Current jobs related to RN - Utilization Mgmt - Grizzly Flats - All Medical Personnel

  • RN - Case Mgmt

    2 months ago


    Grizzly Flats, United States All Medical Personnel Full time

    Specialty: RN Case Management Job Details: Responsible for coordinating medical care, and matching patient needs and preference with judicious use of healthcare resources Educates physicians regarding InterQual criteria, documentation of patient acuity and treatment plan and the related expectations of CMS, JCAHO, NYS DOH and other regulatory bodies. Works...

  • RN Care Coordinator

    2 months ago


    Grizzly Flats, United States Palm Health Resources Full time

    Premiere hospital system in beautiful Palm Springs, CA is hiring RN Case Managers and RN Care Coordinators NOW These positions have optimal room for growth and advancement within our healthcare system! Enjoy 360 days of sun in a beautiful upscale community! Registered Nurses receive an annual education stipend towards your MSN or DSN Schedules: The RN Case...

  • RN Care Coordinator

    2 months ago


    Grizzly Flats, United States Palm Health Resources Full time

    Premiere hospital system in beautiful Palm Springs, CA is hiring RN Case Managers and RN Care Coordinators NOW These positions have optimal room for growth and advancement within our healthcare system! Enjoy 360 days of sun in a beautiful upscale community! Registered Nurses receive an annual education stipend towards your MSN or DSN Schedules: The RN Case...

  • RN Care Navigator

    1 day ago


    Grizzly Flats, United States Palm Careers LLC Full time

    Palm Careers LLC is seeking a skilled RN Care Coordinator to join our team in a dynamic and growing healthcare environment.About the Role:The RN Care Coordinator will be responsible for ensuring the efficient utilization of resources, including medical services and length of stay, to achieve optimal patient outcomes.This role requires strong clinical...

  • Travel Nurse RN

    4 weeks ago


    Grizzly Flats, United States Triage Staffing Full time

    Travel Nursing: Administration/Management San Diego Location: San Diego Start Date: 8/26/2024 Shift Details: 20H Days (9:00 AM-5:00 AM) 40 hours per week Length: 26 WEEKS 26 weeks Apply for specific facility details.Clinical Manager

  • Travel Nurse RN

    1 day ago


    Grizzly Flats, United States Triage Staffing Full time

    Job Summary:Triage Staffing is seeking a skilled CVOR RN to join our team for a 13-week assignment in a San Francisco hospital. As a Travel Nurse RN, you will have the opportunity to work in a dynamic and fast-paced environment, providing high-quality patient care and collaborating with a multidisciplinary team.Responsibilities:Provide direct patient care in...

  • Travel Nurse RN

    4 weeks ago


    Grizzly Flats, United States Cross Country Nurses Full time

    Cross Country Nurses is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Bakersfield, California. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 09/02/2024 Duration: 13 weeks 48 hours per week Shift: 12 hours, nights Employment Type: Travel Job Description As an emergency room...

  • Travel Nurse RN

    3 weeks ago


    Grizzly Flats, United States MedPro Healthcare Staffing Full time

    MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Simi Valley, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 09/03/2024 Duration: 13 weeks 40 hours per week Shift: 10 hours, days, evenings Employment Type: Travel MedPro Healthcare Staffing, a Joint...


  • Grizzly Flats, United States Central California Alliance for Health Full time

    Temporary Prior Authorizations Nurse (RN) Location: Remote in California ABOUT THIS TEMP POSITION This is a temporary position and the length of the assignment is estimated to through the fall. The length of the assignment is always dependent on business needs and dates may change. While the assignment would be at the Alliance, if selected, you would be an...


  • Grizzly Flats, United States Aureus Medical Group Full time

    Aureus Medical Group - Nursing is actively seeking a skilled travel nurse RN specializing in the Emergency Department (ED) for an exciting opportunity. Job Overview: Specialty: ED - Emergency DepartmentDiscipline: RNStart Date: ImmediateContract Duration: 16 weeksWeekly Hours: 36 hoursShift Type: 12-hour night shiftsEmployment Type: Travel Compensation...

  • Travel Nurse RN

    1 month ago


    Grizzly Flats, United States Medical Solutions Full time

    Medical Solutions is seeking a travel nurse RN CVICU for a travel nursing job in Arcata, California. Job Description & Requirements Specialty: CVICU Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel We're seeking talented healthcare professionals whose adventure game is as strong as their clinical game....

  • Registered Nurse

    1 week ago


    Grizzly Flats, United States Aureus Medical Group Full time

    Aureus Medical Group - Nursing is actively seeking a travel nurse RN specializing in the Cardiac Catheterization Lab for an exciting opportunity. Job Overview & Requirements Specialty: Cardiac Catheterization LabDiscipline: Registered Nurse (RN)Employment Type: TravelDuration: 14 weeksWeekly Hours: 36 hoursShift: 10 hours, day shifts Compensation Details:...


  • Grizzly Flats, United States Aureus Medical Group Full time

    Aureus Medical Group - Nursing is actively seeking a skilled travel nurse RN specializing in the Emergency Department (ED) for an exciting opportunity. Job Overview: Specialty: ED - Emergency DepartmentDiscipline: RNDuration: 16 weeksWeekly Hours: 36 hoursShift: 12-hour night shiftsEmployment Type: Travel Compensation Details: Estimated earnings of $2415.00...


  • Grizzly Flats, United States Maxim Healthcare Service Full time

    Maxim Healthcare Services is seeking an RN or LPN to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Nurse demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical Services. Responsibilities Utilizes the...

  • Pre Enrollment LVN

    4 weeks ago


    Grizzly Flats, United States Center for Elders Independence Full time

    Position Description: The Pre-Enrollment LVN is a marketing support role that facilitates communication of skilled clinical care needs for new prospective PACE participants and supports company growth by utilizing clinical skills and clinical knowledge to facilitate validation of eligibility and achievement of enrollment targets. The Pre-Enrollment LVN,...


  • Grizzly Flats, United States LabCorp Full time

    About: Labcorp is a leading provider of biometric testing services, population health and comprehensive workforce wellness strategies. These services are performed by a network of Labcorp personnel located throughout the country. Summary: Labcorp is seeking medical professionals to provide testing services at events. Once hired, our staff have the ability...


  • Big Flats, United States Guthrie Full time

    Critical Care Virtual Registered Nurse - located in Big Flats, NY! This position is per diem 12 hour night shifts. Position Details: The Virtual Critical Care Registered Nurse works from the Pulse Center, located in Big Flats NY, to enable the care of critically ill patients in ICU beds across the Guthrie system. This position provides virtual support to...


  • Big Flats, United States Guthrie Full time

    Critical Care Virtual Registered Nurse - located in Big Flats, NY! This position is Full Time 12 hour night shifts. This position is eligible for a $25,000 sign on bonus! Position Details: The Virtual Critical Care Registered Nurse works from the Pulse Center, located in Big Flats NY, to enable the care of critically ill patients in ICU beds across the...


  • Big Flats, United States Guthrie Full time

    Critical Care Virtual Registered Nurse - located in Big Flats, NY! This position is a Full Time 12 hour night shift. This position is eligible for a $25,000 sign on bonus! Position Details: The Virtual Critical Care Registered Nurse works from the Pulse Center, located in Big Flats NY, to enable the care of critically ill patients in ICU beds across the...


  • Smithville Flats, United States Hayman Daugherty Associates Full time

    Job Overview Locum Tenens Anesthesiologist Needed Near SMITHVILLE FLATS NY Profession: Physician Specialty: Anesthesiologist Default Rate Type: Hourly Start Date: ASAP End Date: N/A # of Providers Needed: 0 Shift Type: Days Shift Description: 7a-5:30p, 5 days per week (preferably) 7a-3p 12-hour days and nights available (must be able to do OB overnight) ...

RN - Utilization Mgmt

1 month ago


Grizzly Flats, United States All Medical Personnel Full time

Specialty: Travel RN-Utilization Management

Job Description

Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.

Interview or correspond with physicians to correct errors or omissions and to investigate questionable claims.

Provide direct nursing care to patient and review medical records

Prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients.

Assist physicians during exams and treatments

Qualifications and Job Info

1-2 years of recent Utilization Management experience required

Current BLS

Current ACLS

NRP required

Recent fetal monitoring

Must have current state license

Benefits

Day 1 Health benefits (Health/Vision/Dental)

Weekly Pay

Direct Deposit

Travel reimbursement

State License reimbursement

$1500 Referral bonus program

Listed pay packages are based on weekly gross amounts.

Please reference Job number: 163045