- University of Maryland Medical System (Glen Burnie, MD)
- Company Description Experience the highest level of appreciation at UM Baltimore Washington Medical Center - named Top Workplace in the Baltimore area by The ... is one of three ANCC Pathway to Excellence(R) designated hospitals in Maryland. UM BWMC features one of the state's busiest emergency departments, as well as… more
- University of Maryland Medical System (La Plata, MD)
- Company Description Licensed Practical Nurse (LPN) - Emergency Department (ED) Full-time / Mid-Shift (3:00pm-3:00am) UM Charles Regional - La Plata, MD NOW ... OFFERING up to $5,000 Sign-On Bonus!! Join UM Charles Regional Medical Center, a proud member of...growth! Job Description Functioning under moderate supervision, the Clinical Nurse II is, at minimum, a competent practitioner. This… more
- University of Maryland Medical System (Glen Burnie, MD)
- Company Description Experience the highest level of appreciation at UM Baltimore Washington Medical Center - named Top Workplace in the Baltimore area by The ... three ANCC Pathway to Excellence(R) designated hospitals in Maryland. UM BWMC features one of the state's busiest emergency...who have greater than (>) 12 months experience. This nurse will be competent in the skills/knowledge required and… more
- University of Maryland Medical System (Bel Air, MD)
- Company Description University of Maryland Upper Chesapeake Health ( UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical ... as a resource for health promotion and education. Today, UM UCH is the leading health care system and...largest private employer in Harford County. Job Description Registered Nurse (RN), Observation Unit, Up to 15k Sign On… more
- UnitedHealth Group (Brooklyn, NY)
- …Home Base Medical Care, part of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our team in Brooklyn, NY. Optum is a ... with hospital physicians following notification of member transfer Collaborates with UM staff and PCPs/facility staff to enable medical necessity determinations for… more
- University of Maryland Medical System (Towson, MD)
- …professionals means you'll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ... in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland....equitable, patient centered care. Qualifications Licensure as a Registered Nurse in the state of Maryland, or eligible to… more
- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- Job Details The Utilization Management Nurse is responsible assure cost effective, quality utilization management in the acute level of care setting for the ... to review clinical information provided by facilities and communicates UM determinations maintaining timeliness. Job Description Primary Responsibilities: Review and… more
- HealthCare Partners (Garden City, NY)
- …We are currently seeking a Case Manager! Position Summary : The role of the Nurse Case Manager is to engage members enrolled in case management to provide care ... NYS RN license required BSN preferred Experience: Previous experience in UM and case management/care coordination Experience with patient/family education Minimum of… more
- University of Maryland Medical System (Bel Air, MD)
- Company Description University of Maryland Upper Chesapeake Health ( UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical ... as a resource for health promotion and education. Today, UM UCH is the leading health care system and...MBON approved course prepares you to safely perform delegated nurse functions with clients of any age and various… more
- Regal Medical Group, Inc. (Northridge, CA)
- …Prior Authorization Clinical RN is to manage the prior authorization nurse case managers and support staff (coordinators), professional claims review nurses ... and UM compliance staff to promote quality, cost effectiveness medical...as needed/required. Communicates effectively and functions as liaison between nurse and physician reviewers, medical directors, coordinators, PCP and… more
- UHS (Riverside, CA)
- Responsibilities SUMMARY: The Delegation Oversight Nurse performs activities to assure compliance with Health Plan requirements. The Nurse will manage activities ... and accrediting requirements and health plan requirements. The Delegation Oversight Nurse works closely with business leaders in the development and implementation… more
- Zenex Partners (Sacramento, CA)
- Description Job Opportunity: Registered Nurse - Case Manager Facility: Sutter Health S3 SHSO SOPS SMF SPMF 2300 River Plaza Location: Sacramento, CA Employment Type: ... would have a day off during the week This position facilitates utilization management ( UM ) processes to support that the right care is provided at the right place… more
- Alura Workforce Solutions (Rancho Cucamonga, CA)
- POSITION UM Inpatient & Specialty Position Type: Temporary Schedule : M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly Longer. DESCRIPTION ... Under the general direction of the Supervisor, UM Inpatient & Specialty - CCA, the Coordinator...additional information as requested by the Integrated Transitional Care Nurse . This position requires that one be organized with… more
- Regal Medical Group, Inc. (San Bernardino, CA)
- …a working relationship with PACM colleagues, the pre-auth coordinator team, high- risk nurse case managers, inpatient nurse case managers, medical directors, and ... When necessary, act as liaison between the case managers, UM coordinators, contracted providers (PCPs/specialists/ancillary), and the members/families. Perform case… more
- Children's Health (Dallas, TX)
- …a brighter and healthier future for all. Summary: The Prospective Review Nurse is responsible for conducting utilization review of scheduled inpatient services ... with the Physician Advisor during the review process. The Prospective Review Nurse will work collaboratively with Utilization Management Nurses to monitor and… more
- UPMC Senior Communities (Altoona, PA)
- …INCLUDING BLAIR, BEDFORD, CAMBRIA, SOMERSET, HUNTINGDON, MIFFLIN, AND CENTRE. Are you a nurse looking for a rewarding career where you can provide direct, one-on-one ... Earn a premium shift incentive and experience various settings as a resource nurse that floats to various locations. Care for your total well-being with UPMC's… more
- Boston Childrens Hospital (Boston, MA)
- Job Posting Description Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission to assess for ... Management) preferred. Licensure/ Certifications: Current Massachusetts license as a Registered Nurse (RN) A certification as a Certified Case Manager (or other… more
- St. Francis Health Services (St. Francis, WI)
- …Right Choicefor you! We are now accepting applications for a Unit Manager (RN)! TEXT: UM RN STF to ### to Apply Trust, engagement, competence, respect and passion - ... *Current license to practice in the State as an RN (Registered Nurse ) *Must have and maintain current CPR certification *Previous supervisory experience *1-year… more
- UnitedHealth Group (Phoenix, AZ)
- …meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers Maintain proficiency in all required ... are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer… more
- Molina Healthcare (Long Beach, CA)
- …appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership ... the Chief Medical Officer. Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial… more
