- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...certification requirements as necessary. + Serves as advisor and consultant regarding development, implementation, and management of the MTF… 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
- 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 using the...and variances to the plan of care. Documents in UM Care program intra-procedure assessment of patient condition. Planning… more
- University of Miami (Miami, FL)
- …a system that elevates any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly 5. Ens ures that patients ... as per physician orders and within the scope of RN licensure 7. Renders dire ct patient care by...teaching using available resources and tools. 12. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments.… more
- University of Miami (Miami, FL)
- …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech… more
- CVS Health (Columbus, OH)
- …to hold a Licensed independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered Nurse ( RN ) with unrestricted state license in Ohio, and ... heart, each and every day. **Position Summary** This Clinical Consultant position is with Aetna's Utilization Management ( UM...independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered Nurse ( RN ) with unrestricted… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …as well as provide education while adhering to the Clinical Documentation Integrity (CDI) Registered Nurse ( RN ) Advisor role as defined by the VA ... by collaborating with members of the interdisciplinary team. The nurse functions as a Clinical Documentation Integrity Consultant...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Bassett Healthcare (Cooperstown, NY)
- …admission order and validates status and level of care matches order Collaborates with UM Nurse to assure that all payor and status requirements are aligned ... Works with Nurse on discharge needs/barriers for all patients; initiates intervention by UM Nurse as needed Identifies need for patient to receive IM letter;… more
- Albany Medical Center (Albany, NY)
- …and develops strategies for variance reduction. Qualifications and Ideal Characteristics 1. Registered nurse with a current license. 2. Bachelor's degree ... patient/significant others/family and payers by functioning as a clinician, consultant , advocate and educator for assigned service. Principal Position… more
- Alameda Health System (Oakland, CA)
- …in a supervisory or lead role. **Required Licenses/Certifications:** Active licensure as a Registered Nurse in the State of California or licensed in Clinical ... tracking variances based on critical timelines. + Develops and provides statistical UM information and reports to appropriate committees and in conjunction with the… more
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