- ERP International (Tinker AFB, OK)
- …ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in support of ... 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
- Sharp HealthCare (San Diego, CA)
- …Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... care and supports other members of the System Centralized Utilization Management team to ensure final status...clinical experience as defined by the CBA + California Registered Nurse ( RN ) - CA… more
- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a full-time Utilization Management Coordinator (MSW, MFT, MA, RN ) for the Utilization Management ... psychiatric care facility located in south Sacramento, is a full -service mental health facility and a center of support...emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN ) is… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to...or transfer into the position. + NJ State Professional Registered Nurse License required. + AHA Basic… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. 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...- Ability to manage multiple priorities, effective organizational and time management skills required - Ability use… 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...- Ability to manage multiple priorities, effective organizational and time management skills required - Ability to… 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...member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN (Outpatient) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… 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
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management ... rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures...make an impact** **Required Qualifications** + Active unrestricted Licensed Registered Nurse , ( RN ), in your… more
- Hackensack Meridian Health (Edison, NJ)
- **Overview** The Care Management , Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... Licenses and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. AHA Basic Health… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN ... Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11213 Salary Range: ... 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
- Universal Health Services (Philadelphia, PA)
- …co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team. Utilization ... (UM) Coordinator Position Fairmount Behavioral Health System is seeking a Utilization Management (UM) Coordinator to reviews patient medical records to… more
- AdventHealth (Tampa, FL)
- …Inpatient visits. The UM Specialist is responsible for providing clerical assistance to the Utilization Management Nurses (UM RN ) to assist with verification ... while understanding that **together** we are even better. **Schedule:** Full Time **Shift** : Days **The community...a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the… more
- CVS Health (Phoenix, AZ)
- …state of Arizona or Compact RN licensure Preferred Qualifications: + Utilization management experience preferred. + Acute care setting experience preferred + ... Working hours will be 8am-5pm Monday - Friday (Arizona Time ). Must be willing and able to work on...to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and… more
- Trinity Health (Albany, NY)
- … RN to work as a Registered Professional Utilization Management Nurse (UMRN) full time evenings. M-F 8hr shifts The team is willing to help ... **Employment Type:** Full time **Shift:** Evening Shift **Description:**...selected candidate will** : + Be responsible for the utilization management , both concurrent and retroactive for… more
- Ascension Health (Austin, TX)
- **Details** + **Department:** Case Management + **Schedule:** Full Time Day Shift + **Hospital:** Network Services + **Location:** Seton Administrative ... Provide strategic direction and oversight of the day-to-day operations of utilization management function within the insurance plan. + Ensure… more
- Prime Healthcare (Ontario, CA)
- …- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc LocationUS-CA-Ontario ID2024-160505 CategoryDirector ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Responsibilities The Corporate Director of Clinical Utilization Management (UM) provides comprehensive… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in KY,… more
- Humana (Columbus, OH)
- …and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) with no… more