Search Results: 1,004,155 vacancies

 ...Registered Nurse Case Manager - Utilization Management Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Knapp Medical Center, a member of the Prime Healthcare Foundation, offers incredible... 
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Work experience placement

Mission Regional Medical Center

Weslaco, TX
5 days ago
 ...Registered Nurse - Utilization Management - Full Time * Graduate of an accredited school of nursing required. * Current licensure as a Registered Nurse in the State of New Jersey POSITION SUMMARY The RN Utilization Management Days is responsible for the overall Utilization... 
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Full time

Atlanticare Regional Medical Center

Egg Harbor Township, NJ
2 days ago
Department: Utilization Management Daily Work Times: 7:00am-3:30pm Shift: Days Scheduled Bi-Weekly Hours: 40 Position Summary: Responsible...  ...projects as needed. Required: * State licensure as a registered nurse (RN) * Bachelor's degree in nursing from accredited... 
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Part time
Shift work
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McLaren Health Care

Detroit, MI
1 day ago
 ...Utilization Management Clinical Registered Nurse (RN) Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all... 
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Local area

Texas Children's Hospital

Bellaire, TX
1 day ago
 ...Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for...  ...for medical necessity determinations. EDUCATION * Registered Nurse degree. WORK EXPERIENCE * Minimum two (2) to five (5) years... 
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Work experience placement

Leon Health

Miami, FL
3 days ago
 ...Job Description Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to... 
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Dane Street, LLC

West Palm Beach, FL
8 days ago
 ...Job Description Position Purpose : Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. Responsibilities:   Uses a collaborative... 
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DOCTORS HEALTHCARE PLANS, INC.

Miami, FL
4 days ago
43 New Scotland Avenue Albany, NY 12208 Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible for Utilization Management, Quality Screening... 
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Albany Medical Center

Albany, NY
3 hours ago
Description Summary: The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre... 
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Permanent employment
Full time
Monday to Friday

Christus Health

San Antonio, TX
25 days ago
43 New Scotland Avenue Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary: $65,062.40 - $107,348.80 • Completes... 
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Shift work

Albany Medical Center

Albany, NY
3 days ago
 ...Duties:1. Adheres to most current ACMA Case Management Standards of Practice and Scope of Services 2. Adheres to ANA Nursing Scope and Standards of Practice 3. Adheres to...  ...Home/Skilled Nursing Placement and resource utilization. 6. Comprehensive and client centered... 
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Hourly pay
Permanent employment

Indian Health Service

Tuba City, AZ
1 day ago
 ...reviews until patient discharges from treatment. Evaluate the utilization operation for compliance with mandatory policies and...  ...and tasks as assigned. Education Bachelor's or better in Nursing/Healthcare or Psychology. Licenses & Certifications Reg... 
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For contractors

Acadia Healthcare

Lemont, IL
1 day ago
 ...the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at The RN - Utilization Review Nurse Manager shall manage the daily Utilization Review and Appeals Management processes for the facilities within Baptist Health. This... 
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Baptist Health

Montgomery, AL
2 days ago
 ...POSITION SUMMARY The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital...  ...CMS’ Conditions of Participation regarding Utilization Management with annual review of the UM Plan and assisting with the coordination... 
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The University of Vermont Health Network

Colchester, VT
1 day ago
 ...efficiency, and collaboration in healthcare. Position Summary: Under the supervision of the Health Services Director, the Utilization Management Nurse (LPN or RN) uses a multidisciplinary approach to organize, coordinate, monitor, evaluate, create and manage organization... 
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Contract work

Solis Health Plans

Miami, FL
3 days ago
Tier: 2 Department: Administration Supervisor: General Manager of Tribal Operations Location: 16281 Q Road, Mayetta KS 66509...  ...program. Questions before applying? (***) ***-**** Role: The Utility Manager will be responsible for oversight on PBPN's goal of... 
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Weekly pay
Holiday work
Full time
Flexible hours
Night shift

Prairie Band Potawatomi Nation

Mayetta, KS
2 days ago
 ...Description Job Description Position Overview The Utilization Review Nurse is responsible for coordinating all components of the utilization...  ...review components within the Ethos Utilization Management System per State, Federal and URAC requirements, including... 
Local area

Ethos Risk Services

Austin, TX
10 days ago
 ...Works Department Opening Date: 03/20/2024 Closing Date: Continuous GENERAL PURPOSE City of Upland is recruiting for Utilities Manager!! APPLY TODAY!! Utilities Manager , under the general direction of the Public Works Director/City Engineer, plans,... 
Full time
Contract work
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City of Upland, CA

Upland, CA
1 day ago
 ...for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible...  ...difference in peoples lives every day. Overview: The Utilization Manager plans, coordinates, implements, and finalizes projects... 
Remote job

Gentiva

Mooresville, NC
3 days ago
 ...We are seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX! This Nurse should have a minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and minimum of 2 years Utilization... 
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Flexible hours

Adecco Staffing, USA

Dallas, TX
2 days ago