Rn utilization manager jobs in United States

FUNCIONES ESENCIALES: · Proporcionar y coordinar la atención mediante la evaluación de las necesidades de salud física y conductual del paciente, desarrollar e implementar planes de cuidado de enfermería, mantener registros médicos y educar a los pacientes y sus familias sobre di ...

VitalCore Health Strategies tiene una apertura para un Utilization Management RN en la Oficina Regional en Dover, Delaware. · ...

We pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to providing quality services. · ...

We are seeking an experienced Care Management Coordinator (RN) to support Utilization Management and Care Coordination in a high-impact, fully remote role. · This position plays a critical role in ensuring members receive the right care, at the right time, in the right setting, w ...

The Utilization Management RN will support the Infusion Therapy Team within the Care Management and Coordination department. · This role is responsible for evaluating members' clinical conditions through comprehensive medical record review to determine medical necessity for reque ...

Utilization Management RN: Care Management Coordinator (RN) – Post-Acute Focus · This is a remote opportunity; however, candidates must reside in the PA/NJ/DE tri-state area to be eligible for potential conversion.Under the direction of the Care Management and Coordination Superv ...

ChristianaCare Hospital in Newark, DE is seeking a Utilization Management Nurse with experience in Utilization Management within an Acute Care Hospital setting. · ...

Utilization Management (RN) – Infusion Therapy Team · Location: Remote · Department: Care Management & Coordination · License Required: Active Pennsylvania (PA) RN License · About The Role · We are seeking an experienced Utilization Management (RN) to join our Infusion Therapy Te ...

Central Maine Healthcare is seeking a Utilization Manager RN to join their Care Management team. · ...

VitalCore Health Strategies has a Full-Time opening for a Utilization Management RN. The role involves advocating for optimum healthcare, maintaining accurate reports and confidential records, consulting with healthcare team members to assess patient care plans, and reviewing ref ...

The Care Management Coordinator functions as a clinical decision-maker, patient advocate, · and collaborative partner to providers and internal teams.This role reviews clinical documentation · to determine medical necessity of requested healthcare services. · ...

Nos encontramos buscando un enfermero para trabajar en nuestro hospital en Cidra, PR. · Plan de Ahorro y Retiro 401(k) · Seguro dental y visión · ...

We are currently hiring a per diem Utilization Management RN for Fremont Hospital. The Utilization Management RN is responsible for but not limited to the facilitation of pre-authorization and clinically pertinent reviews on patient admissions. · The hospital offers comprehensive ...

About this Job: General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the manage ...

About this Job: General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the manage ...

About this Job: General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the manage ...

About this Job: General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the manage ...

About this Job: General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the manage ...

About this Job: General Summary of Position · Responsible for evaluating the necessity appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of acute care services based on Medically Necessity criteria the manage ...

The Utilization Management RN will serve as a Regional Office Case Manager for an incarcerated population. · ...