- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds...background. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director , Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical ... with time sensitive requirements. + Support and grow the utilization management team through strong professional relationships,...Essential Qualifications + Active and unrestricted license as a Registered Nurse ( RN ). + Bachelor's… more
- UNC Health Care (Morrisville, NC)
- …and well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and ... operational leader responsible for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a… more
- Commonwealth Care Alliance (Boston, MA)
- …Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... of service decisions and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of … more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical ... and other health team members. Submits all concerns through Utilization Management Director ; be able...Management is required. Full time employment as a registered nurse within the last 36 months… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Banner Health (Susanville, CA)
- …area. (https://youtu.be/sTPoc9EbJ\_Y) Banner Lassen Medical Center is looking for a full-time Registered Nurse Associate Director to lead the emergency ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse ( RN ) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound ... select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:**… more
- St. Luke's University Health Network (Coaldale, PA)
- …, including but not limited to: RN care managers, assistants, coordinators, utilization management staff, and director . + Facilitates communication among ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the… more
- Banner Health (Scottsdale, AZ)
- …for a Fulltime Monday-Friday Varied Shift Opening for the Adolescent Unit!** As an Associate RN Director , you will lead a team that works in an acute behavioral ... the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change...improvement initiatives of the department in conjunction with the director . Seeks and utilizes input from staff and oversees… more
- Banner Health (Page, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... our community in picturesque Page, Arizona. As an Associate Director at Banner Page, you will have direct oversight...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical Case Manager* PRN * * *Your experience matters* At Frye Regional Medical Center, we are driven by a profound commitment to ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...level-of-care placement. * Uses EMR and MCG Criteria for utilization management and quality screening. * Identifies… more
- St. Luke's University Health Network (Lehighton, PA)
- …management , including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director . + Facilitates ... a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager...of Pennsylvania or seeking Pennsylvania licensure through reciprocity. NJ RN licensure required for Warren Campus. Advanced degree preferred.… more
- AdventHealth (La Grange, IL)
- …resolution skills . Teamwork principles **EDUCATION AND EXPERIENCE REQUIRED:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) . ... documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- HCA Healthcare (Miami, FL)
- **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Case Manager PRN you want with your current employer? We ... of colleagues. Do you want to work as a(an) Registered Nurse RN Case Manager...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...Length of Stay (GLOS) for each patient. Reports to: Director of Case Management ESSENTIAL FUNCTIONS .… more
- AdventHealth (Hinsdale, IL)
- …Planning + Conflict management and resolution skills + Teamwork principles + Registered Nurse ( RN ) Required + Certified Case Manager (CCM) Preferred ... documents avoidable days, and facilitates progression of care. + Collaborates with Utilization Management staff for collaboration on patient status changes and… more
- Horizon Services, Inc. (Albuquerque, NM)
- …collective experiences enrich each other's growth. This position, which must be held by a Registered Nurse ( RN ), serves as the clinical and operational lead ... with the Horizon leadership team and the program's Medical Director , the RN drives clinical excellence, promotes...Medical Center. What else is required? + New Mexico Registered Nurse ( RN ) + 3+… more
- Penn State Health (Camp Hill, PA)
- …status, and family medical or genetic information._ **Position** Practice Site Manager RN Registered Nurse - Specialty Services **Location** US:PA:Camp Hill ... + Five (5) years of related experience required. + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN … more
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