precepting nursing staff, helping them build their clinical... ...Ulcers, Medication Errors, Restraint Utilization, Re-hospitalization, Anti-psychotic...Work at officeLocal areaImmediate start- ...the nation's largest Neuro ICUs, offering nurses and staff exposure to cutting-edge... ...functioning. Each unit is lead by a clinical manager and lead charge nurse. The unit is supported... ...to improve patient outcomes.Actively utilizes and champions scientific inquiry for evidence...Hourly payFull timeRelocation packageAll shiftsFlexible hoursShift work
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