Nurse Specialist in Utilization Management

Position OverviewBrighton Health Plan Solutions is seeking a dedicated Utilization Management Nurse specializing in Prior Authorization. This role involves conducting medical necessity evaluations on prior authorization submissions, ensuring compliance with national standards, contractual obligations, and member benefit coverage while working remotely.Key...

Position OverviewBrighton Health Plan Solutions is seeking a dedicated Utilization Management Nurse specializing in Prior Authorization. This role involves conducting medical necessity evaluations on prior authorization requests, ensuring compliance with national standards and contractual obligations while working remotely.Key ResponsibilitiesConduct...

Position OverviewBrighton Health Plan Solutions is seeking a dedicated Utilization Management Nurse specializing in Prior Authorization. This role involves conducting medical necessity evaluations on prior authorization submissions in line with established national standards, contractual obligations, and member benefit coverage, all while working...

Overview:Become part of a diverse organization dedicated to enhancing the health and wellness of the communities we serve. The Utilization Manager for the Psych Team is responsible for conducting clinical evaluations for inpatient and observation cases related to Youth Behavioral Health (YBH) and UNC Psychiatry.Key Responsibilities:1. Clinical Review...

Position OverviewAt Brighton Health Plan Solutions, we are dedicated to providing exceptional Utilization Management services. The Utilization Management Nurse is responsible for conducting daily assessments of medical necessity. This role is supervised by the Director of Clinical Programs.Key Responsibilities1. Conduct concurrent utilization reviews across...

Position OverviewAt Brighton Health Plan Solutions, we are dedicated to providing exceptional Utilization Management services. The Utilization Management Nurse is responsible for conducting daily assessments of medical necessity. This role is under the supervision of the Director of Clinical Programs.Key Responsibilities1. Conduct concurrent utilization...

Job DescriptionJob Title: Travel Nurse RN SpecialistJob Type: Travel NursingLocation: NationwideJob Description:We are seeking a skilled Travel Nurse RN Specialist to join our team at Wellspring Nurse Source. As a Travel Nurse RN Specialist, you will have the opportunity to work in a variety of settings and locations, providing high-quality patient care and...

Job SummaryWe are seeking a highly skilled Utilization Manager to join our team at UNC Health Care. As a Utilization Manager, you will play a critical role in ensuring the optimal use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesClinical Review ProcessConduct admission reviews and status change reviews within 24...

Job SummaryUNC Health is seeking a highly skilled Utilization Manager to join our team. As a key member of our Clinical Care Management department, you will play a critical role in ensuring the optimal use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesClinical Review ProcessConduct admission reviews and status change...

Job DescriptionJob Title: Diagnostic Imaging SpecialistJob Type: Full-time, TravelLocation: NationwideJob Description:We are seeking a skilled Diagnostic Imaging Specialist to join our team as a Traveling Medical Imaging Professional.The ideal candidate will have experience in ultrasound imaging and be able to work in a fast-paced environment.As a Diagnostic...

Job DetailsNurse First is seeking a skilled travel nurse RN OR - Operating Room specialist to join our team.Job RequirementsSpecialty: Operating RoomDiscipline: RNShift: 12 hours, nightsEmployment Type: TravelNurse First offers a competitive pay package based on 12 hour shifts and 36 hours per week, with a tax-free stipend amount to be determined.About Nurse...

Job DetailsWe are seeking a skilled Travel Nurse RN Specialist to join our team at Wellspring Nurse Source.About the RoleSpecialty: PACU - Post Anesthesia Care UnitDiscipline: RNShift: 12 hours, nightsEmployment Type: TravelThis is a 13-week contract opportunity with 36 hours per week of work.About Wellspring Nurse SourceAs a nurse-owned and operated...

Job DetailsWe are seeking a skilled Travel Nurse RN Specialist to join our team at Wellspring Nurse Source.About the RoleSpecialty: PACU - Post Anesthesia Care UnitDiscipline: RNShift: 8 hours, daysEmployment Type: TravelThis is a 13-week contract opportunity with a 40 hours per week schedule.About Wellspring Nurse SourceAs a nurse-owned and operated...

Wellspring Nurse Source is seeking a travel nurse RN ICU specialist for a travel nursing opportunity.Job RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNShift: 12 hours, nightsEmployment Type: TravelThe pay package is based on 12 hour shifts and 36.0 hours per week, with a tax-free stipend amount to be determined.About Wellspring Nurse SourceWe...

Job DetailsJob Title: Travel Nurse RN SpecialistJob Type: Travel NursingSpecialty: Operating RoomDiscipline: Registered NurseShift: 12 hours, daysHours per Week: 36Duration: 13 weeksEmployment Type: TravelAbout the JobWellspring Nurse Source is seeking a skilled Operating Room Nurse to join their team for a travel nursing assignment. As a travel nurse, you...

**Job Summary**PRIDE Health is seeking a skilled travel nurse RN to join our team as a Wound Care Specialist. This is a 13-week travel nursing job in a dynamic healthcare setting.**Job Responsibilities**Provide high-quality patient care as a Wound Care Specialist, utilizing expertise in wound management and treatment.Collaborate with interdisciplinary teams...

Wellspring Nurse Source is currently seeking a dedicated travel nurse RN specializing in Burn Care for an exciting opportunity. This position offers a chance to work in a dynamic environment while providing critical care to patients.Position OverviewSpecialty: BurnDiscipline: RNEmployment Type: TravelWeekly Hours: 36 hoursShift: 12-hour night...

Position Overview:Wellspring Nurse Source is actively seeking a traveling Respiratory Care Specialist for an exciting opportunity.Job Details:Specialty: Respiratory TherapyDiscipline: Allied Health ProfessionalDuration: 13 weeksWeekly Hours: 36 hoursShift: 12-hour night shiftsEmployment Type: TravelCompensation: Pay package is based on 12-hour shifts and...

Position OverviewA Clinical Nurse Specialist II is required for a Pediatric Specialty Clinic.This clinic will cater to a diverse range of surgical and medical specialties, providing care for patients from infancy through teenage years.Work Schedule: Flexible shifts from 7 AM to 5 PM, including 3-4 late shifts within a 6-week rotation.Operational Hours: 7:30...

TotalMed Case Management Staffing is currently seeking a mobile MRI Imaging Specialist for a travel opportunity.Position Overview & RequirementsSpecialty: MRI Imaging SpecialistDiscipline: Allied Health ProfessionalEmployment Type: TravelDuration: 13 weeks40 hours per weekShift: 8 hours, eveningsAre you looking for an exciting Mobile MRI Imaging Specialist...