- Daiichi Sankyo, Inc. (Chesapeake, VA)
- …driver's license with a driving record that meets company requirements Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact ... nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE...State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as… more
- 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
- Texas Health Resources (Arlington, TX)
- Director Utilization Management -Clinical Review _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for ... system services for wholly owned and Partner hospitals for utilization management . Job Duties OPERATIONS: Plans, organizes...3 years previous leadership experience required Licenses and Certifications RN - Registered Nurse Current… more
- Tufts Medicine (Burlington, MA)
- …in Nursing (BSN). 2.Massachusetts RN Licensure. 3. Current certification in case/ utilization management (ACM, CCM, CMAC) 4. Seven (7) years of UM/Case ... review and management . The position develops and leads the Utilization Management operations, strategy and implementation of the Utilization … more
- Commonwealth Care Alliance (Boston, MA)
- … Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. * Ensures that utilization management processes are integrated with care management … more
- Molina Healthcare (GA)
- …and experience. * At least 3 years health care management /leadership required. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse ( RN ). License must be active and… 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
- UTMB Health (Galveston, TX)
- …and reports trends of inappropriate resource utilization to Director /Assistant Director of Utilization Management . + Maintains a documentation system ... school of professional nursing and current Texas Nursing licensure as a professional registered nurse . Minimum of three years of full time wage earning… more
- Monte Nido (Miami, FL)
- …decrease peer to peer reviews. + Communicate emerging trends with insurance companies to Director of Utilization Management . + Maintain database of insurance ... providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote** **Monte Nido has been delivering… more
- Prime Healthcare (Inglewood, CA)
- …Workers, and Clinical Coordinators. This leader will oversee all facets of utilization management , discharge planning, and care coordination to ensure patients ... outcomes and reducing readmissions. #LI-CC2 Qualifications Required qualifications: 1. CA Registered Nurse 2. Bachelor's of Science in Nursing3. Grandfathered… 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
- Select Medical (Los Angeles, CA)
- …Multiple Traumas Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/340435/ director -of-case- management -%28registered- nurse %2c- rn ... hospitalization for their recovery. We are currently seeking a ** Director of Case Management - RN...to build consensus among multiple disciplines. **Qualifications** **Qualifications** + Registered Nurse ( RN ) or Licensed… more
- Banner Health (Sterling, CO)
- …or admiring unique public art. Sterling Regional MedCenter is looking for a full-time Registered Nurse Associate Director to lead the Emergency Department in ... 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 (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
- St. Luke's University Health Network (Quakertown, 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
- St. Luke's University Health Network (Orwigsburg, 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 (Torrington, WY)
- …of recreational opportunities. Torrington Community Hospital is looking for a full-time RN Associate Director to lead the Emergency department in Torrington, ... 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
- McLaren Health Care (Flint, MI)
- 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
- AdventHealth (Killeen, TX)
- …Higher Required + 2 years Registered Nurse Work Experience Required + Registered Nurse ( RN ) License Required **Preferred qualifications:** + 5 years ... satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily...Registered Nurse Work Experience Preferred + Certified Case Manager (CCM)… more
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