REGISTERED NURSE UTILIZATION REVIEW, CASE MANAGEMENT, PER DIEM, 8A-4:30P
3 weeks ago
Estimated pay range for this position is $45.00 / hour depending on experience.
Degrees:
Associates
Licenses & Certifications:
CCMC Case Manager
CDMS Certified Disability Management Specialist
Registered Nurse
ABMCM Certified Managed Care Nurse
McKesson Certified Professional in Utilization Management
AAMCN Utilization Review Professionals
RNCB Certified Rehabilitation Registered Nurse
ANCC Nursing Case Management
ACMA ACM Certification
NBCC Certification in Continuity of Care, Advanced
NACCM Care Manager Certified
Additional Qualifications:
RNs hired prior to 2/2012 with an Associates Degree in Nursing are not required to have a BSN to continue their non-leadership role as an RN, however, required to complete the BSN within 5 years of hire. 3 years of hospital clinical experience preferred. A Utilization Review or Case Management Certification required within 12 months of hire. Excellent written, interpersonal communication and negotiation skills. Strong critical thinking skills and the ability to perform clinical chart review abstract information efficiently. Strong analytical, data management and computer skills. Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Current working knowledge of payer and managed care reimbursement preferred. Ability to work independently and exercise sound judgment in interactions with the health care team and patients/families. Knowledgeable in local, state, and federal legislation and regulations, and ability to tolerate high volume production standards.
Minimum Required Experience:
3
-
Utilization Review Nurse
3 weeks ago
Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...
-
Miami, FL 33196, USA, United States Baptist Health South Florida Full timeThe purpose of the Pool RN Case Manager position is to support the physician and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care. The role integrates and coordinates care facilitation and discharge planning functions while...
-
PER DIEM REGISTERED NURSE III
2 weeks ago
, CA, United States County of Ventura CA Full timeTHE POSITION: This position works collaboratively with a Medical Doctor to coordinate and screen for the appropriateness of admissions and continued stays. This position makes recommendations to the physicians for alternate levels of care when the pa Registered Nurse, Hospital, Management, Nurse, Registered, Per Diem, Healthcare
-
Registered Nurse
1 week ago
Denver, CO, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Colorado Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
-
Registered Nurse
4 weeks ago
Pasco, WA, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
-
Registered Nurse
5 days ago
Cincinnati, OH, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Ohio Come join our growing team! A few of our perks:Create your own schedule!$38/hr. (including 100% of Hourly Wage Paid for All Drive) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with chronic/terminal...
-
Registered Nurse
4 weeks ago
Tooele, UT, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in Utah Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
-
Philadelphia, PA, United States Temple University Hospital Full timeRN-STAFF/CLIN NURSE-Cardiovascular Cath-4/10's-Day Flex (7a-5:30p or 8a-6:30p)Assesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using the nursing process, the RN collaborates with the...
-
Registered Nurse
4 weeks ago
Santa Fe, NM, United States Professional Case Management Full timeMake a Difference on Your Own Schedule and Terms!Hiring Case Managers in New Mexico Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...
-
HEALTH SYSTEM NURSE CASE MANAGER I/II
2 days ago
, CA, United States County of Riverside, CA Full timeABOUT THE POSITIONThe County of Riverside - Riverside University Health System-Medical Center is seeking highly skilled and experienced Registered Nurses to join our team as a Health System Nurse Case Manager with the UR Case Management Department.The most competitive candidates will have three years of full time experience as a Registered Nurse in an acute...
-
Registered Nurse
7 minutes ago
Newark, NJ, United States RWJBarnabas Health Full timeRegistered Nurse (RN) Neonatal Intensive Care Unit Per Diem 7a-7:30pReq #:0000141441 Category:ICU/Critical Care Nursing Status:Per Diem Shift:Day Facility:Newark Beth Israel Medical Center Department:Neonatal Intensive Care Unit Location: Newark Beth Israel Medical Ctr, 201 LYONS AVENUE, NEWARK, NJ 07112-2027 Job Overview: First established in 1901,...
-
Registered Nurse Case Manager
36 seconds ago
Tucson, AZ, United States Tucson Medical Center Full timeRegistered Nurse Case Manager - Per Diem Job CategoryProfessional SchedulePer Diem Shift1 - Day Shift SUMMARY: Works with physicians and multidisciplinary team members to develop plan of care for each assigned patient from admission through discharge. Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through...
-
UTILIZATION REVIEW NURSE
3 weeks ago
, VT, United States Central Vermont Medical Center Full timeBuilding Name: HHH - In-State Hybrid/RemoteRegularDepartment: CVMC - Care ManagementFull TimeStandard Hours: 40Biweekly Scheduled Hours:Shift: DayPrimary Shift: 7:30 AM - 4:00 AMWeekend Needs: NoneRecruiter: Kate DaviesPOSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital...
-
REGISTERED NURSE
2 weeks ago
, MI, United States w3r Consulting Full timeResponsible for the review of precertification admission and concurrent reviews for the appropriateness of the inpatient setting utilizing InterQual criteria. Required to enter or reference data via PC, collaborate with facilities, providers and Medical Directors. Must have excellent written and oral communication skills. Other related skills may be required...
-
Porterville, CA, United States Sierra View Medical Center Full timeSenior Utilization Management Nurse Coordinator*Shift: 8:00a – 4:30p, exempt positionPOSITION SUMMARY:Under the direction of the Administrative Director of Revenue Cycle, the Senior Utilization Management Nurse Coordinator will monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and...
-
Registered Nurse
31 seconds ago
Newark, NJ, United States RWJ Barnabas Full timeJob Overview: First established in 1901, Newark Beth Israel Medical Center is a 665-bed quaternary care, teaching hospital that provides comprehensive health care for the region. Staffed with more than 800 physicians, 3200 employees, and 150 volunteers, our hospital is ready to provide you and your family with the quality care you need. At Newark Beth...
-
UTILIZATION REVIEW RN
3 weeks ago
, CA, United States Marshall Medical Center Full timeDepartment:Utilization ReviewShift:Primarily Days (United States of America)Employee Type:RegularPer Diem Type (if applicable):Minimum Pay Range:$55.77 - $69.71Job Description:POSITION SUMMARYThe Utilization Review Nurse (UR RN) uses a collaborative process, which provides professional accountability for the utilization of the health care resources to the...
-
UTILIZATION REVIEW RN
1 week ago
Richmond, VA, United States Virginia Commonwealth University Health System Full timeThe Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.This position functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. The Utilization Review RN performs reviews of current inpatient services,...
-
Philadelphia, PA, United States Temple University Hospital Full timeRN Staff Clinical Registered Nurse Cardiovascular Cath Lab 40HR Rotating shifts (7am-5:30p, 8a-6:30p) with on-call responsibilitiesAssesses, implements, and evaluates care needed by assigned patients under the direction of the licensed physician. The RN is knowledgeable about principles, theories, current methods and techniques of nursing practice. Using the...
-
UTILIZATION REVIEW RN PRN
2 weeks ago
, VA, United States Virginia Commonwealth University Health System Full timeThe Utilization Review RN PRN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.This job functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers, performs reviews of current inpatient services, and determines medical...