Utilization Management Nurse

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...

Full-time, 40 hours/week 7:30-4pm Remote Must reside in Ohio or Pennsylvania Summary: The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities: Provides clinical...

Full-time, 40 hours/week7:30-4pmRemoteMust reside in Ohio or PennsylvaniaYou can get further details about the nature of this opening, and what is expected from applicants, by reading the below.Summary:The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a...

Full-time, 40 hours/week 7:30-4pm Remote Must reside in Ohio or Pennsylvania Summary: The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities: Provides clinical...

Full-time, 40 hours/week7:30-4pmRemoteMust reside in Ohio or PennsylvaniaSummary:The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities:Provides clinical review to health plans...

Full-time, 40 hours/week7:30-4pmRemoteMust reside in Ohio or PennsylvaniaSummary:The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities:Provides clinical review to health plans...

Full-time, 40 hours/week7:30-4pmRemoteMust reside in Ohio or PennsylvaniaSummary:The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities:Provides clinical review to health plans...

**Job Summary**We are seeking a highly skilled RN Case Manager to join our team at Summa Health Systems. As a key member of our healthcare team, you will be responsible for facilitating the development, implementation, and coordination of patient care plans.In this role, you will work closely with patients, families, physicians, and interdisciplinary teams...

At LAKESHORE EMPLOYMENT INC, we are seeking a highly skilled Utilities Manager to join our team in Quarry Hill - Akron, NY.We offer a competitive salary of $60,000.00 per year based on experience in utilities, as well as opportunities for professional growth and development.About the RoleThis is an exempt position that requires a minimum of 1 year of...

Job Title: Utilities ManagerJob Summary:We are seeking a highly skilled Utilities Manager to join our team at Channel Personnel Services.About the Role:The successful candidate will be responsible for ensuring the reliability of plant utilities and shared services, maintaining necessary permits and relationships with regulatory agencies and outside utility...

Full-time, 40 hours/week7:30-4pmRemoteMust reside in Ohio or PennsylvaniaSummary:The Utilization Management Nurse is responsible for conducting medical necessity review to assure appropriate use of hospital resources, and serving as a resource to the hospital staff on utilization management practices. Responsibilities:Provides clinical review to health plans...

Job OverviewLakeshore Employment Inc. is seeking a highly skilled Utility Specialist to oversee all utility-based projects, analyze trends, and ensure compliance with local and state agencies.ResponsibilitiesPlan, coordinate, supervise, and participate in all utility-related functions to guarantee regulatory compliance.Maintain relationships with...

Job Description: Tittle: RN Utilization Management Location: Boise, ID Duration: 13 weeks Guranteed hours: 40 hrs Pay Package: Total weekly gross $4171 W2: $60/hr Per Diem/Stipend: $1771/weekly non taxable Shifts: Mon-Fri 8am-5pm Minimum Years of Experience: 5+yrs Sub Specialty: Utilization Management, Case Management (Utilization Review) General...

DescriptionSummary: The Utilization Management Nurse II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must...

Job DescriptionJoin our team of more than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers. BJ’s Wholesale Club offers a collaborative and inclusive environment where all team members can learn, grow and be their authentic selves. Together, we’re committed to providing...

Join our team of more than 34,000 team members, supporting our members and communities in our Club Support Center, 235+ clubs and eight distribution centers. BJs Wholesale Club offers a collaborative and inclusive environment where all team members can learn, grow and be their authentic selves. Together, were committed to providing outstanding service and...

Job Summary: Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs that emphasize appropriate admissions as well as concurrent and retrospective review of care. May also be responsible for other integrated functions such as Discharge Planning, Case Management program, Outside...

Pioneer Management Consulting - Director, Energy and Utilities Location: Denver, Colorado As the Director of Energy & Utilities, you will be responsible for planning, directing, and coordinating the Energy Portfolio within the business. Responsibilities include: Provide comprehensive oversight and leadership for cross-practice delivery activities, including...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information...

Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information...