Top 8208 Rn Utilization Management Jobs

MDS Resource Nurse
Sweetwater Care —Montana
- $100,000 - $1,450,000 a year
- Full-time
- Nursing
- RN License
- 3 years
Quick Apply
Utilization Management Nurse
TEXAS INDEPENDENCE HEALTH PLAN INC —Austin, TX
- Weekends as needed
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Utilization Review Coordinator
Neuropsychiatric Hospitals —Huber Heights, OH
- Full-time
- Nursing
- Psychiatry
- Mid-level
- Health insurance
- Dental insurance
RN Utilization Management
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
- Vision insurance
Utilization Review Nurse
University Medical Center of Southern Nevada —Las Vegas, NV
- $40.72 - $63.12 an hour
- Weekends as needed
- Nursing
- RN License
- Office
- Health insurance
- Dental insurance
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Utilization Management Nurse
Blue Eagle Consulting —Remote
- RN License
- Mid-level
- Nursing
Quick Apply
Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License)
CareSource —Remote
- $62,700 - $100,400 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
10d
RN - Utilization Management - MGH
The General Hospital Corporation —Boston, MA
- $41.72 - $105.65 an hour
- Part-time
- Remote
- RN License
- Mid-level
- Experience equivalent to degree accepted
- Opportunities for advancement
Quick Apply
3d
Concurrent Utilization Review Nurse, RN
NeueHealth —Los Angeles, CA
- $74,286.15 - $111,429.23 a year
- Remote
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Clinical Review Nurse
TurningPoint Healthcare Solutions, LLC —Remote
- $52,000 - $68,000 a year
- Remote
- Nursing
- RN License
- Computer literacy
Quick Apply
RN Case Manager
MedStar Health —Washington, DC
- $89,065 - $162,801 a year
- Full-time
- Nursing
- Microsoft Excel
- RN License
Utilization Management Coordinator
Riveredge Hospital —Forest Park, IL
- $30 - $46 an hour
- Full-time
- Writing skills
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
1d
RN Case Manager - Surgery Services
UCLA Health —Los Angeles, CA
- $65.53 - $84.75 an hour
- Nursing
- Surgery
- RN License
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Nursing
- RN License
- Inpatient
1d
Nurse Case Manager, Utilization Management
1199SEIU Family of Funds —New York, NY
- $89,400 - $106,100 a year
- Full-time
- Nursing
- RN License
- Mid-level
RN Case Manager - Complex Cases
UCLA Health —Santa Monica, CA
- $65.53 - $84.75 an hour
- Nursing
- RN License
- BLS Certification
Care Manager (RN) **Hospital Care Management Experience Highly Preferred** (Sunday-Thursday, 8:00AM-4:00PM)
NYU Langone Health —Mineola, NY
- $147,153.96 - $180,190.08 a year
- Full-time
- Nursing
- RN License
- Computer literacy
- Wellness program
2d
Utilization Management Clinician I
Community Health Plan of Washington —Seattle, WA
- $35.92 - $55.67 an hour
- Full-time
- Mid-level
- Analysis skills
- Critical & Intensive Care
- Paid jury duty
- Health savings account
Quick Apply
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Georgia
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Utilization Management Nurse Consultant
CVS Health —Tennessee
- $26.01 - $68.55 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
2d

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MDS Resource Nurse

Sweetwater Care -
Montana

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Job Details

Full-time
$100,000 - $1,450,000 a year

Qualifications

Nursing
Staff supervision
RN License
Long-term care facility experience
Care facility administration
Clinical team leadership
Nursing

Full Job Description

Position Description

We are looking for an outstanding MDS Resource nurse to serve facilities in Montana. This consultant will be responsible for providing expertise, leadership, modeling, and support for organization-wide initiatives. He/she will also work on the implementation and or evaluation of the facility’s Quality Measurement and Performance Improvement program to ensure quality of patient/resident care outcomes, appropriate and utilization. Come apply today!

Qualifications

Graduate from an accredited school of nursing.

Registered nurse with active licensure in the state practicing.

Three (3) years of experience in nursing administration as Director of Nursing and/or supervision in a health facility.

Five (5) years of experience working in long-term care facilities or an equivalent combination of education and experience.

Three (5) years of experience working in leadership for healthcare, preferred.

RESPONSIBILITIES

Directs clinical operations for assigned facilities; interfacing with regional support staff and facility teams.

Ability to perform the functions of a Director of Nursing; may temporarily fulfill the role of Director of Nursing if vacancies in assigned facilities.

Conducts facility reviews including mock survey visits, to assess compliance with local, state and federal regulations and company standards.

Creates systems and process redesign, implementation of evidence-based and industry best practices throughout the organization; quality improvement and performance management, facilitation, consulting, and problem- solving, along with project management and enhancement of individual and team leadership behavior.

Translates broad strategies into specific objectives and initiatives, creates structures processes and systems to support strategic priorities and integrates efforts across organizational functions; obtains and allocates resources as needed; assigns clear authority and accountability for performance management and improvement efforts.

In collaboration with key clinical leaders, evaluates the organization's strategic efforts and determines the strategic initiatives to achieve clinical effectiveness and patient safety; collaborates with clinical and administrative leadership to improve quality and safety and assists with deployment of the relevant strategic initiatives.

Facilitates and assists with patient safety activities in accordance with accreditation, regulatory, and licensing requirements, including facilitation of multidisciplinary improvement teams; summarizing process and outcome data from multiple sources into meaningful, manageable information upon which to make decisions about improvement of performance.

Contributes to the development of policy and processes for clinical and organizational areas related to quality improvement and performance management.

Provides oversight and direction of the joint commission readiness for the centers and serves as the organization's liaison with external regulatory, accrediting, community, and national organizations related to quality improvement and organizational performance management. Develops and leads mock survey activity within the organization. Ensures that the centers are compliant with all accreditation and CMS requirements and is survey ready at all times.

Collaborates with senior management team and clinical leadership to define key performance issues, outcomes, set priorities, determine methods for improvement, and implement monitoring and measurement tools related to quality improvement and patient safety.

Identifies performance management improvement opportunities and priorities and develops solutions and process changes to resolve problems and improve performance; coaches department leaders on individual performance related to the desired "Culture of Quality" and safety expectation and its impact on overall organizational outcomes.

Maintains professional affiliations as appropriate and participates in professional activities to keep abreast of developments in quality improvement and performance management, especially as related to "best practices" and will

• Provides education, implements process, evaluates performance and audits PCC/POC compliance. • Performs checks or residents’ records, reviews transcriptions of physicians’ orders to resident charts with medication and treatment sheets to assure that they are accurate.

Other duties, responsibilities and activities may change or assigned at any time with or without notice.

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Refine Your Search

Rn Utilization Management jobs

MDS Resource Nurse

Utilization Management Nurse

Utilization Review Coordinator

RN Utilization Management

Utilization Review Nurse

Utilization Management Nurse

Clinical Care Reviewer II (Remote)(Must Have - Unrestricted Massachusetts RN License)

RN - Utilization Management - MGH

Concurrent Utilization Review Nurse, RN

Clinical Review Nurse

RN Case Manager

Utilization Management Coordinator

RN Case Manager - Surgery Services

RN Team Lead Utilization Review

Nurse Case Manager, Utilization Management

RN Case Manager - Complex Cases

Care Manager (RN) Hospital Care Management Experience Highly Preferred (Sunday-Thursday, 8:00AM-4:00PM)

Utilization Management Clinician I

Case Manager, Registered Nurse (Oncology experience required)

Utilization Management Nurse Consultant

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