Utilization Management RN Specialist

Join a dedicated team focused on enhancing healthcare outcomesThe Utilization Management Registered Nurse plays a pivotal role in the assessment, documentation, and communication of medical services and benefit determinations. This position involves diverse responsibilities that often require independent judgment and interpretation of clinical guidelines.The...

Become an integral part of our compassionate community focused on health and wellnessThe Utilization Management Registered Nurse 2 employs clinical nursing expertise to facilitate the coordination, documentation, and communication of medical services and benefit administration decisions. The responsibilities of the Utilization Management Nurse 2 are diverse...

Job Description:The Clinical Review Specialist role at Sonder Health Plans is to ensure that healthcare services are administered with quality, cost efficiency, and within compliance.By continuously reviewing and auditing member treatment records, the Clinical Review Specialist will ensure members do not receive unnecessary procedures, ineffective treatment,...

What will I do in this position if hired?In this Emergency Management Specialist (Geospatial) position, you will provide Geospatial support for Region 4.Typical assignments include:Providing immediate geospatial analysis and mapping during emergency response operations to aid in decision-making and resource deployment. Ensuring timely and accurate updates to...

Join a dedicated healthcare community focused on prioritizing healthThe Utilization Management Registered Nurse plays a crucial role in leveraging clinical expertise to facilitate the organization, documentation, and communication of medical services and benefit determinations. This position involves diverse responsibilities that often require analytical...

Join a dedicated healthcare community focused on prioritizing healthThe Utilization Management Registered Nurse plays a vital role in the assessment, documentation, and communication of medical services and benefit administration decisions. This position involves diverse responsibilities that often require independent judgment and interpretation of...

RESPONSIBLE FOR: The purpose of this position is to ensure that acute hospital admission have the appropriate level of care, patient status, plan of care and meet medical necessity for an acute hospitalization. This role monitors that the patient is progressing in their plan of care and meet medical necessity for continued stay. This role ensures that the...

Up to $13,000 Sign-On Bonus Available, depending on experienceClinical Nurse Specialist (CNS)Health Systems Management, Inc. (HSM) is a comprehensive healthcare management organization that has been delivering a wide array of development, management, and administrative services for dialysis facilities for over 35 years across multiple states. HSM is renowned...

Up to $13,000 Sign-On Bonus Available, depending on experienceClinical Nurse Specialist (CNS)Health Systems Management, Inc. (HSM) is a comprehensive healthcare management organization that has been delivering a wide array of development, management, and administrative services for dialysis facilities for over 35 years across multiple states. HSM is renowned...

Job SummaryWe are seeking a highly skilled Mechanical Systems Engineer to join our team at InsideHigherEd. The successful candidate will be responsible for providing engineering support and assistance to the Utilities Superintendent, Power Plant Superintendent, and Zone Manager in the operation, maintenance, and repair of mechanical utility generating and...

Job OverviewSign-On Bonus Available: $1,000 - Inquire for DetailsPosition Summary:The Float Maintenance Specialist is responsible for executing routine upkeep in individual units, communal spaces, and amenity areas. This role includes preparing vacant apartments for incoming residents, conducting regular preventive maintenance, and assisting with various...

Job SummaryWe are seeking a highly skilled Senior Utility Coordinator to join our team at Luster National. As a key member of our project management team, you will be responsible for coordinating utility services on various transportation projects.Key ResponsibilitiesPerform technical work related to utility existing locations, adjustments, relocations, and...

Floor Care Specialist Role at SBM Management ServicesSBM Management Services is on the lookout for a meticulous Floor Care Specialist dedicated to enhancing the appearance and cleanliness of various flooring surfaces. This position requires an individual who is adept at maintaining commercial and office environments, ensuring they remain tidy and presentable...

Position Overview: The role of the Healthcare Review Nurse is pivotal in ensuring that medical services are delivered with excellence, cost-effectiveness, and adherence to regulations. By systematically evaluating and auditing patient treatment records, the healthcare review nurse will prevent unnecessary procedures, ineffective treatments, and prolonged...

About the RoleRallyX Management Solutions is seeking a skilled Assembly Production Specialist to join our team in a dynamic and innovative company specializing in fleet management services. As an Assembly Production Specialist, you will play a pivotal role in evaluating damaged vehicles and ensuring their proper reassembly after repairs.Key...

Position Overview: The role of the Healthcare Review Nurse is pivotal in ensuring that medical services are delivered with excellence, cost-effectiveness, and adherence to regulations. By systematically evaluating and auditing patient treatment records, the healthcare review nurse plays a crucial role in preventing unnecessary procedures, ineffective...

Position Overview: The role of the Healthcare Review Nurse is pivotal in ensuring that medical services are delivered with optimal quality, cost-effectiveness, and adherence to regulations. By systematically evaluating and auditing patient treatment records, the healthcare review nurse will safeguard against unnecessary procedures, ineffective treatments,...

Join a dedicated healthcare team focused on enhancing patient careThe Utilization Management Registered Nurse plays a crucial role in leveraging clinical expertise to facilitate the organization, documentation, and communication of medical services and benefit administration decisions. This position involves diverse responsibilities that often require...

Multilingual Customer Support SpecialistTBI AIRPORT MANAGEMENT INC is seeking a dedicated Multilingual Customer Support Specialist to enhance our team. In this role, you will deliver exceptional interpretation and translation services to a diverse clientele, including passengers, employees, and regulatory officials.Key Responsibilities:Assist regulatory...

Job SummaryAs a Regional Utilization Management Director at Kaiser Permanente, you will provide strategic leadership for joint Health Plan/TSPMG management efforts related to appropriate utilization of hospitals and specialty care. You will monitor transition of care, continuing care/sub-acute care resources, non-core hospital oversight to UM/case...