• UM Charles Regional Medical Center (La Plata, MD)
    Details Client Name UM Charles Regional Medical Center Job Type Travel Offering Nursing Profession RN Specialty ICU Job ID 33106739 Job Title Registered Nurse ... - ICU @ University of Maryland Charles Regional Medical Center Weekly Pay $2063.2 Shift Details Shift Night...Duration 13 Week(s) Job Description Job Title: ICU Registered Nurse Profession: Registered Nurse Specialty: ICU Duration:… more
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  • AltaMed Health Services Corporation (Montebello, CA)
    …treatment plans for medical necessity and efficiency with coverage guidelines. The UM Nurse determines the medical appropriateness of inpatient and ... forward every day. Job Overview The LVN Utilization Management Nurse ( UM Nurse ) will provide...outpatient services following evaluation of medical guidelines and benefit determination. Minimum Requirements Current valid… more
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  • Sparrow Health System (Lansing, MI)
    …Lansing, MI Job Description General Purpose of Job : The Home Care Nurse provides direct nursing care, treatment, and health instructions to patients in their ... the position. Assess patient's condition and initiates appropriate nursing and/or medical care in accordance with established policies, physician orders and… more
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  • University of Maryland Medical System (Baltimore, MD)
    Company Description Join the UM Rehab Team! At UM Rehab, we offer an unparalleled opportunity to work in a setting that seamlessly blends elements of acute care, ... many other facilities are unable to accommodate. Why Join UM Rehab? Diverse & Challenging Cases: Gain invaluable experience...effectively in roles specific to unit (such as charge nurse , etc.). Accountable to patients and families for the… more
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  • Pyramid Consulting, Inc. (Houston, TX)
    Immediate need for a talented Clinical Review Nurse - Concurrent Review. This is a 06+months contract opportunity with long-term potential and is located in ... benefits include, but are not limited to, health insurance ( medical , dental, vision), 401(k) plan, and paid sick leave...as assigned, Complies with all policies and standards. The nurse will be reviewing about 20 cases a day… more
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  • University of Maryland Medical System (Bel Air, MD)
    …Hospital ( UM HMH), Havre de Grace, MD University of Maryland Upper Chesapeake Medical Center ( UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, ... Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern...Nurse (RN), Ortho Med Surg, Full-time, Nights 7pm-7am UM Upper Chesapeake Health, Bel Air, MD $5k Sign… more
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  • University of Maryland Medical System (Baltimore, MD)
    Company Description THE MEDICAL HEART OF MARYLAND Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of ... steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University… more
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  • University of Maryland Medical System (Upper Marlboro, MD)
    …in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center ( UM Capital Region Medical Center) will provide improved ... Company Description At UM Capital Region Health, we're about to changeUP...of group practice on the unit, and to the nurse manager for the totality of work performance. Serves… more
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  • University of Maryland Medical System (Towson, MD)
    Company Description When you come to the University of Maryland St. Joseph Medical Center, you're coming to more than simply a beautiful 37-acre, 218-bed suburban ... be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog...equitable, patient centered care. Qualifications Licensure as a Registered Nurse in the state of Maryland, or eligible to… more
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  • University of Maryland Medical System (Bel Air, MD)
    …Hospital ( UM HMH), Havre de Grace, MD University of Maryland Upper Chesapeake Medical Center ( UM UCMC), Bel Air, MD The Upper Chesapeake Health Foundation, ... supportive and stimulating environment. University of Maryland Upper Chesapeake Health ( UM UCH) offers the residents of northeastern Maryland an unparalleled… more
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  • AltaMed Health Services Corporation (Montebello, CA)
    …forward every day. Job Overview The Quality Specialist is a California licensed nurse responsible for collecting, analyzing, and mining quality data metrics, as per ... quality of care issues pertaining to all managed care activities (eg, UM , CM, Claims, Member Services, Appeals and Grievances, Credentialing, Provider Network)… more
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  • Insight (Coldwater, MI)
    medical necessity criteria, patient status and discharge criteria and assists UM team by relaying potential changes in medical necessity/appropriate patient ... Nurse Navigator - Outpatient Clinic Location : Coldwater,...through information gathered on the admission nursing database, electronic medical record (EMR) predictive analytics tools, and proactive case… more
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  • UnitedHealth Group (Hempstead, NY)
    …Consults with hospital physicians following notification of member transfer Collaborates with UM staff and PCPs/facility staff to enable medical necessity ... Have Not Previously Participated in this Program Home Base Medical Care, part of the Optum family of businesses,...of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our team… more
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  • The University of Miami (Miami, FL)
    …competenciesImplementation25%1.Ensures that each clinic is well prepared consisting of all medical records (print and electronic) are upto date with all pertinent ... a system that elevates any abnormal results(non-critical values)to the nurse who in turnwill contact the physician accordingly5.Ensures that patients… more
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  • University of Michigan (Ann Arbor, MI)
    …care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School ... Differential- $5.90 / hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour The benefit package includes: Excellent medical more
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  • University of Maryland Medical System (Baltimore, MD)
    …of Maryland Medical Center oncology transplant team, specifically within the UM Greenebaum Comprehensive Cancer Center consists of specialists in bone marrow and ... Company Description The University of Maryland Medical System (UMMS) is an academic private health...www.umms.org. Job Description We are seeing an Acute Care Nurse Practitioner (NP) or Physician Assistant (PA) to join… more
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  • Blue Cross Blue Shield of Arizona (Phoenix, AZ)
    …recommendations for innovation to existing clinical services to improve management of medical utilization and costs and using data to design, develop, and support ... assigned. Oversee and manage delegated services including the current offshore UM vendor (Accenture) and any future transitions of like-vendors. Provide leadership… more
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  • PIH Health (Los Angeles, CA)
    …Determines the medical necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care, ensuring ... Job Description The Utilization Management ( UM ) RN performs utilization review activities, including, but...Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician)… more
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  • LA Care Health Plan (Los Angeles, CA)
    …of care (inpatient vs. observation) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests ... for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active,… more
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  • Prospect Medical Holdings (Los Angeles, CA)
    …healthcare regulatory guidelines. Works closely with Physician Advisors and Medical Directors assigned to the Facility(s). Facilitates the Utilization Management ... communicated, and met. Reviews and distributes minutes to members of UM Committee. Collaborates effectively with clinical and administrative leadership, physicians,… more
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