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Nurse Jobs in USA

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About 1584 results in (3) seconds
Supervisor, Clinical Review Nurse at TurningPoint Healthcare Solutions LLC
Remote, Oregon, USA - Full Time
Skills Needed
Utilization Management, Pain Management, Case Management, Health Insurance, Utilization Review, Nurses
Qualification
BSc
Independent Review Nurse Manager at Provider Resources Inc
Remote, Oregon, USA - Full Time
Skills Needed
Teams, Analytical Skills, Erisa, Metrics, Communication Skills, Accountability
Specialization
Administration
Qualification
Graduate
7 On / 7 Off, 8-Hour Shift Nurse at Traylor Health Rehab
Roanoke, AL 36274, USA - Full Time
Skills Needed
Customer Service, Groups, Confidentiality, Workplace Safety, Health, Alternative Solutions, Conflict, Commitments, Dignity, Openness, Hazardous Materials, Processing, Team Spirit, Universal Precautions, Oral Communication, Kindness, Grievances, Philosophy, Computer Skills
Specialization
The state the facility is located
Qualification
Graduate
School Nurse Full-Time/Permanent at Washington County Schools
Plymouth, NC 27962, USA - Full Time
Skills Needed
Training, Consultation, Nursing Education, Regulatory Requirements, Health, Provision, Health Education, Iep, Sat
Qualification
Graduate
Nurse Manager RN Labor & Delivery at The George Washington University Hospital
Washington, DC 20037, USA - Full Time
Skills Needed
Eligibility, Licensure, Acute Care
Specialization
Nursing (bsn required master’s degree preferred
Qualification
BSc
Experience Required
Minimum 5 year(s)
Charge Nurse PCU Full Time Nights at The Hospitals of Providence East Campus
El Paso, TX 88595, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Registered Nurse (RN) - Per Diem at Select Specialty Hospital San Diego
San Diego, CA 92103, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
7 On / 7 Off, 8-Hour Shift Nurse at Traylor Health Rehab
Roanoke, AL 36274, USA - Full Time
Skills Needed
Team Spirit, Workplace Safety, Hazardous Materials, Dignity, Philosophy, Alternative Solutions, Commitments, Health, Computer Skills, Kindness, Universal Precautions, Grievances, Processing, Groups, Oral Communication, Openness, Customer Service, Conflict, Confidentiality
Specialization
The state the facility is located
Qualification
Graduate
Registered Nurse (RN), PreOp/PACU at SimonMed Imaging
Paris, Kentucky, USA - Full Time
Skills Needed
High Pressure Situations, Critical Thinking, Perioperative Nursing, Communication Skills
Specialization
Nursing (preferred
Qualification
Graduate
Nurse Manager, Labor and Delivery at Sutter Health
Antioch, CA 94509, USA - Full Time
Skills Needed
Operations, Team Building, Patient Care, Leadership Skills, Operational Requirements, Regulations, It
Qualification
Graduate
Experience Required
Minimum 8 year(s)
Clinical Nurse Coordinator NSICU at HCA Florida Largo Hospital
Largo, FL 33770, USA - Full Time
Skills Needed
Leadership, Cardiac Care, Patient Care, Medicine, Robotic Surgery, Kidney, Color, Critical Thinking, Florida, Communication Skills
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Med-Surg Clinical Research Nurse at St Lukes University Health Network
Bethlehem, Pennsylvania, USA - Full Time
Skills Needed
Travel, Preparation, Reporting Requirements, Performance Improvement, Crfs, Maintenance, Organizational Management, It, Professional Conduct, Shipping, Documentation, Patient Care, Clinical Trials, Accountability, Liaison, Adverse Events, Training
Qualification
Graduate
Sr. Professional Staff Nurse, BSN at UPMC Pittsburgh Medical Center
Pittsburgh, PA 15215, USA - Full Time
Skills Needed
It, Life Support, Licensure, Tpp
Specialization
One year of graduation whichever comes first
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Women's Health Nurse Practitioner at Unified Womens Healthcare
Las Vegas, NV 89106, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Progressive Care Registered Nurse at Methodist Hospital
San Antonio, TX 78229, USA - Full Time
Skills Needed
Texas, Patient Outcomes, Cardiology, Oncology, Access, Leadership, Nursing Process, Addition, Orthopedics, Thinking Skills, Color, Emergency Medicine, Development Programs, Accountability, Patient Care, Collaboration, Gynecology
Qualification
Graduate
Per Diem School Nurse (RN or LPN) at Horizon Healthcare Saffing
West Orange, NJ 07052, USA - Full Time
Skills Needed
Emergency Situations, Readiness
Qualification
Graduate
Registered Nurse - Operating Room at Novant Health
Wilmington, NC 28401, USA - Full Time
Skills Needed
It
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Registered Nurse Same Day Surgery at MUSC
Orangeburg, SC 29115, USA - Full Time
Skills Needed
Groups, Facts, Mobility, State Laws, Clear Vision, Aha, Manuals, Medical Equipment, Stressful Situations, Regulations, Color, Life Support, Consideration, Manual Dexterity, Federal Regulations, Patient Care, Injections
Qualification
Graduate
Registered Nurse RN - No Weekends at DaVita
Cambridge, MA 02138, USA - Full Time
Skills Needed
Outlook, Computer Skills
Qualification
Diploma
Emergency Department Charge Nurse at Novant Health
Hardeeville, SC 29927, USA - Full Time
Skills Needed
Civil Rights, Color, Legislation, It
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Supervisor, Clinical Review Nurse at TurningPoint Healthcare Solutions LLC
Remote, Oregon, USA -
Full Time

Start Date

Immediate

Expiry Date

13 Dec, 25

Salary

0.0

Posted On

16 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Utilization Management, Pain Management, Case Management, Health Insurance, Utilization Review, Nurses

Industry

Hospital/Health Care

Description

JOB DESCRIPTION

TurningPoint is an innovative healthcare services and technology organization that is committed to working with Health Plans and Providers to develop advanced technical and clinical solutions that improve the quality and affordability of surgical care patients receive. We are seeking a highly motivated and results orientated Nurse Supervisor to join our fast-paced and rapidly growing company.

SKILLS, EDUCATION & EXPERIENCE REQUIREMENTS

  • An active and unrestricted Registered Nurse (RN)
  • Associate’s Degree is required. Bachelor of Science in Nursing (BSN) Degree is preferred
  • Five (5) years of clinical experience; or any combination of education and experience, which would provide an equivalent background
  • Experience in surgical utilization review, pain management, case management, or health insurance pre-authorization and/or utilization management
  • Minimum of 3 years experience Supervising and Managing a team of clinical and non-clinical staff members
  • Ability to function effectively in an interdisciplinary team that includes physicians, nurses, other healthcare personnel and administrative staff
  • Ability to work independently with minimal supervision
  • Ability to organize, prioritize and complete work in a timely manner despite many deadlines and competing priorities

How To Apply:

Incase you would like to apply to this job directly from the source, please click here

Responsibilities

This position is responsible for Utilization Management (UM) activities, including but not limited to the supervision of UM and Prior Authorization clinical team processes. This individual develops, implements, supports and promotes managed care strategies, policies and programs that drive the delivery of quality healthcare.

  • Providing leadership and demonstrating responsibility and accountability for the delivery of quality services to a team of clinical staff
  • Reviewing pre-authorization requests for appropriateness of care within established evidence-based criteria sets
  • Interacting with other TurningPoint personnel to assure quality customer service is provided.
  • Acting as an internal resource by answering questions requiring clinical interpretation
  • Identifying high cost utilization and making appropriate referral
  • Assisting the Director of Utilization Management in developing guidelines and procedures for the department
Supervisor, Clinical Review Nurse at TurningPoint Healthcare Solutions LLC
Remote, Oregon, USA - Full Time
Skills Needed
Utilization Management, Pain Management, Case Management, Health Insurance, Utilization Review, Nurses
Qualification
BSc
Independent Review Nurse Manager at Provider Resources Inc
Remote, Oregon, USA - Full Time
Skills Needed
Teams, Analytical Skills, Erisa, Metrics, Communication Skills, Accountability
Specialization
Administration
Qualification
Graduate
7 On / 7 Off, 8-Hour Shift Nurse at Traylor Health Rehab
Roanoke, AL 36274, USA - Full Time
Skills Needed
Customer Service, Groups, Confidentiality, Workplace Safety, Health, Alternative Solutions, Conflict, Commitments, Dignity, Openness, Hazardous Materials, Processing, Team Spirit, Universal Precautions, Oral Communication, Kindness, Grievances, Philosophy, Computer Skills
Specialization
The state the facility is located
Qualification
Graduate
School Nurse Full-Time/Permanent at Washington County Schools
Plymouth, NC 27962, USA - Full Time
Skills Needed
Training, Consultation, Nursing Education, Regulatory Requirements, Health, Provision, Health Education, Iep, Sat
Qualification
Graduate
Nurse Manager RN Labor & Delivery at The George Washington University Hospital
Washington, DC 20037, USA - Full Time
Skills Needed
Eligibility, Licensure, Acute Care
Specialization
Nursing (bsn required master’s degree preferred
Qualification
BSc
Experience Required
Minimum 5 year(s)
Charge Nurse PCU Full Time Nights at The Hospitals of Providence East Campus
El Paso, TX 88595, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Registered Nurse (RN) - Per Diem at Select Specialty Hospital San Diego
San Diego, CA 92103, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
7 On / 7 Off, 8-Hour Shift Nurse at Traylor Health Rehab
Roanoke, AL 36274, USA - Full Time
Skills Needed
Team Spirit, Workplace Safety, Hazardous Materials, Dignity, Philosophy, Alternative Solutions, Commitments, Health, Computer Skills, Kindness, Universal Precautions, Grievances, Processing, Groups, Oral Communication, Openness, Customer Service, Conflict, Confidentiality
Specialization
The state the facility is located
Qualification
Graduate
Registered Nurse (RN), PreOp/PACU at SimonMed Imaging
Paris, Kentucky, USA - Full Time
Skills Needed
High Pressure Situations, Critical Thinking, Perioperative Nursing, Communication Skills
Specialization
Nursing (preferred
Qualification
Graduate
Nurse Manager, Labor and Delivery at Sutter Health
Antioch, CA 94509, USA - Full Time
Skills Needed
Operations, Team Building, Patient Care, Leadership Skills, Operational Requirements, Regulations, It
Qualification
Graduate
Experience Required
Minimum 8 year(s)
Clinical Nurse Coordinator NSICU at HCA Florida Largo Hospital
Largo, FL 33770, USA - Full Time
Skills Needed
Leadership, Cardiac Care, Patient Care, Medicine, Robotic Surgery, Kidney, Color, Critical Thinking, Florida, Communication Skills
Qualification
Diploma
Experience Required
Minimum 1 year(s)
Med-Surg Clinical Research Nurse at St Lukes University Health Network
Bethlehem, Pennsylvania, USA - Full Time
Skills Needed
Travel, Preparation, Reporting Requirements, Performance Improvement, Crfs, Maintenance, Organizational Management, It, Professional Conduct, Shipping, Documentation, Patient Care, Clinical Trials, Accountability, Liaison, Adverse Events, Training
Qualification
Graduate
Sr. Professional Staff Nurse, BSN at UPMC Pittsburgh Medical Center
Pittsburgh, PA 15215, USA - Full Time
Skills Needed
It, Life Support, Licensure, Tpp
Specialization
One year of graduation whichever comes first
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Women's Health Nurse Practitioner at Unified Womens Healthcare
Las Vegas, NV 89106, USA - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Progressive Care Registered Nurse at Methodist Hospital
San Antonio, TX 78229, USA - Full Time
Skills Needed
Texas, Patient Outcomes, Cardiology, Oncology, Access, Leadership, Nursing Process, Addition, Orthopedics, Thinking Skills, Color, Emergency Medicine, Development Programs, Accountability, Patient Care, Collaboration, Gynecology
Qualification
Graduate
Per Diem School Nurse (RN or LPN) at Horizon Healthcare Saffing
West Orange, NJ 07052, USA - Full Time
Skills Needed
Emergency Situations, Readiness
Qualification
Graduate
Registered Nurse - Operating Room at Novant Health
Wilmington, NC 28401, USA - Full Time
Skills Needed
It
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Registered Nurse Same Day Surgery at MUSC
Orangeburg, SC 29115, USA - Full Time
Skills Needed
Groups, Facts, Mobility, State Laws, Clear Vision, Aha, Manuals, Medical Equipment, Stressful Situations, Regulations, Color, Life Support, Consideration, Manual Dexterity, Federal Regulations, Patient Care, Injections
Qualification
Graduate
Registered Nurse RN - No Weekends at DaVita
Cambridge, MA 02138, USA - Full Time
Skills Needed
Outlook, Computer Skills
Qualification
Diploma
Emergency Department Charge Nurse at Novant Health
Hardeeville, SC 29927, USA - Full Time
Skills Needed
Civil Rights, Color, Legislation, It
Qualification
Graduate
Experience Required
Minimum 1 year(s)