- University of Maryland Medical System (Bel Air, MD)
- …of Maryland Upper Chesapeake Health owns and operates: University of Maryland Upper Chesapeake Medical Center ( UM UCMC), Bel Air, MD The Upper Chesapeake Health ... Company Description University of Maryland Upper Chesapeake Health ( UM UCH) offers the residents of northeastern Maryland...Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern… more
- University of Maryland Medical System (La Plata, MD)
- … Charles Regional - La Plata, MD NOW OFFERING up to $5,000 Sign-On Bonus!! Join UM Charles Regional Medical Center, a proud member of the University of Maryland ... Company Description Licensed Practical Nurse (LPN) - Emergency Department (ED) Full-time /...Medical System, where we combine the resources of a… 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 ... Mission All employees are responsible for extending the mission and values of UM Baltimore Washington Medical Center by dedicating oneself to providing the… 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 ... 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC...three ANCC Pathway to Excellence(R) designated hospitals in Maryland. UM BWMC features one of the state's busiest emergency… more
- 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
- UnitedHealth Group (Brooklyn, 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
- Regal Medical Group, Inc. (San Bernardino, CA)
- …the pre-auth coordinator team, high- risk nurse case managers, inpatient nurse case managers, medical directors, and network Research alternative care plans ... Prior Authorization LVN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies 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 ... annual audit oversight completion, response to CAPs, and follow-up with medical groups to assure CAP implementation and compliance. Performs activities 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
- Regal Medical Group, Inc. (Northridge, CA)
- …review nurses and UM compliance staff to promote quality, cost effectiveness medical care through strict adherence to all UM policies and procedures within ... actions as needed/required. Communicates effectively and functions as liaison between nurse and physician reviewers, medical directors, coordinators, PCP 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 ... and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness. Develop… 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 ... population throughout these surrounding communities. Working outside of a medical facility, you'll have an opportunity to get to...shift incentive and experience various settings as a resource nurse that floats to various locations. Care for your… more
- University of Maryland Medical System (Bel Air, MD)
- …of Maryland Upper Chesapeake Health owns and operates: University of Maryland Upper Chesapeake Medical Center ( UM UCMC), Bel Air, MD The Upper Chesapeake Health ... Company Description University of Maryland Upper Chesapeake Health ( UM UCH) offers the residents of northeastern Maryland...Harford County. Our 3,500 team members and over 650 medical staff physicians serve residents of Harford County, eastern… 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 ... Ambulatory clinics and Patient Access Service areas; assisting in reviewing medical records for appropriate reimbursement of medically necessary services meeting… 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
- Franciscan Missionaries of Our Lady Health System (Jackson, MS)
- Job Description The Utilization Review Nurse performs Utilization Review on all patients to ensure appropriate resource utilization, authorization of hospitalization ... written complaints. Evaluation and Analysis: a. Patient cases are reviewed for medical necessity and intensity service/severity of illness to ensure patient is… more
- UnitedHealth Group (Phoenix, AZ)
- …participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal ... together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team...a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country.… more
- Molina Healthcare (Long Beach, CA)
- …Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and ... procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and… more
- 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 ... Appointment or above) Paid Release Time for Professional Education Activities Medical Malpractice Insurance Paid Maternity and Parental Leave Tuition Support Program… more
- VCU Health (South Hill, VA)
- …oriented. Licensure, Certification, or Registration Requirements for Hire: Licensed Registered Nurse in the State of Virginia or eligible Licensure, Certification, ... Experience PREFERRED: Academic healthcare experience One (1) year of UM /Care Coordination experience Clinical experience with specialty patient population… more
