- Pacific Medical Centers (Seattle, WA)
- …in order to assure cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of services and ... **Description** Coordinates care for Pacific Medical Centers' Managed Care...benefits and more! **Required Qualifications:** + Upon hire: Washington Registered Nurse License. + 5 years Clinical… more
- Magellan Health Services (Boise, ID)
- …Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...quality of care . General Job Information Title Care Manager ( UM /UR) - Remote,… more
- Dignity Health (Rancho Cordova, CA)
- …nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred Qualifications:** - 7 years UM experience with ... **Position Summary:** Under the guidance and supervision of the department Manager /Director the Supervisor of Utilization Management is responsible and accountable… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare ... month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ): The...coordinate, and implement all aspects and stages of the UM /RM program, identifying patient care process improvements,… more
- Elevance Health (Louisville, KY)
- …supports work-life integration, and ensures essential face-to-face onboarding and skill development. The RN Wound Care UM is responsible for performing ... and/or authorization activities for Home Health Services for members with wound care needs included as contracted services that meet eligibility and benefits… more
- Highmark Health (Carson City, NV)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + Transplant Experience + Bone Marrow and/or Stem Cell Experience… more
- Molina Healthcare (Long Beach, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in nursing. ... Oversight Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are compliant with all applicable State, CMS, and NCQA requirements,… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- ERP International (Twentynine Palms, CA)
- …Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of Certified Care Managers: Care Manager ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… 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 ... for age and physical condition. + Liaison with other UM Health System nurses in coordination of care... Nurse Recruitment at ###. **Required Qualifications Active Registered Nurse licensure in the State of… more
- ERP International (Eglin AFB, FL)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time **Case Manager ** position in support of the **Eglin Hospital, Eglin ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- Vanderbilt University Medical Center (Nashville, TN)
- …emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-Others **Work ... mission is to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** TMO/ UM Team E **Job Summary:**… more
- University of Miami (Miami, FL)
- …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . JOB DESCRIPTION UM Title: Senior Registered Nurse ... Pain Management Nurse will be a professional registered nurse who administers care ...identify potential barriers and variances to the plan of care . Documents in UM Care … more
- University of Miami (Miami, FL)
- …worklet, 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 provide quality care to designated patients. The RN works...effectively and cooperatively in groups/teams to ensure quality patient care . Communicates effectively with directors and/or manager … more
- ERP International (Luke AFB, AZ)
- …full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for ... **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… more
- Healthfirst (NM)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... + Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member ...as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST… more
- University of Miami (Miami, FL)
- …not require direct physician involvement as per physician orders and within the scope of RN licensure 7. Renders dire ct patient care by assisting providers with ... any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly...and cooperativel y in groups/teams to ensure quality patient care . 21. Communicates effective with manager and… more
- University of Miami (Miami, FL)
- …direct physician involvement as per physician orders and within the scope of RN licensure. Renders direct patient care by assisting providers with patient ... child. Reviews labs, outside reports, and slides and discusses them with the nurse practitioners and physicians. Coordinates home health care , social services as… more
- LA Care Health Plan (Los Angeles, CA)
- …needs of LA Care 's culturally diverse membership. The position supports the UM Manager /Director. This role also assists UM Educator/ Manager /Director ... is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …(2) years of acute hospital clinical experience Current licensure as a Registered Nurse in the state of Washington ( RN -WA). BLS required within 3 months of ... **Responsibilities** The Care Coordinator RN is responsible for...experience. Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification… more