- Apex Health Solutions (Houston, TX)
- Job Title: UM Analyst Department: Medical Management Supervisor (s): UM Supervisor or Manager of Medical Management Summary Utilization Management ( UM ) ... leadership in ensuring regulatory compliance, accuracy, and consistency of UM processes. The Utilization Management Analyst will maintain standard compliance… more
- UPMC (Altoona, PA)
- …+ Establishes the plan of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and patient needs. + ... reimbursed at the federal mileage reimbursement rate. As a Professional Staff Nurse at UPMC Home Healthcare, you will...through approved Universities. + A generous vacation accrual The Professional Staff Nurse is a valued step in the… more
- UPMC (Altoona, PA)
- …Establishes the plan of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and patient needs. ... your career with a career ladder designed for your professional advancement. + Make your career work for you...of the health care team. Role models assertive and professional communication strategies and holds peers accountable for similar… more
- Apex Health Solutions (Houston, TX)
- …Coordinator, Utilization Management Department: Medical Management Supervisor: UM Supervisor/Manager, Medical Management The Utilization Management Coordinator ... and members for the utilization review (UR) of healthcare services. The UM Specialist works within prescribed guidelines and procedures; uses independent judgment… more
- UPMC (Ebensburg, PA)
- …+ Establishes the plan of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and patient needs. + ... care. + Grow your career with a career ladder designed for your professional development. + Achieve your career goals with nursing leadership opportunities. + Make… more
- UPMC (West Mifflin, PA)
- …Establishes the plan of care in collaboration with the physician, patient, and UM Professional in accordance with the physician's orders and patient needs. ... other duties as assigned. Graduate of an accredited school of professional nursing required. BSN preferred. , UPMC offers a variety of… more
- UPMC (Seven Fields, PA)
- …+ Establishes the plan of care in collaboration with the physician, patient and UM professional in accordance with the physician orders and patient needs and ... a few of our perks. Apply today! **Purpose:** Provide age sensitive professional physical therapy care in the home setting including admission visits, evaluation,… more
- UPMC (Erie, PA)
- …+ Establishes the plan of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and patient needs. + ... national certification preferred. + Current licensure as a Registered Professional Nurse either in the state where the facility...days of hire + Current licensure as a Registered Professional Nurse either in the state where the facility… more
- UPMC (West Mifflin, PA)
- …+ Establishes the plan of care in collaboration with the physician, patient, and UM professional in accordance with the physician's orders and patient needs and ... invite you to explore this opportunity with us today. Provide age-sensitive professional physical therapy care in the home setting including admission visits,… more
- UPMC (Hermitage, PA)
- …+ Establishes the plan of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and patient needs. ... the agency + Graduate of an accredit school of professional nursing required. + Bachelor's degree preferred. + UPMC...national certification preferred. + Current licensure as a Registered Professional Nurse either in the state where the facility… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The UM Resource Coord-SCMG serves as a resource to the various teams in the SCMG ... UM Department. Prepares referral requests for outpatient services, elective...of designated average volume of referrals per day. + Professional DevelopmentKeep current knowledge and understanding of applicable accreditation… more
- Sharp HealthCare (San Diego, CA)
- …by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care ... Integrated Care Management (ICM) team the Transfer and Admissions Utilization Manager ( UM ) partners with the Centralized Patient Placement Center (CPPC) RN's to… more
- YesCare Corp (Brentwood, TN)
- …management program development, implementation, evaluation and reporting. + Work with other UM inpatient and outpatient nurse reviewers to assure proper treatment in ... appropriate time. + Communicate and document any issues relating to the outpatient/inpatient UM process to the Manager of Utilization Management. + Assist with the… 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 QA (Updated) Salary $103,388.98 - $123,616.69...TRAINING, and EXPERIENCE: Requires three (3) years of full-time professional registered nursing experience, including two (2) years of… more
- Humana (Columbus, OH)
- …directs, coordinates, evaluates, develops, delivers training and education programs for professional nursing personnel. The RN, Nursing Educator 2 work assignments ... and plans for new associate orientation, ongoing training, and professional development. Training programs may include, but not be...for new nurses. + Facilitates process update training for UM nurses. + Develops programs to improve UM… more
- Elevance Health (Chicago, IL)
- …payment as part of consideration for employment. **Director of Medical Mgmt, Post Acute Care UM ** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... background. Current active unrestricted RN license to practice as a health professional within the scope of practice in applicable state(s) or territory of… more
- Kepro (Richmond, VA)
- …partner for health solutions in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer (PRN, Remote within Virginia) with an active RN, LCSW, LPC, ... and/or LBA to join our growing team. Job Summary: Our Behavioral Health UM Clinical Reviewer (RN, LCSW,LPC, and/or LBA) will use clinical expertise to review medical… more
- Humana (Columbus, OH)
- …Coordinator 2 who contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex ... caring, Curious and Committed? If so, apply today! The UM Administration Coordinator 2 + Provides non-clinical support for...change lives. + Where every associate can build a professional path where they learn and thrive. + Through… 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 + ... management clinical operations business inside a health plan or a UM /benefits management firm. -Proven experience leading change management initiatives -Experience… more
- USAA (MD)
- …us so special! **The Opportunity** We are seeking a dedicated Trial Attorney (BI/ UM ) for our Washington, MD staff counsel law office location. In this position, ... defense including liability and damages. + Substantial experience defending first party BI/ UM claims. + Experience preparing reports and memos for Claims including… more