Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These ... The Nurse will be reviewing cases, educating patients on appropriate care and managing health care ...
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These ... The Nurse will be reviewing cases, educating patients on appropriate care and managing health care ...
RN - Utilization Management
Honolulu, HI · On-site
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These ... The Nurse will be reviewing cases, educating patients on appropriate care and managing health care ...
RN - Utilization Management
Honolulu, HI · On-site
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These ... The Nurse will be reviewing cases, educating patients on appropriate care and managing health care ...
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These ... The Nurse will be reviewing cases, educating patients on appropriate care and managing health care ...
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN) . These ... The Nurse will be reviewing cases, educating patients on appropriate care and managing health care ...
Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be provided by employee or confirmed by Human Resources)
Consult with Medical Directors on potential quality issues encountered during review of medical ... Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be ...
Consult with Medical Directors on potential quality issues encountered during review of medical ... Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be ...
... review determinations as described in the Medical Management UM work plan. This detailed clinical ... Currently licensed in Hawaii as an RN or LPN (if applicable upon hire, proof of licensure to be ...
... review determinations as described in the Medical Management UM work plan. This detailed clinical ... Currently licensed in Hawaii as an RN or LPN (if applicable upon hire, proof of licensure to be ...
Consult with Medical Directors on potential quality issues encountered during review of medical ... Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be ...
Consult with Medical Directors on potential quality issues encountered during review of medical ... Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be ...
Consult with Medical Directors on potential quality issues encountered during review of medical ... Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be ...
Consult with Medical Directors on potential quality issues encountered during review of medical ... Currently licensed in Hawaii as an RN or LPN * (if applicable upon hire, proof of licensure to be ...
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS ... such as over or under-utilization of services, potential up-coding, over billing, etc.
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN Two years clinical, case management or utilization management related experience ...
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN Two years clinical, case management or utilization management related experience ...
TNAA TotalMed RN is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Honolulu, Hawaii. & Requirements * Specialty: ED - Emergency Department * Discipline: RN * Duration ...
TNAA TotalMed RN is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Honolulu, Hawaii. & Requirements * Specialty: ED - Emergency Department * Discipline: RN * Duration ...
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN * Two years clinical, case management or utilization management related experience
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN * Two years clinical, case management or utilization management related experience
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN * Two years clinical, case management or utilization management related experience
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN * Two years clinical, case management or utilization management related experience
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN * Two years clinical, case management or utilization management related experience
Review various types of services, including but not limited to: * Transplants * Air Ambulance ... RN or LPN * Two years clinical, case management or utilization management related experience
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RN - Utilization Management
Honolulu, HI • Remote
Spectrum Healthcare Resources •
Health Care and Social Assistance • 1 - 5K employees1,001 - 5,000 employees
Full-time
Posted 21 days ago
Job description
Job Description
Spectrum Healthcare Resources has a need for a Utilization Manager Registered Nurse (UMRN). These will be completely remote positions, working entirely from the Nurse's home. The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our Nation's Active Duty and eligible retirees.
The Nurse will be working remotely Monday through Friday, 8 hours per day.
Requirements
- Bachelors Nursing Degree
- At least one active state nurse license, preferably compact state licensure
- At least 2 years' experience working as a UMRN, preferably in a remote or hybrid environment.
- Possess current certification in either
- Completion of an accredited Certified Professional Utilization Review (CPUR) program
- Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.
--OR--
- Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years. Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract.
- Highly organized, self-directed worker able to function in a high-volume environment without distractions.
- Strong verbal and written communication skills.
- Proficient level of experience with Microsoft Office applications and strong technical aptitude.
- Must have access to secure, high speed internet.
Company Overview:
Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems. SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles. A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans
Location : LocationUS-HI-HonoluluRecruiter : Full Name: First LastJoseph DayDirect phone number314-744-4138Recruiter : Emailjoseph_day@spectrumhealth.comEmployment Type: OTHER
About Spectrum Healthcare Resources
Sourced by ZipRecruiter
Spectrum is a leading organization that provides program management and physician and clinical staffing services to United States Military Treatment Facilities, VA Clinics and Federal Agencies. We are dedicated to the markets we serve, leading our organization’s experience for almost three decades.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Saint Louis, MO, US
Year founded
1988