Average salary: $94,139 /yearly
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...RN Case Manager - Utilization Management
Description
All nursing practice is based on the legal scope of practice, national and specialty nursing standards, our Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional...
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...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
...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
...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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Temporary work
Remote job
Shift work
Weekend work
...innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary:
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state.
There is no travel expected with this position....
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Hourly pay
Holiday work
Full time
Temporary work
Remote job
Shift work
Weekend work
Afternoon shift
Monday to Friday
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
...0.00Posted 05/01/2024We are looking for an experienced Project Manager in Multi-family, Commercial or Healthcare to join our team. You... ...projects in the industry. We focus specifically on Underground Utilities, Earthwork & Demolition parts of projects.What You Will Be Doing...
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Full time
For subcontractor
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Hourly pay(17)
Immediate start(20)
Shift work(40)
Staff(41)
...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 Utilization Management...
Suggested
Shift work
Role: Utilization Management Nurse
Location: Remote/ Work from Home
Term: Contract Ideal candidates will have a few years of Major payor experience, experience working with a 3rd party vendor, Telecommuter experience, closed office with no distractions, technical savviness...
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Contract work
Local area
Remote job
...Monday-Friday 11:30 AM-8:00 PM EST. MUST have the ability to work the occasional on-call rotational coverage on weekends and some rotational on-call holiday coverage (URAC and Client Requirem Nurse, Management, Consultant, Medical Director, Clinical, Retail, Healthcare...
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Holiday work
Remote job
Weekend work
Monday to Friday
Overview:
ERP International, LLC is seeking a Registered Nurse - Utilization Managment for a full-time position supporting Medical Managment in support of Tinker AFB, OK .
Be the Best! Join our team of exceptional health care professionals across the nation...
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Holiday work
Full time
For contractors
Local area
Shift work
Monday to Friday
...Become a part of our caring community and help us put health first
Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/...
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Weekly pay
Holiday work
Full time
Temporary work
Apprenticeship
Home office
Monday to Friday
...Position Overview
The Utilization Review Nurse is responsible for coordinating all components of the utilization review process, which... ...utilization review components within the Ethos Utilization Management System per State, Federal and URAC requirements, including...
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Full time
Local area
Department: Utilization Management
Daily Work Times: 7:00am-3:30pm
Shift: Days
Scheduled Bi-Weekly Hours: 40
Position Summary: Responsible... ...as needed.
Required:
* State licensure as a registered nurse (RN)
* Bachelor's degree in nursing from accredited...
Suggested
Part time
Shift work
Weekend work
Description Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care... ...Required qualifications: Texas Registered Nurse License upon hire - if practicing within...
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Full time
Local area
Shift work
Overview
Now hiring Utilization Management Nurse Specialist. Work from home. Albuquerque Metro residents only.
Performs clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical...
Full time
Temporary work
Local area
Immediate start
...Description:
Responsible for performing patient-oriented care management, disease management and care coordination through... ...either at an outpatient clinic location and/or telephonically. Utilizes the nursing process to complete assessment and care planning. Collaborates...
Hourly pay
Full time
Flexible hours
Shift work
Rotating shift
...and affordable.
Position Summary
* Utilizes clinical experience and skills in a collaborative... ...of the utilization/benefit management function.
* Typical office working environment... ...3+ years of experience as a Registered Nurse
* Must have active current and...
Hourly pay
Holiday work
Full time
Temporary work
Monday to Friday
...miles to office location in High Point, NC.
Precertification Nurse Case Manager is responsible for telephonically assessing, planning,... ...multidisciplinary focus to benefit overall claim management.
* Utilizes case management processes in compliance with regulatory and...
Hourly pay
Holiday work
Full time
Temporary work
Afternoon shift
Monday to Friday
...CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing w Clinical, Management, Consultant, Nurse, Clinic, Healthcare, Retail...
