RN Utilization Management Reviewer - Cost-Smart Care
$40.39 - $60.96 per hourIntermountain Health
Intermountain Health in Las Vegas is seeking an RN Utilization Management Reviewer I to conduct utilization reviews, ensuring patient-centered care through effective resource management. This role involves collaborating with providers and patients, adhering to regulatory guidelines, and utilizing clinical expertise to assess treatment plans. The ideal applicant will hold a BSN, have a current RN license, and possess strong communication skills. This full-time position offers an hourly wage range of $40.39 - $60.96. #J-18808-Ljbffr
- ...Overview Registered Nurse – Utilization Management at Nellis Air Force Base in Las... ...Opportunity to give back and care for military community... ...preferred BLS certification Active RN license Company Overview At Spectrum... ...that are both innovative and cost-effective. We hold ourselves...SuggestedMonday to FridayShift work
- ...Staffing and Recruitment Inc. is looking for a Value Analysis Manager (RN) in Las Vegas to drive cost-saving strategies across clinical services. This... ...implementations and evaluating services to enhance quality of care and financial outcomes. Candidates must have an active...Suggested
$2,250 per week
...Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Las Vegas... ...POSITION DUTIES: DCP in an acute care setting MINIMUM REQUIRED QUALIFICATIONS... ...holistic solutions that reduce costs, streamline processes, and improve efficiencies...SuggestedTemporary workFor contractorsShift workDay shift- ...Delivers comprehensive case management services within an acute care environment, ensuring... ...while optimizing resource utilization. Evaluates medical necessity... ..., driving high-quality, cost-effective outcomes and... ...Planning, or Utilization Review Preferred Qualifications...Suggested
- ...Registered Nurse for a per diem position focused on Utilization Management. This role involves reviewing patient admissions and ensuring adherence to standards... ...Candidates must possess a nursing degree, five years of acute care experience, and familiarity with InterQual. Working...SuggestedDaily paid
- ...Dynamic Computing Services is seeking a Value Analysis Manager (RN) for a full-time, permanent, onsite role in Las Vegas, NV. This position... ...to work in the U.S. The ideal candidate will collaborate on cost-saving strategies within clinical services, products, and processes...Permanent employmentFull time
$79k - $127k
...127k Value Analysis RN Position Summary... ...recommending, and implementing cost-saving strategies... ...and optimize resource utilization while maintaining high standards of patient care. Duties & Responsibilities... ...) years of progressive management or supervisory...Temporary work- ...Job Summary The Nurse Care Manager is responsible for... ...goals. Reduce network costs by driving referrals to... ...their health goals. Utilize Motivational Interviewing... ...in Nursing (BSN) or RN with bachelor's degree... ...1 year of utilization review, home health, discharge...Work experience placementWork at officeRemote work
$62.7k - $100.4k
...Job Summary: The Care Manager collaborates with members of an inter-disciplinary care team... ...Monitors and promotes effective utilization of healthcare resources through clinical... ...appropriate level of care in a timely and cost-effective manner Coordinate with community...Work experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift- ...an AI-native physical care platform, starting with... ...fundamentally different cost structure compared to incumbents... ...before downstream review 4. Be an escalation... ...(CoPs), and management of OASIS documentation... ...performance Experience with utilization review, quality assurance...Work at officeLocal area
$93.9k - $117.3k
...engage our participants in managing their own health and... ...provide the best possible care for the participants through Utilization Review and Utilization Management... ...delivery of high-quality, cost-efficient healthcare for... ...insurance Unrestricted active RN License in the State of...Temporary workWork experience placementWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursWeekend work- ...seeks an experienced Registered Nurse to manage patient discharges and ensure optimal... ...and healthcare teams and mandates a valid RN license in Nevada. Applicants should have... ...settings, with preferred experience in utilization review. Benefits include competitive compensation...
$62.4k - $96.08k
...Summary Conducts case management program activities in... ...support, coach, coordinate care and review treatment options,... ...to ensure optimal and cost‑effective health outcomes... ...Examples may include Utilization Management, Quality,... ...Qualifications Active NYS RN license required with...Work at officeFlexible hours- ...The RN Care Management Lead is an advanced-level member of the Case Management team responsible... ...continuity of care and appropriate resource utilization. Collaboration and Coordination May... ...and Advocacy Assist in preparing a cost-benefit analysis for medically and socially...
$25k
...Overview Become a part of our caring community The Clinical Care Nurse (RN) is a clinic-based... ...TOC), reduce avoidable ED utilization, and drive Medicare... ...are chronic disease self-management, particularly in DM, HTN... ...encourage personal wellness and smart healthcare decisions for...Full timeTemporary workApprenticeshipWork at officeMonday to Friday$25k
...Clinical Care Nurse (RN) The Clinical Care Nurse (RN) is a clinic-based... ...(TOC), reduce avoidable ED utilization, and drive Medicare... ...patients in chronic disease self-management, particularly in DM, HTN, CHF... ...encourage personal wellness and smart healthcare decisions for you...Full timeTemporary workWork at officeMonday to Friday$25k
...Become a part of our caring community The Clinical Care Nurse (RN) is a clinic-based nursing... ...TOC), reduce avoidable ED utilization, and drive Medicare... ...are chronic disease self-management, particularly in DM, HTN... ...encourage personal wellness and smart healthcare decisions for...Full timeTemporary workApprenticeshipWork at officeMonday to Friday$40.72 - $63.12 per hour
...Description Salary: $40.72-$63.12hr RN Case Manager Acute Care (Hospital-Based) 3+ Years... ...working in acute care case management or utilization review and want a stable, long-term opportunity... ...Security (FICA) deduction ~ Low-cost medical, dental, vision ~ Paid...Relocation package$43 - $63 per hour
...Description Job Description The Utilization Review Nurse plays a key role in... ...ensure appropriate levels of care, efficient resource... ...and collaborating with case management teams to support quality standards... ...Improvement Active Nevada RN license required Minimum 3...Relocation package$41 - $64 per hour
...Job Description Job Description Utilization Review Nurse (RN) Location: Las Vegas, NV Job Type... ...with payer guidelines in an acute care setting. Responsibilities Perform... ...Milliman criteria Collaborate with case management and clinical teams Assist with...Full time- ...qualified candidate to provide recommendations for cost-saving strategies in clinical areas,... ...a bachelor's degree in Nursing, Health Care Administration, or Business Administration along with relevant clinical and management experience. The role requires a current Nevada...
$25 per hour
.... We have an ongoing need for Document Reviewers. Document Reviewers will review documents... ...is required. ~ Proficiency in utilizing modern technology, especially computers... ...investigation and data recovery and management needs of our clients. Serving...Hourly payTemporary workRemote workWork from homeHome officeMonday to ThursdayFlexible hours- ...Health is a value‑based primary care practice revolutionizing... ...screening, chronic condition management, lab work, and diagnostic testing... ...lead us into the future. As an RN in our team, you will be the hub... .... Why You’ll Love Us: We’re a smart, heart‑centered, low‑ego group...Remote workFlexible hours
- ...A healthcare provider is hiring a Utilization Review Nurse for an on-site position in Las Vegas, Nevada. This role involves... ...guidelines. Candidates should have an active RN license in Nevada, over 5 years of acute care nursing experience, and at least 3 years in Utilization...
$79.1k - $126.57k
...We are looking for a Value Analysis Manager (RN) for a full time permanent role onsite in Las... ...Provides recommendations and implementation of cost saving strategies in clinical areas,... ...implementation and coordination of patient care); standards of care; disease process;...Permanent employmentFull timeWork at officeLocal area- ...RN Coordinator Serves as a valued member of the departmental management team as the RN Coordinator on the floor to provide guidance to other... ...multidisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients and their families in...Full timeRotating shift
$2,374 - $3,560 per week
...Registered Nurse (RN) | Administration / Management Location: Las Vegas, NV Agency: Generis Tek Inc Pay: $2,374 to $3,560 per week... ...Director of Surgical Services high quality, patient-centered care through oversight of the overall function and staffing of...Permanent employmentFull timeContract workImmediate startShift work- ...professional, technological and management solutions services.... ...a Surgical Case Nurse Reviewer to provide review... ...provided at no cost TITLE: Surgical... ...operating room, intensive care unit or inpatient surgical... ...through the effective utilization of the hospital...Full timeFor contractorsWork at officeLocal areaRemote workMonday to FridayShift work
$2,374 - $3,560 per week
...Registered Nurse (RN) | Administration / Management Location: Las Vegas, NV Agency: Generis Tek Inc Pay: $2,374 to $3,560 per week... ...Director of Surgical Services high quality, patient-centered care through oversight of the overall function and staffing of...Full timeImmediate startShift work$30.37 - $59.21 per hour
...DESCRIPTION Job Summary Provides support for care management/care coordination activities and... ...overarching strategy to provide quality and cost-effective member care. Essential Job Duties... ...and experience. • Registered Nurse (RN). License must be active and unrestricted...Hourly payWork experience placementWork at officeLocal area
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