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Manager or Utilization or Review or RN jobs in United States

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Utilization Review Clinician - Behavioral Health

Centene Corporation  –  Manhattan, NY, 10261
... Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... or Licensed Mental Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/or Compact State ... - Apr 29

RN Utilization Specialist-Utilization Review Part Time Days

Northwestern Memorial Healthcare  –  Palos Heights, IL, 60463
... Responsibilities: RN Utilization Review: Applies medical necessity screening criteria, level of care guidelines, and professional nursing knowledge to ensure that admissions & length of stay are appropriate Completes initial admission and thereafter ... - May 03

Travel RN Care Manager - Utilization Review - per week

Access Healthcare  –  Louisville, KY, 40201
Access Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Louisville, Kentucky. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 05/27/2025 Duration: 13 weeks ... - May 05

RN Utilization Review

Healthier Mississippi People (HMP)  –  Jackson, MS, 39216
... review medical necessity criteria. Reports quality of care issues identified during the um process to the appropriate manager ... Must be licensed as RN and have at least one (1) year acute care experience. Utilization management or previous ... - May 05

Registered Nurse Travel Telemetry Shift Nights

Express Pros Staffing  –  Rochester, NY
Express Pros Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Rochester, New York. Job ... under the direction of the Nurse Manager, is accountable for provision of competent care based on established standards. ... - May 05

Utilization Review RN

Unavailable  –  Santa Maria, CA, 93454
... ● Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used● Proficient in application of ... Licensure and Certifications Certified Case Manager (CCM), Accredited Case Manager(ACM-RN), or UM Certification preferred - Apr 29

Case Manager- RN ED

Wilson Medical Center  –  Wilson, NC, 27893
... Manager facilitates internal and external delivery of healthcare services. The Case Manager integrates the roles of Utilization ... Edit Delete\n\n\n\nRequired LicensesRegistered Nurse Current/active North Carolina or compact RN license- BLS optional\n - May 05

Utilization Review RN - Per Diem

CARSON VALLEY HEALTH  –  Gardnerville, NV, 89410
Job Description Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.POSITION SUMMARY: Performs clinically ... - May 05

RN Case Manager - Hospice - FT

Sanford Health  –  Worthington, MN, 56187
... Seeks to evaluate outcomes based on an integration among established clinical, financial and utilization data. Defines the ... Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or ... - Apr 14

Senior KYC Review Officer

HSBC  –  Buffalo, NY
... applicable internal policies and procedures and external regulation Escalate more complex or significant issues to manager to ensure their timely resolution. Participate in special KYC Services review, projects, and training efforts, as required. ... - May 04
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