- Sharp HealthCare (San Diego, CA)
- …Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse (RN) - CA Board of Registered Nursing; Master's Degree; Certified ... system and local level to drive regulatory compliance. The ICM System Regulatory Specialist is the primary point person for maintaining the system case management… more
- 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
- Robert Half Office Team (Los Angeles, CA)
- …and approve medical referrals that meet specific criteria as a Utilization Management Nurse Specialist RN * Ensure timely and exact referral determinations and ... Description We are seeking a UM Review Nurse to ensure the quality and cost-efficiency of medical care by applying clinical knowledge and implementing policies… 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 (Bemidji, MN)
- …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
- University of Michigan (Ann Arbor, MI)
- STAFF SPECIALIST HEALTHCARE (Office of the ACNO: Von Voigtlander Women's Hospital) Apply Now **Summary** Staff Specialist Healthcare: In support of the Associate ... this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a… more
- University of Michigan (Ann Arbor, MI)
- Peer Support Specialist - Peer Recovery Specialist -Addiction Consultation Team Apply Now **Summary** This is a 1.0 FTE with the Addiction Consult Team (ACT). The ... an interdisciplinary team composed of an addiction medicine physician, social worker, nurse case manager and pharmacist + Coordinate with internal and external… 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
- 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
- Corewell Health (Caledonia, MI)
- …quality requirements. Makes recommendations and provides financial and utilization management ( UM ) information to other members of the care facilitation teams for ... patient population. Makes recommendations and discusses alternatives. Provides financial/DRG, UM , health information to other facilitation team members for work… more
- ERP International (Anchorage, AK)
- …Certified Occupational Health Nurse (COHN) or Certified Occupational Health Nurse - Specialist (COHN-S). o National Board for Certification in Continuity of ... **Overview** ERP International is seeking a **Registered Nurse Case Manager** for a full-time position supporting...for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work… more