Milliman Utilization Review Jobs in Usa

Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred.

National certification (e.g.

CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred.

Three years recent, full-time hospital experience preferred.

Work experience in case management, utilization review or hospital quality assurance experience is preferred.

Must complete a Clinical Documentation Improvement Course within specified time of hire date.

Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required.

National certification in related field is preferred.

Case Manager Certification (CCM or ANCC) is highly desirable.

Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred.

National certification (e.g.

CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred.

Three years recent, full-time hospital experience preferred.

Work experience in case management, utilization review or hospital quality assurance experience is preferred.

Must complete a Clinical Documentation Improvement Course within specified time of hire date.

Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required.

National certification in related field is preferred.

Case Manager Certification (CCM or ANCC) is highly desirable.

Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred.

National certification (e.g.

CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related field is preferred.

Three years recent, full-time hospital experience preferred.

Work experience in case management, utilization review or hospital quality assurance experience is preferred.

Must complete a Clinical Documentation Improvement Course within specified time of hire date.

Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required.

National certification in related field is preferred.

Case Manager Certification (CCM or ANCC) is highly desirable.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.