Utilization Review Nurse
4 weeks ago
As a Utilization Review Nurse at Providence, you will play a vital role in ensuring that our patients receive the most appropriate and effective care. Your clinical expertise and knowledge of utilization management principles will enable you to make informed decisions about patient care and drive positive outcomes.
Key Responsibilities
* Conduct thorough clinical reviews of patient records to determine medical necessity and appropriateness of care
* Collaborate with healthcare teams to develop and implement effective care plans
* Utilize Interqual guidelines to inform decision-making and ensure compliance with regulatory requirements
* Communicate with payers and other stakeholders to resolve issues and ensure timely payment
Requirements
* Associate's Degree in Nursing
* California Registered Nurse License
* 1 year experience working in a remote UR environment or 2 years experience working as an acute hospital case manager
Preferred Qualifications
* Bachelor's Degree in Nursing or Master's Degree in Nursing
* Case Management Certification upon hire
* Experience working with Interqual guidelines
* 2 years Experience as a case manager in an acute care setting
About Providence
Providence is a not-for-profit network of hospitals and health services that provides a full spectrum of care with leading-edge diagnostics and treatment. Our award-winning medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment.
-
Utilization Review Nurse
1 month ago
Apple Valley, Minnesota, United States Providence Service Full timeJob Summary:As a Utilization Review Nurse at Providence, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes. This position requires a strong clinical background, blended with a well-developed knowledge and skills in Utilization Management, medical necessity, and patient status...
-
Computed Tomography Technologist
4 weeks ago
Apple Valley, Minnesota, United States Travel Nurse Across America Full timeWe are seeking a skilled Computed Tomography Technologist (CT Tech) for an immediate travel opening in California. The ideal candidate will have 1 year of experience and possess BLS, ARRT (CT) National Certification with registration in computed tomography, and state-specific licensing when required.Key Responsibilities:Confirm patient identification and...
-
Speech Language Pathologist
3 weeks ago
Apple Valley, Minnesota, United States Travel Nurse Across America Full timeWe are seeking a highly skilled Speech Language Pathologist to join our team of travel healthcare professionals in providing exceptional patient care. As a Speech Language Pathologist with Travel Nurse Across America, you will have the opportunity to work in a dynamic and supportive environment, utilizing your expertise to make a meaningful difference in the...
-
Emergency Department Nurse
4 weeks ago
Apple Valley, Minnesota, United States Cross Country Nurses Full timeCross Country Nurses is seeking a travel nurse for a position in the Emergency Department. The ideal candidate will have at least 1 year of recent acute care experience in the specialty and an active RN license.Job DescriptionAs an emergency room nurse, you will be responsible for providing high-quality patient care in a fast-paced environment. You will...
-
Wellness Nurse
3 weeks ago
Apple Valley, Minnesota, United States Restore Hyper Wellness Full timeRole SummaryRestore Hyper Wellness is seeking an experienced Registered Nurse to join our team of wellness professionals. As a key member of our team, you will be responsible for providing top-notch care to our clients through the administration of IV Drip Therapy and Intramuscular (IM) Shots, as well as educating clients on the benefits of our services.Key...
-
Nurse Care Specialist
4 weeks ago
Apple Valley, Minnesota, United States MFSTalent Full timeJob Title: Nurse Care SpecialistJob Summary: We are seeking a skilled Nurse Care Specialist to join our team at MFSTalent. As a Nurse Care Specialist, you will be responsible for providing high-quality patient care in a fast-paced acute care setting.Key Responsibilities:Use telemetry equipment to continuously monitor patients' heart rates, rhythms, and vital...
-
Travel Nurse RN Case Management Position
4 weeks ago
Apple Valley, Minnesota, United States Cross Country Nurses Full timeCross Country Nurses is seeking a travel nurse RN Case Management professional to collaborate with the healthcare team in assessing, planning, facilitating, and coordinating care for individual patients.Job DescriptionAs a case management nurse (RN CM), you will work within and outside of facilities to oversee the effective utilization of services and...
-
Nurse Wellness Specialist
4 weeks ago
Apple Valley, Minnesota, United States Restore Hyper Wellness - RHWS032 Full timeRestore Hyper Wellness is seeking a skilled Registered Nurse to join our team of wellness professionals.This is an exciting opportunity to take your nursing career in a new direction and make a meaningful impact on people's lives.Key Responsibilities:Administer IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and...
-
Travel Nurse RN Case Manager
4 weeks ago
Apple Valley, Minnesota, United States Cross Country Nurses Full timeJob Title: Travel Nurse RN Case ManagerJob Summary:Cross Country Nurses is seeking a travel nurse RN case manager to collaborate with the healthcare team to assess, plan, facilitate and coordinate care for individual patients. The ideal candidate will have at least 1 year of recent acute care experience in specialty and an active RN...
-
Nurse Specialist
1 month ago
Apple Valley, Minnesota, United States Restore Hyper Wellness Full timeRestore Hyper Wellness is seeking a skilled Nurse Specialist to join our team of wellness professionals. As a Nurse Specialist at Restore, you will be responsible for administering IV Drip Therapy and Intramuscular (IM) Shots to deliver our menu of vitamins, minerals, and antioxidants. You will also educate clients on the qualities and benefits of our IV...
-
Experienced Primary Care Nurse Practitioner
4 weeks ago
Apple Valley, Minnesota, United States Allina Health Full timeJob Summary:Allina Health is a leading healthcare provider in the Twin Cities region, offering a unique opportunity for a Nurse Practitioner to join our team in a multispecialty clinic. Our clinic is equipped with state-of-the-art technology and a collaborative team environment, providing a great platform for professional growth and development.Key...
-
Medical Laboratory Technician II
4 weeks ago
Apple Valley, Minnesota, United States Quest Diagnostics Incorporated Full timeJob Summary:We are seeking a highly skilled Medical Laboratory Technician II to join our team at Quest Diagnostics Incorporated. As a Medical Laboratory Technician II, you will be responsible for performing routine and non-routine lab tests, utilizing various instrumentation under the direction of senior laboratory personnel.Key Responsibilities:Perform...
-
Travel Nurse RN
4 weeks ago
Apple Valley, Minnesota, United States Travel Nurses, Inc. Full timeWe are seeking a skilled Tele RN for a travel nursing job in Apple Valley, California. This 13-week assignment offers a unique opportunity to work in a dynamic environment and gain valuable experience in telemetry nursing.Job DescriptionSpecialty: TelemetryDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, nightsEmployment Type:...
-
Travel Nurse RN
4 weeks ago
Apple Valley, Minnesota, United States Access Health Care Physicians LLC Full timeAccess Healthcare is seeking a skilled travel nurse to fill a PACU position in a dynamic healthcare setting. The ideal candidate will have experience in post anesthesia care and a strong passion for delivering exceptional patient care.Job Details:Specialty: PACU - Post Anesthesia CareDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours,...
-
Civil Engineer
4 weeks ago
Apple Valley, Minnesota, United States David Evans and Associates Full timeDavid Evans and Associates is seeking a skilled Civil Engineer to join our Land Development Business Unit in Apple Valley/Victorville, CA.The Staff Civil Engineer will be responsible for carrying out individual tasks delegated by the Project Engineer or Project Manager, utilizing prescribed methods to perform specific and limited portions of a broader...
-
Primary Care Nurse Practitioner
4 weeks ago
Apple Valley, Minnesota, United States Allina Health Full timeJob Summary:Allina Health is a leading healthcare provider seeking a skilled Primary Care Nurse Practitioner to join our team. As a key member of our multidisciplinary team, you will work collaboratively with patients to improve their health and well-being.Key Responsibilities: Work in a thoughtful manner, considering cultural diversity, individual autonomy,...
-
Traveling Registered Nurse
4 weeks ago
Apple Valley, Minnesota, United States Cynet Health Full timeJob Title: Registered NurseJob Specialty: Emergency RoomJob Duration: 13 weeksShift: Day 3x12-Hour (12:00 PM - 12:30 AM)Guaranteed Hours: Facility can call off once per two-week pay periodExperience: Minimum 1 year requiredLicense: Valid California licenseCertifications: ACLS, BCLS, NIH, PALSJob Requirements:Ability to work 3 of the 5 major holidays...
-
Radiology Imaging Specialist
2 weeks ago
Apple Valley, Minnesota, United States 3D Medical Staffing Full timeJob SummaryWe are seeking a skilled Radiology Imaging Specialist to join our team at 3D Medical Staffing. As a Traveling Medical Imaging Professional, you will have the opportunity to work with various healthcare facilities across the country, utilizing your expertise in CT scanning and diagnostic imaging. About the JobThis 13-week assignment offers a great...
-
Culinary Director
4 weeks ago
Apple Valley, Minnesota, United States Lifesprk Full timeBoden Senior Living Community is seeking a highly skilled Culinary Director to lead our culinary team. As a key member of our team, you will be responsible for meeting high standards in meal preparation, communication, record keeping, and effectively working with staff, residents, and their families to ensure high-quality and nutritional dietary services.Key...
-
Acute Care Physical Therapist
4 weeks ago
Apple Valley, Minnesota, United States Providence Health & Service Full timeEvaluate and treat patients with acute medical conditions to restore function and prevent disability. Collaborate with healthcare teams to develop and implement effective treatment plans.Assess patient needs and abilities, and design personalized rehabilitation programs to promote optimal recovery and independence.Work in a fast-paced hospital setting,...