- Humana (Columbus, OH)
- …health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge ... and Utilization Management experience. The Utilization Management Behavioral Health Nurse ...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in ... may include but are not limited to** : Provides Utilization Management activities and functions by using...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… 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 ... Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval...- Fri between 7AM - 6PM. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):… 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 ):...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- The Arora Group (Goose Creek, SC)
- Registered Nurse Case Manager - Lead Nurse Currently recruiting a Registered Nurse Case Manager - Lead to work in the Medical Home Port Clinic at ... leave, plus paid 10 federal holidays. DUTIES OF THE REGISTERED NURSE CASE MANAGER - LEAD INCLUDE:...and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case… more
- The Arora Group (Mayport, FL)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Mayport, Florida to provide care to active duty American ... Medical Home Port at Naval Branch Health Clinic Mayport. Registered Nurse Case Manager is full-time position,...databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case… more
- Fenway Health (Boston, MA)
- …MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+02215) * Nursing Job Type Full-time Description As a Registered Nurse ( RN ) at Fenway Health you ... principles, and the patient's subjective experiences. + Conducts virtual, telephonic , or in-person nurse assessment and triage...+ Education: Associate degree in nursing + Current Massachusetts Registered Nurse ( RN ) license degree… more
- ERP International (Camp Pendleton, CA)
- …(CRRN),(COHN), (ACCC), (CRC), ( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses ... **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- ERP International (Hill AFB, UT)
- **Overview** ERP International is seeking a ** Registered Nurse - Case Manager ( RN )** for a full-time position supportingHill AFB, UT ... algorithms, CM software, and databases for community resources. + Integrate CM and utilization management (UM) and integrating nursing case management with… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Adecco US, Inc. (Dallas, TX)
- We are seeking an experienced Utilization Management RN to...and being a team player is a must! The Utilization Management Nurse will provide ... courses of outpatient. The nurse will use clinical judgement, utilization management , application of product benefits, understanding of regulatory… more
- Universal Health Services (Conway, SC)
- …is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a 105-bed, ... care, CD Rehab and intensive outpatient programs. Benefits for UR- Registered Nurse ( RN ) include: +...clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred.… more
- Dignity Health (Santa Maria, CA)
- …responsible for providing telephonic clinical assessment health education and utilization management services to a variety of patients. **Qualifications** ... acute care or ambulatory care medical clinic required BLS ; REGISTERED NURSE ( RN ) Excellent interpersonal... Nursing / BSN Familiarity with an electronic practice management system is preferred **Pay Range** $46.89 - $68.77… more
- Actalent (Riverside, CA)
- …of recent (in the last 1-3 years) Case Management experience for Riverside. Registered Nurse - RN Experience Level: Entry Level About Actalent Actalent ... *Float department (if needed): Special Needs Department (SNP), provide telephonic case management *Certificates required: RN...complies with the scope of services defined by the Registered Nurse RN state licensure… more
- Gentiva (Jackson, TN)
- …+ Good problem-solving skills + Good time management skills **We Offer** **As a Registered Nurse / RN , you will be eligible for:** + Competitive Pay ... designated teams and functions as an interdisciplinary advanced illness management and support, along with telephonic , video,..., video, and in person interventions afterhours. **As a Registered Nurse / RN , you… more
- CVS Health (Tallahassee, FL)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...management function. Required Qualifications: - Must be an RN with active current and unrestricted RN … more
- CVS Health (Harrisburg, PA)
- …live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant...Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence - 3+ years… more
- CVS Health (Harrisburg, PA)
- …Consultant role is 100% remote and the candidate can live in Pennsylvania. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... Enhanced Care Management Clinical Specialist II ( RN or...care with internal LA Care departments such as Care Management (CM), Utilization Management (UM),… more