• Clinical UM Nurse 2

    CenterWell (Jackson, MS)
    …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
    CenterWell (06/13/25)
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  • National Utilization Management Director,…

    Humana (Jackson, MS)
    …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 2 -5 yrs of previous senior leadership experience ... and help us put health first** The Utilization Management ( UM ) Director, Clinical Strategy and Practice for...to work effectively in a cross-functional, matrixed environment. + 2 + yrs Payer experience with responsibility for the creation… more
    Humana (06/06/25)
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  • Strategy Advancement Advisor

    Humana (Jackson, MS)
    …+ Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 5+ years of previous clinical experience in ... Establish standardized protocols and workflows across the enterprise. + Lead activities regarding UM annual evaluation + Lead activities related to UM Program… more
    Humana (06/06/25)
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