Milliman Utilization Review Jobs in Usa

RN Weekend Supervisor - Weekend Rotation- $15k SOB for Full Time

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

We are in search of a qualified Registered Weekend Nurse Supervisor (Every Other Weekend):

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.
3. Oversees delegation of simple nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

Qualifications:

1. Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.
2. Must have at least three years nursing experience and one year supervisory experience.
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes.
4. Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
5. Ability to plan and direct the department, coordinating with other departments.

EOE

"Our Family Caring for Yours"

RN Unit Manager

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

- Competitive pay rates! Supportive Leadership!

- Exceptional LOW cost gold medical plan!

We are in search of a qualified RN Unit Manager:

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.
3. Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

Qualifications:

1. Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.
2. Must have at least two years nursing experience and one year supervisory experience.
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes.
4. Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
5. Ability to plan and direct the department, coordinating with other departments.

We offer the following benefits for you and your family:

1. Competitive Wages
2. Elite Low Cost Gold Plan Blue Cross Blue Shield Health Insurance (low premiums and low deductibles!)
3. Dental Insurance, Life Insurance, Vision Insurance
4. 401K with company match
5. Paid Holidays and Paid Vacation
6. Best in class employee referral program

EOE

Registered Nurse Weekend Supervisor - Every other Weekend - PRN

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

We are in search of a qualified Registered Weekend Nurse Supervisor (Every Other Weekend):

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.
3. Oversees delegation of simple nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

Qualifications:

1. Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.
2. Must have at least three years nursing experience and one year supervisory experience.
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes.
4. Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
5. Ability to plan and direct the department, coordinating with other departments.

EOE

"Our Family Caring for Yours"

RN Registered Nurse House Supervisor 11p-7a FT $15k Sign-On Bonus M-F

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

We are in search of a qualified Registered House Supervisor 11p-7a M-F

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.
3. Oversees delegation of simple nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

Qualifications:

1. Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.
2. Must have at least three years nursing experience and one year supervisory experience.
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes.
4. Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
5. Ability to plan and direct the department, coordinating with other departments.

EOE

"Our Family Caring for Yours"

Park Manor Health and Rehabilitation, where what you do matters. Join a driven, compassionate team delivering outstanding, person-centered care in a workplace built on support, professionalism, and pride in the difference we make every day.

Brief Overview: 

1. Pay: Competitive wages (based on experience) 
2. Schedule: Weekend leadership role 
3. $10,000 Sign On Bonus (Full-Time Only) 
4. Affordable Health, Dental, and Vision Insurance  
5. Paid Time Off (PTO) and Paid Holidays  
6. 401(k) Retirement Savings Plan with Company Match 

Position Summary: Registered Nurse ( RN ) Weekend Supervisor / Wound Care 

 The Registered Nurse (RN) Weekend Supervisor / Wound Care serves as the clinical leader responsible for overseeing resident care operations on the weekend rotation.

Qualifications: 

1. Current R.N. license by State required with experience in the long-term care or working with the geriatric population preferred. 
2. Must have at least two years of nursing experience and one year supervisory experience. 
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes. 
4. Skill in organizing and planning programs and managing personnel to provide nursing services for residents. 
5. Ability to plan and direct the department, coordinating with other departments. 

 Key Responsibilities: 

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. 
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed. 
3. Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates. 
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations. 

Benefits: 

1. Competitive wages for Registered Nurses ( RN )  
2. Blue Cross Blue Shield Health and Dental Insurance 
3. Vision Insurance  
4. Life insurance 
5. Paid Time Off (PTO) and Paid Holidays  
6. 401(k) Retirement Savings Plan with Company Match

Professional Care. Purposeful Leadership. Lasting Impact. 

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

"Our Family Caring For Yours" 

Unit Manager ( RN ) $10k Sign On BONUS

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

- Competitive pay rates! Supportive Leadership!

- Exceptional LOW cost gold medical plan!

We are in search of a qualified RN Unit Manager:

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities.
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed.
3. Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates.
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations.

Qualifications:

1. Current R.N. license by State required with experience in the long term care or working with the geriatric population preferred.
2. Must have at least two years nursing experience and one year supervisory experience.
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes.
4. Skill in organizing and planning programs and managing personnel to provide nursing service for residents.
5. Ability to plan and direct the department, coordinating with other departments.

We offer the following benefits for you and your family:

1. Competitive Wages
2. Elite Low Cost Gold Plan Blue Cross Blue Shield Health Insurance (low premiums and low deductibles!)
3. Dental Insurance, Life Insurance, Vision Insurance
4. 401K with company match
5. Paid Holidays and Paid Vacation
6. Best in class employee referral program

EOE

1. $12,000 Sign-On Bonus (Full-Time)
2. Competitive Pay based on experience
3. Consistent Weekend Leadership Schedule
4. Affordable Health, Dental & Vision Insurance
5. Paid Time Off + Paid Holidays
6. 401(k) with Company Match

Lead with Purpose. Make a Difference Every Weekend!

South Health and Rehabilitation, where we don’t just provide care—we create a supportive, compassionate environment where residents thrive and nurses lead with confidence. We’re looking for an experienced RN Weekend Supervisor who is ready to step into a leadership role and make a lasting impact.

Position Summary: Registered Nurse (RN) Weekend Supervisor   The Registered Nurse (RN) Weekend Supervisor serves as the clinical leader responsible for overseeing resident care operations on the weekend rotation.

Qualifications: 

1. Current R.N. license by State required with experience in the long-term care or working with the geriatric population preferred. 
2. Must have at least two years of nursing experience and one year supervisory experience. 
3. Clerical ability is necessary to read reports and utilize data accurately for other purposes. 
4. Skill in organizing and planning programs and managing personnel to provide nursing services for residents. 
5. Ability to plan and direct the department, coordinating with other departments. 

Key Responsibilities: 

1. Assists in maintaining resident care standards by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. 
2. Receives physicians' instructions regarding resident care and ensures that orders are transmitted to other units as needed. 
3. Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates. 
4. Makes regular patient rounds to observe and assess residents’ physical conditions and behaviors, evaluates the quality of care provided, and ensures proper documentation of treatment and nursing observations. 

 Benefits: 

1. Competitive wages for Registered Nurses (RN)  
2. Blue Cross Blue Shield Health and Dental Insurance 
3. Vision Insurance  
4. Life insurance 
5. Paid Time Off (PTO) and Paid Holidays  
6. 401(k) Retirement Savings Plan with Company Match

Professional Care. Purposeful Leadership. Lasting Impact. 

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 

"Our Family Caring For Yours" 

Your experience matters

Rainier Springs is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Therapist joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you'll contribute

A Therapist who excels in this role:

• Conducts individual and group therapy sessions to educate patients regarding psychological, emotional, or substance abuse problems
• Displays active involvement in treatment planning process
• Provides family session counseling to all patients to ensure appropriate communication and involvement of family members and support groups
• Actively communicates with clients, families, and outside referral sources
• Demonstrates proactive communication with those involved with the patient's treatment
• Works well with the interdisciplinary team including physicians, utilization review and nursing staff members
• Demonstrates active communication with team members
• Effectively communicates to UR on treatment and LOS issues
• Completes appropriate paperwork for clients in a timely, accurate and complete manner
• Demonstrates appropriate crisis intervention and de-escalation skills
• Acts as a member of team with crisis situation occurs, assisting others to ensure patient safety
• Completes accurate assessments of patients utilizing clinical skills
• Assists care coordination department as requested
• Completes all documentation thoroughly, timely, and in accordance with hospital standards
• Displays a thorough knowledge of confidentiality
• Completes releases appropriately
• Demonstrates knowledge of HIPAA regulations and abides by those standards
• Demonstrates a working knowledge of all clinical regulations, including TJC, Medicaid, and state and federal laws
• Displays active involvement in the discharge, transition, and after-care planning treatment processes Other duties as assigned

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for
Applicants should have a current state LCSW, LMFT, LMSW, LPC license and possess a Master's degree from an accredited school. Additional requirements include:

• Basic Life Support certification is required within 30 days of hire.
• ACLS and PALS are required within six months of hire.
• One year of experience preferred
• ASLS certification preferred

Hourly range: $40-50 per Hour

EEOC Statement

Rainier Springs is an Equal Opportunity Employer. Rainier Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Schedule: Days

Your experience matters

Rainier Springs is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Therapist, Inpatient joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you'll contribute

A Therapist, Inpatientwho excels in this role:

• Conducts individual and group therapy sessions to educate patients regarding psychological, emotional, or substance abuse problems
• Displays active involvement in treatment planning process
• Provides family session counseling to all patients to ensure appropriate communication and involvement of family members and support groups
• Actively communicates with clients, families, and outside referral sources
• Demonstrates proactive communication with those involved with the patient's treatment
• Works well with the interdisciplinary team including physicians, utilization review and nursing staff members
• Demonstrates active communication with team members
• Effectively communicates to UR on treatment and LOS issues
• Completes appropriate paperwork for clients in a timely, accurate and complete manner
• Demonstrates appropriate crisis intervention and de-escalation skills
• Acts as a member of team with crisis situation occurs, assisting others to ensure patient safety
• Completes accurate assessments of patients utilizing clinical skills
• Assists care coordination department as requested
• Completes all documentation thoroughly, timely, and in accordance with hospital standards
• Demonstrates knowledge of HIPAA regulations and abides by those standards
• Demonstrates a working knowledge of all clinical regulations, including TJC, Medicaid, and state and federal laws
• Displays active involvement in the discharge, transition, and after-care planning treatment processes Other duties as assigned

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for
Applicants should have a current state LCSW, LPC, LMFT or similar license and possess a Master's degree from an accredited school. Additional requirements include:

• Basic Life Support certification is required within 30 days of hire.
• ACLS and PALS are required within six months of hire.
• One year of experience preferred
• ASLS certification preferred

Hourly range: $33 - $44.65 per hour.

EEOC Statement

Rainier Springs is an Equal Opportunity Employer. Rainier Springs is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.