NURSE UTILIZATION AND CLINICAL jobs in UNITED STATES, United Kingdom #4

Job Summary: As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary... during their stay. Job Requirements: Current LPN/LVN or RN Nurse license or Clinical License. Associate's degree; Bachelor...

Morgan Stephens

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse Reviewers collaborate...

Dane Street, LLC

Registered Nurse Utilization Review Part Time Saturday and Sunday 8:00 AM - 6:30 PM Why UT Southwestern? With over 75... of clinical experience and minimum of 3 years of recent Utilization Review experience. Current experience with utilizing...

UT Southwestern Medical Center

Description Summary: The RN Utilization Review II is responsible for determining the clinical appropriateness... approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the health...

Christus Health

with an acute care hospital Preferred: ⦁ Experience in utilization management/case management, critical care, clinical...Department: Utilization Management Daily Work Times: 9:00am-5:30pm Shift: Days Scheduled Bi-Weekly Hours: 80...

McLaren Health Care

Job Title: Utilization Review - Post Acute Care Job Description Our PAC Nurse is a telephonic role responsible...-acute care (PAC) facilities. The PAC Nurse will collaborate with key facility personnel and internal Medical Directors...

Actalent

outcomes. The Utilization Review Nurse will: Determine the appropriateness of inpatient and outpatient services following...Welcome to Montage Health’s application process! Job Description: CALIFORNIA RN LICENSE REQUIRED As a Utilization...

Montage Health

- 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or post acute... clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options...

CVS Health

is required. Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in... utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience...

CVS Health

clinical information for concurrent reviews. As part of the UMRN program, conduct ongoing availability, monitoring... and oversight of non-clinical staff activities. Establish effective rapport with other employees, professional support service...

Katmai

This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state. Normal Working Hours... per year. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan...

CVS Health

Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in... the Utilization Management process. They collaborate with physicians and other members of the healthcare team to promote...

University of Virginia

Hybrid Stop-Loss & Utilization Risk (Registered Nurse) Healthcare Support is currently interviewing for a Stop-Loss... & Utilization Risk (Registered Nurse) position with a top-rated managed care organization in the state of New Jersey...

Healthcare Support

This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state. CCR - Duals UM Nurse... Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor...

CVS Health

or vocational school with 2 years' related work experience. California Licensed Vocational Nurse upon hire 2 years of Clinical...: Bachelor's Degree in Healthcare related field. 3 years of experience in utilization management or case management...

Providence Health & Services

Utilization Management process for assigned patient population. This includes reviewing clinical information to determine the...Job Description Graduate of an accredited school of nursing required. Current licensure as a Registered Nurse in...

AtlantiCare

Nurse to join our team! The Utilization Management Nurse is responsible assure cost effective, quality utilization... maintaining timeliness. As the Utilization Management Nurse, your daily duties may include: Review and track emergency...

Health Partners Plans