UNKNOWN

ADAPTED_NOW

See Mercy Terms & Conditions at https://www.mercy.net/about/legal-notices/ and Privacy Policy at https://www.mercy.net/about/legal-notices/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/privacy and Terms of Use at https://www.sonicjobs.com/terms. Working closely with physicians, nurses, and other healthcare professionals, you'll coordinate care, support safe discharges, and help patients navigate their healthcare journey from admission through discharge.

Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 185 years. It began with an Irish woman named Catherine McAuley, who wanted to help the poor women and children of Dublin. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill her dreams. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to poor women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, the first religious order not bound to the rules of the cloister, whose Sisters were free to walk among the poor and visit them in their homes. By the time Catherine died in 1841, there were convents in Ireland and England, and in 1843, the Sisters of Mercy came to the United States. In 1871, they traveled to St. Louis and from there throughout the Midwest, beginning what would, today be known as Mercy. Mercy, named one of the top five large U.S. health systems in 2018, 2017 and 2016 by IBM Watson Health, serves millions annually. Mercy includes more than 40 acute care and specialty (heart, children’s, orthopedic and rehab) hospitals, 800 physician practices and outpatient facilities, 44,000 co-workers and 2,100 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has clinics, outpatient services and outreach ministries in Arkansas, Louisiana, Mississippi and Texas. In addition, Mercy's IT division, Mercy Technology Services, supply chain organization, ROi, and Mercy Virtual commercially serve providers and patients in more than 20 states coast to coast.

Mercy

RN Inpatient Care Manager (Weekend)

SonicJobs

The CNM is responsible for the quality of care of patients; delegates appropriately and directs staff in the delivery of care; assumes responsibility for the appropriate utilization of resources; collaborates with medical staff and others in the provision of care; demonstrates positive interpersonal relationships with others in communication and problem resolution; is sensitive to the needs of patients, families, and fellow co-workers; plan and provide professional nursing care for patients in accordance with age specific needs; plans and provide professional nursing care for patients in accordance with any identified cultural diversity needs, (such as religions, lifestyles, beliefs, physical capabilities and cultures); plan and provide professional nursing care for patients by assuring appropriate and effective pain management; assess, report, and assist any patients that present with evidence of abuse and/or neglect; and supports the mission of Mercy Hospital. See Mercy Terms & Conditions at https://www.mercy.net/about/legal-notices/ and Privacy Policy at https://www.mercy.net/about/legal-notices/ and SonicJobs Privacy Policy at https://www.sonicjobs.com/privacy and Terms of Use at https://www.sonicjobs.com/terms.

Clinical Nurse Manager - Orthopedic Hospital

Quality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

HOUR

Optum

Registered Nurse

TMP PX

RN - Home Health

We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. **Exciting Opportunity for a Registered Nurse (RN) in Newborn Nursery!** **Job Description:** - Join a dynamic team providing exceptional care to our newborn patients during their crucial early days.

WEEK

Catalytic Solutions

Travel Nursery RN - $1,941 per week

One Red Cent - Marketplace

OTHER

Exciting Opportunity for a Registered Nurse (RN) in Newborn Nursery!** **Job Description:** - Join a dynamic team providing exceptional care to our newborn patients during their crucial early days. - Play a vital role in delivering high-quality nursing care through: - Utilization of the Nursing Process in compliance with state Nurse Practice Act and hospital policies.

TravelNurseSource

Travel Nurse RN - Nursery - $1,941 per week in Forrest City, AR

TravelNurseSource.com

FEED

Skills: Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding 4. Experience in utilization management and/or medical review preferred. Communication: Collaborates with healthcare providers and internal staff to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.

Paladin Consulting, Inc.

Utilization Management Nurse

jobdiva

FULL_TIME

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

TriWest Healthcare Alliance

Supervisor, Utilization Management

equestftpin

An employee who is under the influence of Marijuana constitutes a threat to patients/customers which Conway Regional is responsible for in providing and supporting the delivery health care related services. Qualifications: Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required.

Conway Regional Heath System

Case Manager / Utilization Review Nurse

[AW]-iCims

National pay structure - applies to the Boise, Portland, Salem, Seattle/Renton/Tacoma, Burlington, Vancouver, Lewiston, and Salt Lake City metro areas: The expected hiring range is $112,200 - $151,800, the full salary range is $105,000 - $172,000 and the bonus target is 17%. Regional pay structure - applies to North Dakota and to Idaho, Oregon, Washington, and Utah locations outside the metro areas listed above: The expected hiring range is $100,980 - $136,620, the full salary range is $95,000 - $155,000 and the bonus target is 17%.

Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable health care system. 

Through our health plans, innovative technology and strategic investments, we are delivering consumer-centric solutions that:

•       help people achieve better health and well-being 
•       make health care more available, affordable and accessible 
•       are easily understood by everyone

We put people at the heart of everything we do. Our company reaches more than 70 million Americans nationwide, including more than two million people in the Pacific Northwest who are enrolled in our regional health plans.  

Cambia Health Solutions Inc

Manager Utilization Management

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Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, Fargo, Lewiston, Little Rock and Springdale offices or who are willing to relocate. Represents the department in interactions with all levels of management, vendor partners, clients, providers, government officials, and outside consultants - all in service of making our members' health journeys easier.

YEAR

Cambia Health

ea_via_bold

Ability to manage crisis calls, apply clinical judgment to assess risk, determine support needs, and coordinate appropriate interventions, including escalation for suicide risk, self-harm concerns, and welfare checks when necessary. Join our Utilization Management team and help ensure members receive timely, appropriate behavioral health services while making a meaningful impact on outcomes.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Utilization Management Clinician Behavioral Health Night Shift - 4 Days

Gather 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.

Vantage Point Behavioral Health

Utilization Review Specialist

LICENSES/DESIGNATIONS/CERTIFICATIONS: 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. Gather 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.

Acadia Healthcare Co Inc

Conway Behavioral Health

Utilization Specialist

LICENSES/DESIGNATIONS/CERTIFICATIONS: ?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. ?Gather 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.

If applicable, current licensure as an LPN or RN 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. Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

Manager - Utilization Review

LICENSES/DESIGNATIONS/CERTIFICATIONS: If applicable, current licensure as an LPN or RN 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. PURPOSE STATEMENT: Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs.

Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. As a member of the multi-disciplinary treatment team, the Utilization Coordinator - PRN performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial) to secure authorization for continued treatment (i.e. by fax, telephone or on-line) based on payer's criteria.

University Health Services Inc

UTILIZATION COORDINATOR

With locations across the U.S., we offer many opportunities for compassionate individuals who enjoy improving the quality of life of those around them, with numerous positions for varying levels of expertise, such as companion caregivers, certified aides and case managers. Your focus will be helping clients transition home safely, identifying concerns early, communicating with appropriate healthcare professionals, and reducing avoidable disruptions that may contribute to hospital readmissions.

Utilization Management Nurse Jobs in Arkansas

RN Inpatient Care Manager (Weekend) Mercy

Clinical Nurse Manager - Orthopedic Hospital Mercy

Registered Nurse Optum

RN - Home Health Optum

Travel Nursery RN - $1,941 per week Catalytic Solutions

Travel Nurse RN - Nursery - $1,941 per week in Forrest City, AR TravelNurseSource

Utilization Management Nurse Paladin Consulting, Inc.

Supervisor, Utilization Management TriWest Healthcare Alliance

Case Manager / Utilization Review Nurse Conway Regional Heath System

Manager Utilization Management Cambia Health Solutions Inc

Manager Utilization Management Cambia Health

Utilization Management Clinician Behavioral Health Night Shift - 4 Days CVS Health Corp

Utilization Review Specialist Vantage Point Behavioral Health

Utilization Review Specialist Acadia Healthcare Co Inc

Utilization Specialist Conway Behavioral Health

Utilization Specialist Acadia Healthcare Co Inc

Manager - Utilization Review Conway Behavioral Health

Manager - Utilization Review Acadia Healthcare Co Inc

UTILIZATION COORDINATOR University Health Services Inc

Director of Care Management & Client Experience - RN HomeWell Care Services AR174

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