- Pacer Staffing (Atlanta, GA)
- …processes and techniques for measuring outcomes. Education & Experience Required: . Registered Nurse , with current unrestricted license in appropriate state . ... Job Summary This individual contributor position reports to the Directors of Utilization Management ( UM ) and Referral Management (RM) and supports both RM and UM … more
- Staffing Now (Carson City, NV)
- …quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. Performs psychiatric and substance abuse or ... an equivalent background. Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more
- Accounting Now (Carson City, NV)
- …quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contractPerforms psychiatric and substance abuse or substance ... provide an equivalent backgroundCurrent active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more
- Molina Healthcare (New York, NY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... with data collection/reports** **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **NY… more
- LifePoint Health (Las Cruces, NM)
- …Professionals or InterQual is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or ACM desired. *_EEOC Statement_*: ... local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** * RN Case Manager - UM - PRN*...Medical Center* **Title:** * RN Case Manager - UM - PRN* **Location:** *New Mexico-Las Cruces* **Requisition ID:**… more
- ERP International (Corpus Christi, TX)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** **Utilization Manager** for a full-time position in support of the **Naval Health ... Program (UMP) and ensure that the UMP meets established Utilization Management ( UM ) standards of care. Assist in coordinating a multidisciplinary team to meet… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care, Pre-Transplant RN Coordinator (Adult Kidney and Liver Programs) Apply Now **Mission Statement** Michigan Medicine ... employer. **Job Detail** **Job Opening ID** 254551 **Working Title** REGISTERED NURSE : Ambulatory Care, Pre-Transplant RN Coordinator (Adult Kidney and… more
- United Methodist Communities (Camden, NJ)
- …| Camden, NJ, USA | Hourly | Per Diem RN : Registered Nurse UMC -...and orientation process is quick and easy Abo ut UM C: + Our Mission is to serve our ... have flexibility to work as little or as much as you choose. Requirements for an RN : Registered Nurse : + Cover an open shift as assigned and agreed upon +… more
- ProMedica Health System (Sylvania, OH)
- …applicable nursing experience License: A current, active, and unrestricted licensure as a Registered Nurse in the state of practice is required. Certification: ... Position Summary: The RN Acute Care Navigator is responsible for direct...Care Coordination Plan, updates as appropriate. 12. Collaborates with UM team, as appropriate and applies clinical understanding of… more
- United Methodist Communities (Collingswood, NJ)
- 75 per visit | Posted 06-Sep-2024 (EST) | Collingswood, NJ, USA | Other | Per Diem RN : Registered Nurse - Home Care Visiting Nurse Serving clients in ... Streamlined orientation process + Supportive and encouraging team! Requirements: RN 's must be Covid vaccinated and boosted and have...and valid Driver's License is also required. Abou t UM C: + Our Mission is to serve our… more
- Molina Healthcare (Long Beach, CA)
- …interpersonal skills **Job Qualifications** **Required Education:** Completion of an accredited Registered Nurse ( RN ) Program **Required Experience:** + ... Marketplace programs. **We are seeking a candidate with a RN license and UM experience. Prior Case...Review experience **Required Licensure or Certification:** Active, unrestricted State Registered Nurse ( RN ) License in… more
- Ciena Healthcare (Ovid, MI)
- …and strong teamwork abilities. Responsibilities + Supervises nursing care provided by Registered Nurses ( RN ), Licensed Practical Nurses (LPN), Certified Nursing ... We hope to see you there! Are you an RN looking for a leadership role? Do you have...for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing… more
- Elevance Health (Indianapolis, IN)
- …- 5pm. Weekend rotation coverage once every 8-9 weeks is required.** The Nurse Medical Management I is responsible to collaborate with healthcare providers and ... requirements and standards. **Required Qualifications** + Requires current active unrestricted RN license to practice as a health professional within the scope… more
- Point32Health (Canton, MA)
- …Mentor staff **Qualifications - what you need to perform the job** Registered Nurse , Leadership experience. Health Plan experience preferred **Compensation & ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Manage UM Clinicians in day to day operations of the... Clinicians in day to day operations of the UM Process **Key** **Responsibilities/Duties** **- what you will be… more
- Centers Plan for Healthy Living (Margate, FL)
- …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... UM Clinical Reviewer 5297 W Copans Rd, Margate,...education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +… more
- Magellan Health Services (Honolulu, HI)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience… more
- The Arora Group (Twentynine Palms, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager near Palm Springs, California, to provide care to ... 80 hours per two week period. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...monitoring. + Integrate case management (CM) with utilization management ( UM ) and disease management as needed. Integrate nursing case… more
- The Arora Group (Coronado, CA)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager in Coronado, California, to work at Coronado Naval ... - Fri between 7:30AM - 8:00PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- ManpowerGroup (Columbia, SC)
- …the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, active, ... **Title:** **Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3...We are looking for a " **Managed Care Coordinator UM II** "to join one of our Fortune 500… more
- Kepro (AR)
- …deliverables and provide day-to-day oversight to manage multiple areas of the UM program and oversee the implementation of clinical contract requirements and ... Medicaid rules and regulations. Job Responsibilities: + Responsible for UM reviews such as: Inpatient (Under 21) and Outpatient...+ Active, unrestricted Licensed in one of the following: RN in Arkansas or compact state, Social Work, Licensed… more
