Jobbörse
Finde Jobs in deiner Nähe – ob vor Ort, hybrid oder remote.- Ähnliche Jobs zu: Utilization Management RN (Hybrid)
Utilization Management RN (Hybrid)
TEXASCONNECT INCDallas
Department: Managed ServicesThis position will be hybrid in the Dallas, Texas area.Relocation assistance is availableThere are 6 open positions for this role.The Utilization Management (UM) RN perform
Utilization Review Coordinator
SedgwickDallasBy joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your ca
RN - Case Management
Mission HospitalDallasDetailsClient Name Medical City Dallas Job Type Travel Offering Nursing Profession RN Specialty Case Management Job ID 37069035 Job Title RN - Case Management Weekly Pay $1572.47 Shift DetailsShift 8
RN - Case Management
WellStar Kennestone HospitalDallasDetailsClient Name HCA Medical City Dallas Job Type Travel Offering Nursing Profession RN Specialty Case Management Job ID 37068984 Job Title RN - Case Management Weekly Pay $1655.97 Shift DetailsShif
TRAVEL- RN - Case Management (918) / MC Dallas / 8A-4:30P
TLC NURSING SERVICESDallasDetailsClient Name Medical City Dallas Hospital Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 35461838 Job Title TRAVEL- RN - Case Management (918) / MC Dallas / 8A-4:30
RN - Case Management
TLC NURSING SERVICESDallasDetailsClient Name Medical City Dallas Hospital Job Type Travel Offering Nursing Profession RN Specialty Case Management Job ID 37069030 Job Title RN - Case Management Weekly Pay $1728.97 Shift Detail
RN - Case Management - Pediatric
Mission Hospital AshevilleDallasDetailsClient Name Medical City Children's Hospital Dallas Job Type Travel Offering Nursing Profession RN Specialty Case Management Job ID 37068973 Job Title RN - Case Management - Pediatric Weekly Pa
RN - Case Management
Wesley Medical CenterDallasDetailsClient Name Medical City Dallas Hospital - HCA Job Type Travel Offering Nursing Profession RN Specialty Case Management Job ID 37069078 Job Title RN - Case Management Weekly Pay $1632.0 Shift D
Travel Nurse RN - Case Management - $1,675 per week
Supplemental Health CareDallasSupplemental Health Care is seeking a travel nurse RN Case Management for a travel nursing job in Dallas, Texas. Job Description & RequirementsSpecialty: Case Management Discipline: RN Start Date: ASA
RN - Case Management
ARMS StaffingDallasHealthcare Position This is a 13-week contract position. Shift: 8A-4:30P We are seeking a dedicated healthcare professional to join our team. This position requires a commitment to quality care and co
RN - Case Management
Host HealthcareDallasHost Healthcare is the #1 ranked travel healthcare company in the U.S. with an immediate option for this RN position in Dallas, TX. Sign-up here to submit your application for this role or for more in
RN - Case Management
PrimeDallasRN - Case Management Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - Case Management for our customer in Dalla
Tax Expert - TurboTax Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Experienced Tax Expert – In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Senior Tax Advisor – In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Accountant - In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Expert - Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Accountant – Retail Location
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Seasonal Tax Expert – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Expert - Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Senior Tax Expert – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Physical Therapy Assistant (PTA)
Care Options for KidsDallasPhysical Therapist Assistant (PTA) Pediatric Home HealthTerritory: Arlington, TXPay: $68,000- $78,000A Role That Supports Your PathAt Care Options for Kids, we've built a home health PTA role around w
Pediatric Licensed Vocational Nurse (LVN)
Care Options for KidsDallasLicensed Vocational Nurse (LVN) Pediatric Home HealthA Nursing Role Built for Focused, One-on-One Care in TexasAt Care Options for Kids, pediatric home health nursing is intentionally different. Inste
Pediatric Registered Nurse (RN)
Care Options for KidsDallasRegistered Nurse (RN) Pediatric Home HealthA Nursing Role Built for Focused, One-on-One CareAt Care Options for Kids, pediatric home health nursing is intentionally different. Instead of juggling mult
RN Registered Nurse (Homecare)
Care Options for KidsDallasRegistered Nurse (RN) Pediatric Home HealthA Nursing Role Built for Focused, One-on-One CareAt Care Options for Kids, pediatric home health nursing is intentionally different. Instead of juggling mult
Utilization Management RN (Hybrid)
- Dallas, Texas, United States
- Dallas, Texas, United States
Über
This position will be hybrid in the Dallas, Texas area.
Relocation assistance is available
There are 6 open positions for this role.
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs initial reviews, concurrent reviews, and retrospective reviews according to guidelines. Determines the medical necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care, ensuring timely and appropriate levels of care for the incoming patients. UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of patients in an ethical and fiduciary responsible manner. This position is hybrid with remote and in-office assignment.
SPECIFIC SKILLS NEEDED
• Knowledge of payer requirements
• Excellent verbal and written communication skills
• Ability to follow chain of command
• Highly developed ability to multi-task and maintain focus
• Proactive, can-do approach and desire to build positive working relationships through collaborative
problem-solving
• Self-motivated and results oriented. Must be able to demonstrate sound decision making, flexibility
and prioritization skills with minimal supervision.
• Strong organizational skills
• Basic computer skills: Word, Excel, PowerPoint, Outlook. Able to utilize multiple electronic systems.
Type 50 WPM
• Ability to apply appropriate UM criteria
EDUCATION/EXPERIENCE/TRAINING
Required:
• Current licensure as an RN in the state of California.
• A minimum of 2 years of bedside nursing experience in an acute care setting.
• A minimum of 2 years of case management experience.
Preferred:
• Certified Case Manager or Accredited Case Manager
• BSN
• Experience with Milliman Care Guidelines (MCG)
PIf51f7b9a4c
Sprachkenntnisse
- English
Dieses Stellenangebot stammt von einer Partnerplattform von TieTalent. Klick auf „Jetzt Bewerben”, um deine Bewerbung direkt auf deren Website einzureichen.