Clinical Utilization Management Nurse Specialist

Job Title: Utilization Management Nurse SpecialistWe are seeking a skilled Utilization Management Nurse Specialist to join our team at Presbyterian Healthcare Services. As a Utilization Management Nurse Specialist, you will play a critical role in ensuring that services rendered to members meet clinical criteria and are delivered in the appropriate...

Job SummaryWe are seeking a skilled Utilization Management Specialist to join our team at Presbyterian Healthcare Services. As a Utilization Management Specialist, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care possible.Key Responsibilities:Conduct thorough reviews of medical documentation to...

Job Title: Utilization Management Reviewer-Long Term CarePresbyterian Healthcare Services is seeking a skilled Utilization Management Reviewer-Long Term Care to join our team. As a key member of our healthcare team, you will be responsible for conducting thorough reviews of medical documentation to ensure that services rendered to members meet Long Term Care...

Utilization Management Nurse RoleAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Utilization Management Nurse, you'll play a critical role in ensuring our health services are administered efficiently and effectively.Key Responsibilities:Assess and interpret member needs...

Job SummaryPresbyterian Healthcare Services is seeking a skilled Utilization Management Specialist - Long Term Care to join our team. In this role, you will be responsible for conducting thorough reviews of medical documentation to determine the level of care required for patients in long-term care facilities. Your expertise in utilization management and...

Job DescriptionUNM Hospitals participates in the Clinical Advancement Program (CAP) and depending on your Nursing Education and National Certifications, you'll work towards one of five CAP levels that offer increasing compensation. You may earn up to 8.00 in addition to base pay.Sign-on Bonus and Relocation Reimbursement availableAs a Utilization Review...

At University of New Mexico - Hospitals, we are committed to providing exceptional patient care and advancing the field of nursing. Our Nursing Faculty position offers a unique opportunity to make a meaningful impact while enhancing your own professional growth and development.Compensation: $8.00 in addition to base pay, plus a sign-on bonus and relocation...

Clinical Nurse Specialist IIAt the University of New Mexico, we are seeking a highly skilled Clinical Nurse Specialist II to join our Neurosurgery Clinic team. This full-time role offers a unique opportunity to provide safe, direct patient care in an ambulatory setting, while also providing clinical leadership and mentorship to staff.Key...

Job SummaryUniversity of New Mexico - Hospitals is seeking a skilled Clinical Nurse Specialist to join our team. This role will provide direct nursing care to assigned patients, work within the nursing process to deliver safe care, and assume relief charge duties when designated.Key ResponsibilitiesProvide direct nursing care to assigned patients, using the...

Travel Nursing OpportunityWellspring Nurse Source is seeking a dedicated travel nurse RN to join their team as a Case Manager. This exciting opportunity offers a chance to work with a nurse-owned and operated company that prioritizes clinician support and advocacy.Key ResponsibilitiesProvide exceptional case management services to patients and...

Job Summary:We are seeking a skilled Clinical Care Specialist to join our team at Presbyterian Healthcare Services. As a Clinical Care Specialist, you will provide high-quality patient care in the outpatient setting, working closely with our team of healthcare professionals to deliver exceptional patient outcomes.Responsibilities:* Provide direct patient...

Job OverviewThe Clinical Program Manager provides strategic leadership and program management for the treatment foster care department at Open Skies Healthcare. This role involves overseeing program quality assurance, training, and development of treatment services. The ideal candidate will have a strong background in clinical supervision and experience...

Prospective candidates for the Nurse Clinical Specialist - General Surgery position at University of New Mexico - Hospitals will have the opportunity to work in a dynamic and patient-focused environment.The estimated salary for this role is $80,000 to $110,000 per year, depending on experience and location.As a Nurse Clinical Specialist in General Surgery,...

Transforming Lives through Compassionate CareAt Lovelace Health System, we're dedicated to delivering exceptional patient care and fostering a supportive work environment. As a Clinical Case Manager - Acute Care Specialist, you'll play a vital role in ensuring our patients receive the best possible care.Key Responsibilities:Assess patients' social,...

Clinical Education Specialist OpportunityAt the University of New Mexico, we are seeking a highly skilled Clinical Education Specialist to join our team. As a Clinical Education Specialist, you will play a vital role in enhancing specialized patient care within clinical protocols.Key Responsibilities:Provide educational leadership to enhance specialized...

Make a Difference in Home HealthcareProfessional Case Management is seeking a skilled Registered Nurse to provide in-home healthcare services to clients in New Mexico. As a Nurse Care Specialist, you will have the opportunity to work one-on-one with clients, promoting their health, quality of life, and peace of mind. Benefits of Working with Us- Create your...

Clinical Education Specialist RNAs a Clinical Education Specialist RN at the University of New Mexico, you will play a crucial role in developing and leading education programs for specialized patient care within clinical protocols. Using evidenced-based research and national standards, you will train staff and students, and perform clinical instruction on...

Job SummaryWe are seeking a highly skilled Clinical Care Manager to join our team at Comagine Health. As a Clinical Care Manager, you will be responsible for providing operational management of clinical staff who provide utilization review and specialty reviews.Key Responsibilities:Develop, implement, and maintain departmental policies and procedures,...

Opportunity OverviewAt the University of New Mexico - Hospitals, we are proud to participate in the Clinical Advancement Program (CAP), offering our nurses the chance to advance their careers and earn competitive compensation. As an Ambulatory Nursing Specialist, you will have the opportunity to work towards one of five CAP levels, with the potential to earn...

Job SummaryWexford Health Sources is seeking a highly skilled Utilization Management Nurse to join our team. As a key member of our healthcare team, you will play a critical role in ensuring cost-effective outcomes while maintaining a focus on quality care for inpatient and/or outpatient services.Key ResponsibilitiesMonitor on-going medical needs and...