- Mindlance (Rochester, NY)
- Job Title: Travel Nurse / Registered Nurse Job Location: Rochester, NY Zip Code: 14647 Top 3/5 Skills: RN , UAS Assessments, NYS License Summary ... and health care services for members; The SN UAS Nurse may also perform other technical and administrative tasks...location in Upstate NY service area. Must to have: RN with valid and current NYS Nursing Licensure Valid… more
- The University of Vermont Health Network (Colchester, VT)
- …well as those of various managed care insurance plans.MINIMUM REQUIREMENTSState of Vermont Registered Nurse ( RN ) license required. The University of Vermont ... POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity...affirming compliance with CMS' Conditions of Participation regarding Utilization Management with annual review of the UM … more
- Ventura County (Ventura, CA)
- Medical Management Nurse Senior- UM , CM/DM, &/or QA (Updated) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4280743) Apply Medical ... Management Nurse Senior- UM , CM/DM, &/or...to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from… more
- CVS Health (Raleigh, NC)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and ... There is no travel expected with this position. This UM Nurse Consultant position is part of...supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical… more
- CVS Health (Columbus, OH)
- … function. Required Qualifications + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of residence ... to make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management ( UM ) Nurse Consultant role is fully remote and ... am- 6:00 pm in EST zone with rotating weekends and holidays. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process… more
- CVS Health (Tallahassee, FL)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and ... no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical...turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not… more
- CVS Health (Harrisburg, PA)
- …to make health care more personal, convenient and affordable. Position Summary: This Utilization Management ( UM ) Nurse Consultant role is fully remote and ... no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical...turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not… more
- CVS Health (Harrisburg, PA)
- …to make health care more personal, convenient and affordable. Position Summary: This Utilization Management ( UM ) Nurse Consultant role is 100% remote and the ... candidate can live in Pennsylvania. As a Utilization Management Nurse Consultant, you will utilize clinical...turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not… more
- AdventHealth (Altamonte Springs, FL)
- …: Remote **The role you'll contribute:** . The role of the Utilization Management ( UM ) Registered Nurse ( RN ) is to use clinical expertise by ... admission, treatment, and appropriate level of care. . The UM RN utilizes key clinical data points...communications to . resolve status disputes. . The Utilization Management Nurse is accountable for a designated… more
- Humana (Oklahoma City, OK)
- …an impact** **Required Qualifications:** + Must Reside in Oklahoma + An active Licensed Registered Nurse ( RN ), a licensed Master's Level Social Worker (LCSW, ... to removing barriers to helping people achieve their best health. The Utilization Management ( UM ) Nurse 2 uses clinical nursing skills to support the… more
- University of Virginia (Charlottesville, VA)
- Inpatient and Outpatient Setting. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. ... team to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective...care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia… more
- UPMC (Ebensburg, PA)
- …Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) **UPMC is an Equal Opportunity ... UPMC is hiring a casual registered Nurse for its Home Health...financially, and emotionally - including tuition reimbursement and discounted RN -to-BSN programs. + Receive mileage reimbursement (at the federal… more
- UPMC (Erie, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... UPMC Home Health is hiring a Hospice Registered Nurse to join its team...solutions. Proven ability to facilitate change. + Coordinates case management activities within a multi disciplinary health care team… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...Serves as advisor and consultant regarding development, implementation, and management of the MTF healthcare UM /RM activities.… more
- Molina Healthcare (Bronx, NY)
- …based on the severity of illness and the site of service. **We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Fallon Health (Worcester, MA)
- …more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. The UM Nurse uses a multidisciplinary approach to organize, coordinate, monitor, ... on selected complex medical and psychosocial needs of FH members and their families. The UM Nurse is responsible for assuring the receipt of high quality, cost… more
- Kepro (Richmond, VA)
- …Federal, State, or Local law. Requirements Required Qualifications/Experience: + Active unrestricted Registered Nurse ( RN ) license, Licensed Clinical Social ... join our growing team. Job Summary: Our Behavioral Health UM Clinical Reviewer ( RN , LCSW,LPC, and/or LBA)...Experience with Community Based Mental Health Services (eg Case Management , TDT, IIH, MHSS, IOP). + Experience with Crisis… more
- YesCare Corp (Brentwood, TN)
- …internet, medical records and other proprietary company/client systems. + Certificates and Licenses: Registered Nurse ( RN ) active license + Language Ability: ... program development, implementation, evaluation and reporting. + Work with other UM inpatient and outpatient nurse reviewers to assure proper treatment… more
- Molina Healthcare (Bronx, NY)
- …on the severity of illness and the site of service. **We are seeking a Registered Nurse with previous UM and** **inpatient experience along with knowledge ... leadership skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. + Must have… more
