- Christus Health (Alto, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- One Medical (San Francisco, CA)
- About Us Be one of the first applicants, read the complete overview of the role below, then send your application for consideration. One Medical is a primary care ... care services, on-site labs, and programs for preventive care, chronic care management , common illnesses and mental health concerns have been delighting people for… more
- Christus Health (Universal City, TX)
- …practice and operations for assigned areas; Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Yakima Valley Farm Workers Clinic (Salem, OR)
- …and staff, ensure compliance with industry regulations, and uphold high practice management standards. The Director's impact will extend beyond the clinic as you ... a glimpse into our dedication to our communities, health, and families. Visit us at to learn more about our organization. Position Highlights: * Salary… more
- Baptist Memorial Health (Southaven, MS)
- …Position: 3284 - RN-Case Manager Facility: BMH - Desoto Hospital Department: DC Case Management Admin BMH Desoto Category: Nurse RN Type: Clinical Work Type: ... of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal...RN with 3 years of clinical experience with Case Management experience in a hospital or payer setting Minimum… more
- Baptist Memorial Health (Memphis, TN)
- …Baptist Memphis Category: Nurse Leader Type: Clinical Nurse Work Type: PRN Work Schedule: Days Location: US :TN:Memphis Located in the Memphis metro area ... this job overview, do not delay your application. Summary Manages resource utilization and communication to achieve the organizational goals. Has direct supervisory… 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 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Phoenix, AZ)
- …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... may vary based on business needs. Location: 100% Remote ( US only) **About Us ** American Health Holding,...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- Katmai (Fort Carson, CO)
- …American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/UM ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… more
- Sanford Health (Rapid City, SD)
- …is one of the largest and fastest-growing not-for-profit health systems in the United States . We're proud to offer many development and advancement opportunities ... providing direct supervision of all departmental staff. Maintains a standardization of utilization management process to ensure all policies and procedures are… more
- US Tech Solutions (Hopewell, NJ)
- …case/care management principles. - Prefers working knowledge of principles of utilization management . - Prefers basic knowledge of health care contracts and ... Player - Time Management - Written/Oral Communication & Organizational Skills **About US Tech Solutions:** US Tech Solutions is a global staff augmentation… more
- Katmai (Usaf Academy, CO)
- …(BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted Registered ... using a nurse compact state license or have a license from any United States jurisdiction (with no limitations, stipulations or pending adverse actions). +… more
- US Tech Solutions (Columbia, SC)
- …School of Nursing. + Required License/Certificate: Active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact ... multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) **About US Tech Solutions:** US Tech Solutions is a global staff… more
- Humana (Jackson, MS)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Under the direction of a Utilization Management Nurse or Specialist, the ... prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** UM Coordinator - Utilization Management **Location** US :PA: Hershey | Clerical and… more
- Cedars-Sinai (Los Angeles, CA)
- … us one of America's Best Hospitals. Summary of Essential Duties: + The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent ... recognized as one of the top ten in the United States ? Do you have a passion...Review Case Manager - 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
- CVS Health (Columbus, OH)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position ... 8:00am-5:00pm EST (Shift times vary based on business needs) Location: 100% Remote ( US only) **About Us ** American Health Holding, Inc. (AHH), a division… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …a State, Territory or Commonwealth (ie, Puerto Rico) of the United States , or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates ... knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community care… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... and CMS criteria required + A minimum of three years of experience in utilization management , preferred + Team leading or management experience, preferred… more
