• UM Specialist (LVN) - SNF - Sharp Extended…

    Sharp HealthCare (San Diego, CA)
    …Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care payers. **Essential ... under assigned workload one business day and assigns an LOS based on MCG, prior level of function, comorbidities, and discharge goals. Rounds and /or reviews with… more
    Sharp HealthCare (04/03/24)
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  • SHP Clinical Pharmacy Specialist…

    Marshfield Clinic (Marshfield, WI)
    …support the most exciting missions in the world!** **Job Title:** SHP Clinical Pharmacy Specialist - Temporary Position from Mid-May to Mid-August (Remote or Hybrid ... Option) **Cost Center:** 682891381 SHP- Pharmacy **Scheduled Weekly Hours:** 40 **Employee Type:** Temporary -...for individuals working in a managed care setting, no prior experience required. **Preferred/Optional:** Experience in a tertiary care… more
    Marshfield Clinic (04/27/24)
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  • Agile Product Management Senior Manager

    The Cigna Group (St. Louis, MO)
    …experience? If so, prepare to innovate, create, and inspire. The Technology Product Senior Manager (Agile Product Management Senior Manager ) will own one or more ... portfolio management for UM Core and Channel Services. You will be managing...of quality + Develop team(s) of Scrum Master, Project Manager , Technolgy Product Owner, and Business/Systems Analyst capacities +… more
    The Cigna Group (03/14/24)
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  • Registered Nurse-Utilization Manager

    EM Key Solutions, Inc. (Eglin AFB, FL)
    Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization Manager Onsite Position EM Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization ... covered benefits, and authorized surgery/medical procedures, laboratory, radiology and pharmacy . + Performs medical necessity review for planned inpatient and… more
    EM Key Solutions, Inc. (02/14/24)
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  • Behavioral Health Care Manager

    One Health (Sheridan, WY)
    …+ P erforms other duties as assigned or required with or without prior notification. MINIM UM JOB QUALIFICATIONS: E du c ation/Certificates/Licenses: Required ... clinic sites across Montana and Wyoming, One Health provides medical, dental, pharmacy , behavioral health, and community and public health services to rural… more
    One Health (04/11/24)
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  • Registered Nurse - Utilization Management

    ERP International (Tinker AFB, OK)
    …and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. * ... covered benefits, and authorized surgery/medical procedures, laboratory, radiology and pharmacy . * Reviews previous and present medical care practices for… more
    ERP International (04/20/24)
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