Registered Nurse for Utilization Management

Reference #: Job Overview: The Utilization Management Registered Nurse is responsible for executing utilization management duties, utilizing medical necessity guidelines to assess the appropriate patient classification. This role includes managing denial and appeal processes for inpatient hospital services. Cases are referred to the Physician Advisor in...

Reference #: Job Overview: The Utilization Management Registered Nurse is responsible for executing utilization management tasks, utilizing medical necessity standards to assess suitable patient status. This role includes managing denial and appeal processes for inpatient hospital services and coordinating with the Physician Advisor according to departmental...

Job Title: Utilization Review NursePosition Type: Part-Time (Every other weekend - Saturday and Sunday, totaling 30 hours per month)Training Requirement: Candidates must be available M-F during typical business hours for a 4-week training period.Job Overview: The Utilization Review Nurse plays a crucial role in assessing patients' clinical situations by...

Position Overview:Join our dedicated team at Shriners Hospitals for Children - Philadelphia as a Pediatric Intensive Care Registered Nurse. We are committed to delivering exceptional patient care while fostering a supportive and educational environment.About Us:Shriners Hospitals for Children is a renowned institution specializing in pediatric care,...

Join Health Partners Plans as a Clinical Utilization CoordinatorAbout Us:Health Partners Plans is a recognized not-for-profit health maintenance organization dedicated to providing Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans. We focus on enhancing the health and wellness of our members while fostering a diverse and inclusive...

Registered Nurse Case Manager - Flexible PoolAs a vital member of the healthcare team, the Case Manager collaborates closely with patients, their families, physicians, and the interdisciplinary team to ensure a seamless progression through the acute care experience. This role involves monitoring care levels, implementing evidence-based protocols, and...

Position OverviewJob Title: Clinical NurseLocation: Health Annex***This is not a remote position***Company Overview: Resources for Human Development (RHD) is dedicated to providing comprehensive healthcare services that prioritize accessibility, quality, and cultural competence. Our mission focuses on delivering integrated health services that address the...

Join Our Esteemed Healthcare TeamAt Roxborough Memorial Hospital, a proud member of Prime Healthcare, we are dedicated to our core values of quality, compassion, and community. We invite you to become part of an award-winning team that is committed to making a significant impact in the lives of our patients.About UsRoxborough Memorial Hospital is a 131-bed...

About the Position:We are seeking a qualified Psychiatric Registered Nurse to join our team at Travel Nurse Source. This is a fantastic opportunity to work with a reputable healthcare organization and gain valuable experience in a dynamic environment.Job Details:Location: Reading, PAShift: 3 - 12HR NightsDuration: 91 DaysPay: $1,620 per weekAbout the...

Job SummaryWe are seeking a skilled and experienced Traveling Registered Nurse to join our team at Temple University Hospital. As a Case Manager RN, you will play a critical role in coordinating the care and services for an assigned unit-based patient population.Key ResponsibilitiesCoordinate Patient Care: Collaborate with patients, families, physicians, and...

About the PositionWe are seeking a qualified Psychiatric Registered Nurse to join our team at Travel Nurse Source. This is a 91-day assignment with a competitive pay rate of $1,620 per week.Job RequirementsCurrent RN licensure in the United StatesExperience in psychiatric nursingAbility to work 3 - 12HR Nights, 19:00:00-07:00:00About the CompanyTravel Nurse...

Company OverviewShriners Hospitals for Children - Philadelphia is a dedicated community that values respect, support, and collaboration among its members. We are committed to delivering exceptional patient care while promoting interdisciplinary education and impactful research. Our environment encourages learning through evidence-based practices, innovation,...

Job SummaryWe are seeking a highly skilled Registered Nurse Case Manager to join our team at Temple University Hospital. As a key member of our healthcare team, you will be responsible for coordinating patient care and services to ensure the highest quality outcomes.Key ResponsibilitiesCoordinate patient care and services to promote quality, cost-effective...

Certified Registered Nurse Anesthetist (CRNA) - 36 Hours per WeekThe Certified Registered Nurse Anesthetist (CRNA) plays a crucial role in delivering anesthesia care during various medical procedures, working collaboratively within a healthcare team under the guidance of an anesthesiologist. This position requires the CRNA to conduct thorough and continuous...

About the PositionTravel Nurse Source is working with TRS Healthcare to find a qualified Registered Nurse for a travel assignment in Radiology Cardiac Cath Lab in Pennsylvania.Job SummaryWe are seeking a Registered Nurse with experience in Radiology Cardiac Cath Lab to join our team for a travel assignment. The ideal candidate will have a current Registered...

About the PositionWe are seeking a qualified ICU/Critical Care Registered Nurse to join our team at a reputable healthcare facility in Pennsylvania.Job DetailsPay Information: $1,432 per weekShift Details: 12H Variable (12:00 AM-12:00 PM) 24 hours per weekLength: 8 weeksAbout the FacilityThe facility is a leading healthcare provider in the region, offering a...

Job Title: Registered NursePublic Health Management Corporation is seeking a highly skilled and compassionate Registered Nurse to join our team.Job Summary:The Registered Nurse will provide primary and urgent care services to adults, according to certification, at one of PHMC's Medical Respite Programs located in North and West Philadelphia. The Respite...

Job OverviewPosition Title: Nurse PractitionerOrganization: Resources for Human DevelopmentMission Statement: At Resources for Human Development, we are dedicated to providing inclusive and comprehensive health services to individuals and families, ensuring that all people have access to quality healthcare delivered with compassion and cultural...

Registered Nurse - Ambulatory CareRole Overview:The Registered Nurse in Ambulatory Care is dedicated to delivering exceptional patient- and family-centered healthcare. This role emphasizes the importance of understanding the unique needs of each patient while addressing their physical, psychological, emotional, and social requirements.Key...

Job SummaryPublic Health Management Corporation (PHMC) is seeking a skilled Registered Nurse to join our team as a Nurse Care Coordinator for our Medical Respite Program. The successful candidate will provide primary and urgent care services to adults, utilizing their expertise to coordinate medical care and support patients in need.Key...