- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Other ... + Other : Graduate of an accredited Licensed Vocational Nurse (LVN) program + 3 Years experience in the...patient care and/or SNF setting. + California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing &… more
- Bassett Healthcare (Cooperstown, NY)
- …Identifies need for patient to receive IM letter; collaborates with UM Nurse as needed. Assists Clinical Documentation Specialist in engaging physician to ... order and validates status and level of care matches order. Collaborates with UM Nurse to assure that all payor and status requirements are aligned according to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL NURSE SPECIALIST (CNS)- University Hospital- Medical Short Stay & 6C Medicine Pulmonary Apply Now **Summary** The Clinical Nurse Specialist will ... Michigan offers a competitive salary with excellent benefits! **Hourly range for Clinical Nurse Specialist $46.27-$69.89 / hour** The benefit package includes: +… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE / FLIGHT NURSE SPECIALIST (University Hospital, Survival Flight) Apply Now **Summary** Michigan Medicine, regionally and nationally known for ... action employer. **Job Detail** **Job Opening ID** 242968 **Working Title** REGISTERED NURSE / FLIGHT NURSE SPECIALIST (University Hospital, Survival Flight)… more
- The Arora Group (Bethesda, MD)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). + National Board for Certification in Continuity of ... Registered Nurse Case Manager Nurse Currently recruiting...regarding development, implementation, and management of the MTF healthcare UM /RM activities. Utilizes critical thinking skills to support, coordinate,… more
- Sanford Health (Sioux Falls, SD)
- …care medical necessity reviews within patient's medical records. Performs utilization management ( UM ) activities in accordance with UM plan to assure compliance ... relating to the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating… more
- University of Washington (Seattle, WA)
- …quality and appropriateness of inpatient hospital care is continually met. The UM Specialist identifies the reason for admission, complications, and ... Through frequent communication with physicians and hospital staff, the UM Specialist is responsible for the resolution...beauty. Requirements: Current license to practice as a Registered Nurse in the State of Washington. Minimum of three… more
- The Arora Group (Twentynine Palms, CA)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). + National Board for Certification in Continuity of ... Registered Nurse Case Manager Nurse Currently recruiting...monitoring. + Integrate case management (CM) with utilization management ( UM ) and disease management as needed. Integrate nursing case… more
- The Arora Group (Goose Creek, SC)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). o National Board for Certification in Continuity of ... Registered Nurse Case Manager - Lead Nurse ...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- The Arora Group (Coronado, CA)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). + National Board for Certification in Continuity of ... Registered Nurse Case Manager Nurse Currently recruiting...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- Matrix Providers (Glendale, AZ)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). + National Board for Certification in Continuity of ... Registered Nurse - Case Manager - Luke AFB, AZ...Certification of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS). + Association of Rehabilitation Nurses: Certified Rehabilitation… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight activities associated… more
- HonorHealth (Scottsdale, AZ)
- …Required 1 year experience in UR/ UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure Required ... Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the… more
- The Arora Group (Annapolis, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Annapolis, Maryland to provide care to active duty American ... families, and military retirees at Naval Branch Health Clinic Annapolis. Registered Nurse Case Manager is full-time position, 80 hrs/2 weeks, M-F 7:00am-6:30pm.… more
- ERP International (Hill AFB, UT)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). + National Board for Certification in Continuity of ... **Overview** ERP International is seeking a **Registered Nurse - Case Manager (RN)** for a full-time...for community resources. + Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more
- Sanford Health (SD)
- …and execute authorizations. Essential functions must occur simultaneously; therefore, the specialist must be able to appropriately handle and prioritize various ... federal regulatory requirements. Maintain working knowledge of payer standards for UM functions for authorization requirements. May assist with additional special… more
- Immigration and Customs Enforcement (IN)
- …(eg, Customs and Border Patrol, Veterans Affairs) regarding utilization management ( UM ) processes, trainings, and principles to ensure inpatient stays are within ... utilization management is preferred. Meet the minimum education requirements for either a nurse , nurse practitioner, or physician assistant. Nurse . Must… more
- University of Michigan (Ann Arbor, MI)
- …external facilities ensuring continuity of care for ED patients. + Monitor nurse call system responding to patient requests for assistance and activating patient ... identify relevant patient in MiChart and notify the responsible nurse . + As Unit Host, collaborate with Guest Services.... + As Unit Host, collaborate with Guest Services Specialist and clinical team to manage visitor flow. +… more