NewTravel Nurse RN - Utilization Review - $2,091 to $2,186 per week in Eureka, CA GQR HealthcareTravel Nurse RN - Utilization Review - $2,091 to $2,186 per week in Eureka, CAEureka, CA$2,091–$2,186As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates.
Utilization Specialist Seven Hills HospitalUtilization SpecialistHenderson, NevadaFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Review Nurse RN - NE LifeBridge HealthUtilization Review Nurse RN - NERandallstown, MD$40.12–$62.19 / hourAssists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
NewRegistered Nurse RN 13 week contract Interim HealthCare StaffingRegistered Nurse RN 13 week contractMount Pleasant, SCOperating through 300+ offices, our commitment to nurses is expressed through our passion to put patients first; a culture that values and appreciates nurses; and our ongoing efforts to advocate for nurses in ways that elevate their profession and reward their sacrificial work. Assist the interdisciplinary team members in understanding the significant nursing, self-care and functional needs related to the participant’s health problems.
NewTravel Nurse RN - Utilization Review - $2,064 to $2,159 per week in Chesapeake, VA GQR HealthcareTravel Nurse RN - Utilization Review - $2,064 to $2,159 per week in Chesapeake, VAChesapeake, VA$2,064–$2,159As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates.
NewTravel Nurse RN - Case Manager - $2,356 per week in Bel Air, MD Prime StaffingTravel Nurse RN - Case Manager - $2,356 per week in Bel Air, MDBel Air, MD$2,355.60Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Description: The RN Case Manager coordinates patient care plans and services across the continuum of care.
NewTravel Nurse RN - Utilization Review - $1,907 to $2,002 per week in Burlington, NC GQR HealthcareTravel Nurse RN - Utilization Review - $1,907 to $2,002 per week in Burlington, NCBurlington, NC$1,907–$2,002As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates.
Travel Case Manager RN - $2,858 per week American ConsultantsTravel Case Manager RN - $2,858 per weekAnchorage, AKWith guaranteed hours, structured orientation, and limited time-off restrictions (one request of 5 days or less per 13-week assignment), you'll have the stability and flexibility to make the most of your travel nursing experience. American Consultants is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in Anchorage, Alaska.
Travel RN Case Manager - $2,751 per week GQR HealthcareTravel RN Case Manager - $2,751 per weekPrairie City, OR$2,750.80–$2,845.80Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry. In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives.
NewTravel Nurse RN - Case Manager - $2,606 per week in Burbank, CA Prime StaffingTravel Nurse RN - Case Manager - $2,606 per week in Burbank, CABurbank, CA$2,605.60Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Description: The RN Case Manager coordinates patient care plans and services across the continuum of care.
NewTravel Nurse RN - Case Manager - $2,428 per week in Burlington, NC Prime StaffingTravel Nurse RN - Case Manager - $2,428 per week in Burlington, NCBurlington, NC$2,428.40Works closely with providers, social workers, and external agencies to ensure timely, efficient, and effective discharge planning and transitions. Description: The RN Case Manager coordinates patient care plans and services across the continuum of care.
Grievance and Appeals Nurse Specialist (LVN or RN) Kinetic Personnel GroupGrievance and Appeals Nurse Specialist (LVN or RN)Orange, CA$43–$65 / hourTemporaryUtilize computer and appropriate software (e.g., Microsoft Office: Excel, Outlook, PowerPoint, Word) and job-specific applications/systems to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment. A permanent position does include excellent CalPERS pension, 401a (4% contribution) and excellent government benefits and Holiday/PTO schedule.
Travel Nurse RN - Case Management - $3,362 per week Talent4HealthTravel Nurse RN - Case Management - $3,362 per weekBakersfield, CATalent4Health, based in Wilmington, DE is a one stop solution that offers access to an inclusive network of excellent healthcare professionals through its state-of-the-art recruitment strategies and extensive career opportunities. -Ability to effectively evaluate the medical records of hospital admissions regarding continuing stay necessity, appropriateness of setting, delivered care, use of ancillary services and discharge plans.
Utilization Specialist North Tampa Behavioral HealthUtilization SpecialistWesley Chapel, FloridaFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Specialist Geisinger Behavioral Health Center NortheastUtilization SpecialistMoosic, PennsylvaniaFull timeGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Utilization Specialist Rebound Behavioral HealthUtilization SpecialistLancaster, South CarolinaPer diemGather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Preferred Licensure : LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
Director of Case Management - Utilization Management Centinela Hospital Medical CenterDirector of Case Management - Utilization ManagementInglewood, California$108,160–$163,800 / yearFull timeAn award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Preferred leadership style and ideal candidate is a forward-thinking professional who thrives in a collaborative, fast-paced healthcare setting and is passionate about driving positive patient outcomes and reducing readmissions.
APRN - Utilization Management/Physician Advisor Services BayCare Health SystemAPRN - Utilization Management/Physician Advisor ServicesTampa, FLAssists Physician Advisors to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided by efficient management of resources, ensuring patients are in the appropriate level of care, supporting documentation, coding improvements and compliance and monitoring the appropriate use of diagnostic and therapeutic modalities. Responsibilities: Serving the health system through assisting Physician Advisors on a hospital and system level with clinical reviews and data analysis in collaboration with the Care Management, Utilization Review/Denials, Clinical Documentation Integrity, Coding, and Managed Care departments.
Behavioral Health Utilization Management Reviewer AmeriHealth CaritasBehavioral Health Utilization Management ReviewerWashington, DCRemote$77,700–$105,900 / yearUsing clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed.
Travel Physical Therapist - Long Term Care - $2,258 per week ARMStaffingTravel Physical Therapist - Long Term Care - $2,258 per weekAda, OKWe accomplish this through our total dedication to our clients and field associates, our over 15 years of experience, a strong and diverse poor of medical professionals, and the high level of loyalty of our internal staff. Allied Resources Medical Staffing (ARMStaffing) places the most qualified medical professionals in the industry, including: local and travel contract, temp-to-perm, per diem, and direct-hire personnel.