UTILIZATION MANAGEMENT NURSE CONCURRENT jobs in USA, United Kingdom

Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN... and more affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and continue...

HCA Healthcare

Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN... and more affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and continue...

HCA Healthcare

Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN... and more affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and continue...

HCA Healthcare

Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN... and more affordable to gain certifications and job skills. Apply today for our Registered Nurse Case Manager PRN opening and continue...

HCA Healthcare

Description Summary: The Utilization Management Nurse III is responsible for determining the clinical... approved certification for services. The Utilization Management Nurse collaborates as necessary with other members of the...

Christus Health

knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/quality assurance... Manager Registered Nurse PRN position and spend more time at the bedside with the patient. Benefits Las Palmas Medical...

HCA Healthcare

About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs..., or new ones may be assigned at any time with or without notice. Primary Responsibilities Performs concurrent utilization...

Brighton Health Plan Solutions, LLC

to apply concurrent review determinations as described in the Medical Management UM work plan. This detailed clinical judgment... clinical care experience or case management; or related experience. Knowledge of the appropriate protocol to be followed...

Hawaii Medical Service Association

Reporting to the Manager of Clinical Operations, the Concurrent Review & Care Transition Nurse is a registered nurse..., resource management, utilization review, discharge planning or post-acute placements. Experience with NCQA, Medi-Cal, DHCS...

San Francisco Health Plan

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

UnitedHealth Group

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

UnitedHealth Group

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

UnitedHealth Group

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... will perform Utilization Reviews of specialty drugs appropriateness as applicable to Medicare Part B benefit. Primary...

UnitedHealth Group

and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the... Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical...

Blue Shield of California

standards. The Utilization Management Nurse Consultant will report to the Utilization Management Manager. In this role... management activities. Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization...

Blue Shield of California

Nurse McKesson Certified Professional in Utilization Management AAMCN Utilization Review Professionals RNCB Certified... Rehabilitation Registered Nurse ACMA ACM Certification Registered Nurse ANCC Nursing Case Management Additional Qualifications: RNs...

Baptist Health South Florida

The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals... a patient care setting and/or combination in utilization management, appeals and grievances, delegation oversight, and/or CNA...

L.A. Care Health Plan