- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …Utilization Management ( UM ) RN reports to the UM Manager RN. The UM RN demonstrates a high level of clinical practice, knowledge, and leadership skills ... of resources and care coordination. Responsibilities The Utilization Management ( UM ) Consultant Registered Nurse (RN) demonstrates leadership,...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Integra Partners (Troy, MI)
- …manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse Team Lead's responsibilities include but are ... The Utilization Management ( UM ) Nurse Supervisor is responsible for...overall team performance, escalating issues as needed to the UM Clinical Manager. + Ensure compliance with… more
- Integra Partners (Troy, MI)
- … UM program. Salary: $60,000.00/annual JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse 's responsibilities include but are not limited to: ... as criteria for medical necessity reviews + Work with non- clinical team to obtain additional clinical information,...in an acute or outpatient setting + Minimum of 2 years of UM experience in a… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …for the UM microsystem that impacts operations or resources. The proficient UM nurse demonstrates critical thinking with efficiency and accuracy in assessing ... Practice is enhanced through development of collegial relationships. The UM /Float Nurse demonstrates collaboration by using the...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Manager Utilization Management, the Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day timely clinical and service ... with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager...Utilization Management experience in a managed care setting + 2 or more years working in a clinical… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of a team to ... position include, but are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains vital signs. Assists… more
- Saint Francis Health System (Tulsa, OK)
- …various levels of care and receipt of necessary services. The Utilization Management ( UM ) Registered Nurse will communicate with providers the details of ... in the role. ** Job Summary: Provides administrative and clinical support to the hospital and treatment teams throughout...and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years… more
- CVS Health (Austin, TX)
- …while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include ... clinical setting with diverse cultural dynamics of clinical staff and patients. Registered Nurse (RN)...+ Requisition Job Description **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote… more
- University of Michigan (Ann Arbor, MI)
- …Survival Flight Initial Training Curriculum is to prepare the proficient emergency / critical care nurse for clinical practice as a Survival Flight Nurse at ... REGISTERED NURSE / FLIGHT NURSE SPECIALIST : University...This is a "multiple-fill" job opening: A total of two( 2 ) 1.0Registered Nurses will be hired to fill this… more
- University of Miami (Miami, FL)
- …health status of the patient in an ongoing timely and systematic manner. 2 . Obtains baseline information utilized for the development of individualized patient plan ... plan of care with patients, family and interdisciplinary team. 2 . Ensures the plan of care is accessible to...teaching nee ds as applicable. 4. Promotes development of clinical practice based on research and evidence. 5. Assists… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …functions within the scope of the CPAC for revenue reimbursement. The RUR nurse applies advanced clinical knowledge, communication skills, and collaboration to ... of funds through systematic evaluation and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Veterans Affairs, Veterans Health Administration (Middleton, WI)
- …Consolidated Patient Accounting Centers (CPAC) for revenue reimbursement. The RUR nurse applies advanced clinical knowledge, communication skills, and ... patient care through systematic evaluation and analytical review of clinical information. Responsibilities Responsibilities of the RUR nurse...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN… more
- Katmai (Fort Carson, CO)
- …as a registered nurse in utilization management. + One (1) year of experience in UR/ UM and three (3) years of clinical nursing experience. + Must be able to ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management ( UM ) program for all TRICARE eligible beneficiaries within the CMHS.… more
- Corewell Health (Grand Rapids, MI)
- …role on or after January 1, 2017 (Spectrum Health Ludington Hospital) Required. + 2 years of relevant experience clinical nursing and or case management/managed ... Friday (4 hours), mostly remote, occasional on-site About the Department: RN UM - Supporting the insurance coordination functions for the Helen DeVos Children's… more
- University of Michigan (Ann Arbor, MI)
- Advanced Practice Professional ( Nurse Practitioner) Division of Hospital Medicine Apply Now **How to Apply** This is an Advanced Practice Professional (APP) job ... seeking to hire 1 nocturnist physician assistant (PA) and/or nurse practitioner (NP) to join our hospitalist program and...Hospital Medicine are expected to not only engage in clinical activities and responsibilities, but also engage in education… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Domino Farms MEND Clinic Apply Now **Responsibilities + Provide the delivery of culturally sensitive team-based care models in delivering expert ... Farms. + Perform telephone triage, including assessment, screening, and clinical advice; direct patient care including injections, patient education, documentation… more
- University of Michigan (Ann Arbor, MI)
- …following completion of orientation. The selected candidate will practice as a Neonatal Nurse Practitioner for 2 years in the CS Mott Children's Hospital, ... REGISTERED NURSE - Neonatal Nurse Practitioner Internship...Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90… more
- University of Michigan (Ann Arbor, MI)
- Advanced Practice Professional ( Nurse Practitioner) D. Dan and Betty Kahn Health Care Pavilion: Cardiac Surgery Inpatient Service Apply Now **How to Apply** This is ... Dental, and Vision Plans + Retirement Savings Plans with 2 :1 Matching + Group Term Life Insurance + Long...Order and interpret diagnostic lab tests, radiographic procedures, and clinical studies. + Educate patients and their families on… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Medical Specialty Segment Float Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities ... Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour What Benefits can you… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Cardiovascular Center (Cardiovascular Operating Room ) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:… more