RN Utilization Management

Cynet Health seeks a seasoned RN leader to fill an Interim Manager-Utilization Management role in our Case Management department. This 13-week assignment offers a unique opportunity for a skilled professional to drive change and improve patient outcomes.Key Responsibilities:Lead the utilization review process, ensuring compliance with federal regulations and...

Job Description:As a Nurse RN Utilization Review at Medical Solutions, your primary responsibility will be to manage the utilization review process for our clients, ensuring that patients receive the necessary care and services to achieve optimal outcomes.Required Skills and Qualifications:To succeed in this role, you'll need excellent communication and...

Job Requirements 1. M.D / D.O. degree required. 2. A minimum of two years' experience in hospital based medicine with exposure to utilization management and documentation initiatives. 3. Demonstrated teamwork, performance analysis, presentation, interpersonal, facilitation, planning, and communication skills. 4. Ability to build and maintain positive...

Job Title: RN Leadership Position in Utilization Management and Case ReviewLocation: Boise, IDAbout the RoleLanceSoft Inc is seeking a seasoned Registered Nurse to lead our Utilization Management and Case Review team. As a key member of our organization, you will be responsible for managing a large group of UM Nurses (approximately 40 FTEs) and driving...

We're looking for a dedicated RN to fill the role of Traveling Utilization Review Specialist. As a key member of our team, you'll play a vital part in ensuring that our clients receive the highest quality care possible.About the PositionSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeksThis is an excellent opportunity for a nurse with strong...

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boise, Idaho. Shift: 8 hours, days ~ Employment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Some of the industry-leading benefits enjoyed by Medical Solutions travel...

Interim Manager of UR needed for 13 weeks in ID. Inpatient Manager experience in an acute hospital setting required. Position: Nursing/Manager Specialty/Modality: Mgmt-Case Management Licenses/Certifications: State License-RN-Idaho Physical Abilities: Up to 20lbs Travel the country while you enhance your clinical skills, perfect your resume, and build your...

Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Boise, Idaho. Specialty: Case Management ~ Start Date: ASAP ~ Shift: 8 hours, days ~ Employment Type: Travel Job Description As a case management nurse (RN CM), you will collaborate with the healthcare team to assess, plan, facilitate and coordinate care...

An exceptional full-service acute care hospital in Southern California is actively interviewing for a Nursing Manager to oversee a complex Utilization Management (UM) and Case Management program. Join this reputable hospital as it leads patient care into the next generation. This state-of-the-art, 350+ bed hospital seeks an experienced full-time Nurse...

We are seeking a seasoned RN with leadership experience in utilization management to lead our team of nurses.This is a challenging role that requires strong change management skills and knowledge of payor guidelines, as well as the ability to manage a large group of nurses.The ideal candidate will have at least 5 years of UM leadership experience and be...

This position is available fully remote from Washington, Oregon, Idaho, Texas and Florida. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or...

Are you a results-driven nurse with expertise in utilization review? Do you thrive in fast-paced environments where no two days are ever the same? If so, we encourage you to apply for this exciting opportunity as a Traveling RN Case Manager.About the RoleJob Type: Travel nursingDuration: 13 weeksShift: 8 hours, daysYou'll work closely with healthcare...

Registered Nurse, RN - Utilization Review Case ManagerJob Type: Full Time | Days$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs***Must have Utilization Review experience. ***Your experience mattersAt SOVAH Danville, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, youre not...

We are seeking a skilled Travel RN Case Manager for a 13-week assignment in Boise, Idaho. As a member of our team, you will play a critical role in ensuring the efficient use of healthcare resources.About the JobThis is a travel nursing position with a guaranteed 40 hours per week and 8-hour shifts. You will be responsible for reviewing patient cases to...

Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status,...

Care Manager RN at Providence RN summary: The Registered Nurse Clinical Case Manager provides care management and coordination for at-risk patients with complex medical and psychosocial issues. Integrating chronic care management approaches, this position plays a vital role in patient-centered medical home teams. Providence fosters a culture of...

Description The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes for an entire patient case load. The RN Case Manager may perform assessment, treatment or care for patients of all ages, including neonate, pediatric, adolescent, adult and geriatric, based on population...

Care Manager RN at Providence RN summary: The Care Manager RN at Providence Portland Medical Center is responsible for facilitating patient care through effective coordination, transition planning, and community referrals in an acute care environment. This role requires a nursing degree, Oregon RN license, and experience in care management, emphasizing...

Host Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Boise, Idaho. Specialty: Case Management ~ Shift: 8 hours, days ~ Employment Type: Travel Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Case Management in Boise, ID. Why choose Host...

Access Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Boise, Idaho. Specialty: Case Management ~ Start Date: ASAP ~ Shift: 8 hours, days ~ Employment Type: Travel Access Healthcare Job ID #65756436. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend...