- UT Health Tyler (Tyler, TX)
- …bonus up to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, ... enhance the overall team efforts of the department/organization. Qualifications Job Requirements: Active Registered Nurse License in state of Texas 3 years of… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse ( RN ) - CA Board of Registered ... care and supports other members of the System Centralized Utilization Management team to ensure final status...clinical experience as defined by the CBA. + California Registered Nurse ( RN ) - CA… more
- Centene Corporation (Salem, OR)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team. **(Location must reside in Oregon)** + Monitors… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …annual bonus eligibility, and more! **Responsibilities** **Job Summary / Purpose** The Utilization Management (UM) Director is responsible for the market(s) ... development, implementation, evaluation and direction of the Utilization Management Program and staff in support...**Required Licensure and Certifications:** Current unrestricted licensure as a Registered Nurse in the state of Washington… more
- Trinity Health (Darby, PA)
- …with the RN Care Coordination Manager, provides support to the utilization management , denials and appeals process for the THMA South hospitals. ... Full time **Shift:** Day Shift **Description:** The Appeals and Utilization Management Coordinator under direction and in...processing and accuracy of patient stay claims data, denials management , and appeals. Assists RN Manager with… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN . This position provides comprehensive assessment, ... coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the... RN licensure in MN + 3-5 years utilization review or case management experience in… more
- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a full-time Utilization Management Coordinator (MSW, MFT, MA, RN ) for the Utilization Management ... emotional, behavioral and addiction problems. The Utilization Management Coordinator (MSW, MFT, MA, RN ) is...Utilization Management Coordinator (MSW, MFT, MA, RN ) is responsible for the managing, reviewing, and monitoring… more
- Hackensack Meridian Health (Brick, NJ)
- …community resources, and utilization management + NJ State Professional Registered Nurse License required + AHA Basic Health Care Life Support HCP ... and serve as a leader of positive change. The **Care Management , Care Coordinator** , ** Utilization Management ** is a member of the healthcare team… more
- McLaren Health Care (Detroit, MI)
- …and implementing process improvement projects as needed. _Required:_ + State licensure as a registered nurse ( RN ) + Bachelor's degree in nursing from ... **Department: Utilization Management ** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40** **Position Summary:** Responsible… more
- CVS Health (Olympia, WA)
- …in Pacific Time Zone or willing to work Pacific Time Zone hours. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant...management function. Required Qualifications + Active and unrestricted RN licensure in the state of residence. + Must… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...Required Qualifications - Must have active current and unrestricted RN licensure in state of residence - 2+ years… more
- CVS Health (Columbus, OH)
- …to work the following schedule: Monday-Friday 8:00am-4:30pm EST. Position Summary As a Utilization Management Nurse Consultant, you will utilize clinical ... and time management skills required - Experience in healthcare utilization management , critical care, emergency department, or case managementEducation… more
- CVS Health (Raleigh, NC)
- …live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence -2+ years of… more
- CVS Health (Harrisburg, PA)
- …Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Harrisburg, PA)
- …role is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant...Required Qualifications: - Must have active current and unrestricted RN licensure in state of residence - 3+ years… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The **Case Management Care Coordinator, Utilization Management ** is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to...**Licenses and Certifications Required** : + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. + AHA Basic Health… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to...**Licenses and Certifications Required** : + NJ State Professional Registered Nurse License + AHA Basic Health… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...quality improvement activities. Communicates to UM Manager and supervising RN , barriers to completing assignments or daily work in… more
