- Apex Health Solutions (Houston, TX)
- …requests for a review determination by the UM Reviewer, Medical Management Manager ( UM Manager ) and/or Health Solutions Medical Director. Drafting and ... Job Title: UM Analyst Department: Medical Management Supervisor (s): UM Supervisor or Manager of Medical Management Summary Utilization Management ( UM )… more
- Sharp HealthCare (San Diego, CA)
- …Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized Patient Placement Center (CPPC) RN's ... End Time** Bachelor's Degree; Associate's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse… more
- Apex Health Solutions (Houston, TX)
- …requests for a review determination by the UM Reviewer, Medical Management Manager ( UM Manager ) and/or Health Solutions Medical Director. Drafting and ... Job Title: Coordinator, Utilization Management Department: Medical Management Supervisor: UM Supervisor/ Manager , Medical Management The Utilization Management… more
- Elevance Health (Chicago, IL)
- …you for payment as part of consideration for employment. **Director of Medical Mgmt, Post Acute Care UM ** + Job Family: MED > Licensed Nurse + Type: Full time + ... is a benefit-management leader in Illinois. Our platform delivers significant cost-of- care savings across an expanding set of clinical domains, including radiology,… more
- InnovaCare (San Juan, PR)
- …Management Inpatient Coordinator.14. Prepares and submits to the Health Services Department / UM Medical Care Manager a monthly report of activities ... the position as requested by the Health Services Department Inpatient Medical Care Manager .18. Documents the discharge data in the Daily Census module MedHOK… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...or follow us on Facebook, Twitter and LinkedIn. The UM Nurse uses a multidisciplinary approach to organize, coordinate,… more
- Ventura County (Ventura, CA)
- …in a Managed Health Care Plan; + Experience working as a case manager in a health plan case managing complex cases; + Demonstrated experience in the ... Medical Management Nurse Senior- UM , CM/DM, &/or QA (Updated) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4280743) Apply Medical Management… more
- LifePoint Health (Las Cruces, NM)
- …local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** *RN Case Manager - UM - PRN* **Location:** *New Mexico-Las Cruces* ... Memorial Medical Center is a 199-bed hospital offering a spectrum of care , including diagnostic, therapeutic, and rehabilitative services, both on an inpatient and… more
- YesCare Corp (Brentwood, TN)
- …appropriate time. + Communicate and document any issues relating to the outpatient/inpatient UM process to the Manager of Utilization Management. + Assist with ... case management, quality management. Experience with InterQual and/or Milliman Care guidelines preferred. Strong organizational and time management skills. +… more
- Elevance Health (Columbus, OH)
- …for payment as part of consideration for employment. **Managing Medical Director, UM Clinical Operations** + Job Family: MED > Licensed Physician/Doctor/Dentist + ... is a benefit-management leader in Illinois. Our platform delivers significant cost-of- care savings across an expanding set of clinical domains, including radiology,… more
- University of Miami (Miami, FL)
- …Recovery Coordinator 1 to work in Miami, FL. The Recovery Coordinator 1 ( UM LAORA) assists in the recovery, packaging, preservation and transportation of cadaveric ... clinical information that may be relevant to donation process to AOC and/or LAORA Manager , Organ Procurement in a timely manner. + On-call duties for Donor Referral… more
- Elevance Health (Tampa, FL)
- …a check, or ask you for payment as part of consideration for employment. ** UM Medical Director - Physical Medicine and Rehabilitation** + Job Family: MED > Licensed ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more
- Ciena Healthcare (Detroit, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... **Vent Unit Manager ** Are you an RN looking for a...nursing home guests. At Ciena Healthcare, we take care of you too, with an attractive benefit package… more
- Ciena Healthcare (Escanaba, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... nursing home guests. At Ciena Healthcare, we take care of you too, with an attractive benefit package including: + Competitive pay, + Life Insurance, + 401K with… more
- Ciena Healthcare (Galesburg, MI)
- …a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education for ... can help shape a legacy? **Responsibilities** + Supervises nursing care provided by Registered Nurses (RN), Licensed Practical Nurses...the systems which facilitate the delivery of quality guest care and performance of staff. + Uses a systematic… more
- Ciena Healthcare (Pittsboro, NC)
- **Registered Nurse (RN) Unit Manager $5000 Retention Bonus!!** Are you an experienced RN with a passion for leading and teaching other skilled nursing staff? The RN ... Shift Supervisor provides, plans, coordinates or manages nursing care and health education for nursing home residents. +...of the RN shift supervisor include: + Supervises nursing care provided by Registered Nurses, Licensed Practical Nurses and… more
- Sharp HealthCare (San Diego, CA)
- …& Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care payers. ... **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are confined to skilled nursing facilities (SNF) in… more
- Universal Health Services (Riverside, CA)
- …healthcare.Riverside Medical Clinic is the best place to work, practice medicine, and receive care . SUMMARY: Manager with a health care system development ... the organization will be responsible for improving membership retention, quality of care , health outcomes, and regulatory compliance, and utilization of services as… more
- LA Care Health Plan (Los Angeles, CA)
- …needs of LA Care 's culturally diverse membership. The position supports the UM Manager /Director. This role also assists UM Educator/ Manager /Director ... ( UM ) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff's responsibilities and… more
- University of Miami (Miami, FL)
- …. The Hussman Institute has an exciting opportunity for a Manager , Research Laboratory position. The incumbent oversees the day-to-day operations of ... field + Minimum 5 years of relevant experience Department Specific Functions: The Manager , Research Laboratory of the Hussman Institute for Human Genomics (HIHG) is… more