- UPMC (Pittsburgh, PA)
- …Clearances: + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act 34 *Current licensure either in ... Preference will be given to candidates with a Pennsylvania RN license. The Utilization Management ( UM...clinicians, physicians, and UPMC Health Plan care managers and Medical Directors as part of the member treatment team.… more
- Dignity Health (Bakersfield, CA)
- …experience. - Graduate of an accredited RN Program. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of nursing theory and ability to ... **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial...line with CommonSpirit's values. You will function as a UM nurse reviewer, applying clinical expertise to… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management ( UM ) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical… more
- Highmark Health (Harrisburg, PA)
- …in a clinical setting **Preferred** + Experience in UM /CM/QA/Managed Care + Medical /Surgical experience + Utilization Management ( UM ) or (UR) Utilization ... **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health care services,… more
- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... patients' plans of care in collaboration with physicians, patients, and utilization management ( UM ) professionals to meet physicians' orders and patients' needs.… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Decentralized Float: Surgical Specialties Clinics) Apply Now **Mission Statement** Michigan Medicine improves the ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the...health care/community services to promote continuity of care. The Registered Nurse in the Surgical Specialties clinics… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Psychiatric Emergency Services) Apply Now **Job Summary** Provide clinical leadership in the nursing care of individuals, ... Clinical Nursing Supervisor, Manager of the Psychiatric Emergency Department, Medical Director of PES and has a functional relationship... Nurse Recruitment at ###. **Required Qualifications Active Registered Nurse licensure in the State of… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Ambulatory Care Nurse Resource Pool-Surgical Specialties) Apply Now **How to Apply** This is a "multiple-fill" ... and pediatric Surgical Specialty patients in multiple Surgical Specialty ACU?s. The Registered Nurse demonstrates adaptability to changing needs and priorities… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Von Voigtlander Womens Hospital) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the...###. **Required Qualifications + License to practice as a Registered Nurse in the State of Michigan… more
- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/ ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management ( UM ) program for all TRICARE eligible...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager** in support of the 1st Special Operations Medical Group at ... Management Specialist (CDMS) Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) American Board for Occupational Health… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (5A Ortho/Trauma Surgical Unit) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... opportunity employer. **Job Detail** **Job Opening ID** 263217 **Working Title** REGISTERED NURSE : University Hospital (5A Ortho/Trauma Surgical Unit) **Job… more
- Ivyhill Technologies LLC (Bethesda, MD)
- … management process and the RM Team. Requirements Qualified candidate must be a Licensed Registered Nurse ( RN ), with an unencumbered active RN license ... Ivyhill is currently seeking to hire a Registered Nurse (Non-Practicing) to support its...management systems. Will conduct reviews for capacity, capability, medical necessary, deferral to network, and right of first… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE / FLIGHT NURSE SPECIALIST : University Hospital (Survival Flight) Apply Now **How to Apply** This is a "multiple-fill" job opening: A total ... employment opportunity employer. **Job Detail** **Job Opening ID** 270230 **Working Title** REGISTERED NURSE / FLIGHT NURSE SPECIALIST : University Hospital… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital ( PACU ) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the...employer. **Job Detail** **Job Opening ID** 272177 **Working Title** REGISTERED NURSE : University Hospital ( PACU )… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : D. Dan and Betty...world and has been the site of many groundbreaking medical and technological advancements since the opening of the ... U-M Medical School in 1850. Michigan medicine is comprised of...employer. **Job Detail** **Job Opening ID** 272180 **Working Title** REGISTERED NURSE : D. Dan and Betty Kahn… more
- ERP International (Luke AFB, AZ)
- …is seeking a full time ** Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ ... databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case ...full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more
- Vanderbilt University Medical Center (Nashville, TN)
- …negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-OthersLicensure-Others **Work ... is located in Medical Center North, on campus serving VUMC. Transition management or commonly referred to as care coordination is a thriving department comprised… more
- ERP International (Anchorage, AK)
- **Overview** ERP International is seeking a ** Registered Nurse Case Manager** for a full-time position supporting the673d Medical Group, Joint Base ... Management Specialist (CDMS) o Association of Rehabilitation Nurses: Certified Rehabilitation Registered Nurse (CRRN) o American Board for Occupational Health… more