Utilization management rn 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 ...

St. Cloud Hospital is seeking a dynamic and experienced Utilization Management RN to join our team. · In this pivotal role, the Utilization Management Nurse will play an integral part in determining the optimal level of care for each patient admission while ensuring adherence to ...

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

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

+Job Summary · Registered Nurse (RN) - Utilization ManagementFT Day Shift (Hrs: 8a-4:30p) · Newark, DE · +Evaluate medical necessity, appropriateness, and efficiency of healthcare services. · Review admission assessments and collaborate with primary nurses to develop multidiscipl ...

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. · ...

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 ...

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: 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 ...

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 ...

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

VitalCore Health Strategies busca una enfermera para trabajar en la oficina regional de Dover con responsabilidades como gestión del uso de recursos médicos. · ...

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 ...

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 ...

The RN Utilization Manager is responsible for reviewing and coordinating healthcare service requests to ensure they meet clinical and regulatory standards. · Evaluating medical necessity of referrals and authorizations. · Applying clinical guidelines (e.g., Medicaid, Milliman cri ...

We are seeking a dedicated Utilization Management RN in Lincoln to coordinate and review healthcare services for optimal patient outcomes. · Perform prior authorization and concurrent review of medical services ensuring compliance with guidelines. · Assess medical necessity appro ...

We are seeking an experienced Utilization Management RN to join our Care Management and Coordination team.This role is primarily remote. · ...

The Care Management Coordinator (RN) is responsible for conducting comprehensive clinical reviews to determine the medical necessity of requested healthcare services. This role plays a critical part in ensuring appropriate utilization of healthcare services while maintaining regu ...

I'm helping · LanceSoft Inc · find a top candidate to join their team · full-time · for the role of · Utilization Management RN · . · You'll transform patient lives by ensuring optimal care for Arizona's most vulnerable populations. · Compensation: · USD /hour · Location: · Remot ...