- BroadPath Healthcare Solutions (Tucson, AZ)
- …** UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network physicians, and network ... facilities to ensure consistent clinical evaluation and processing of medical necessity appeals. Accurate...Pay Frequency **:** Weekly **Schedule Highlights:** + Training Schedule: 2 weeks,Monday - Friday; 8:00 AM - 5:00 PM… more
- Katmai (Fort Carson, CO)
- …as a registered nurse in utilization management. + One (1) year of experience in UR/ UM and three (3) years of clinical nursing experience. + Must be able to ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management ( UM ) program for all TRICARE eligible beneficiaries within the CMHS.… more
- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Manager Utilization Management, the Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day timely clinical and service ... with Standard Operating Procedures + Ensures accurate documentation of clinical decisions and works with UM Manager...Utilization Management experience in a managed care setting + 2 or more years working in a clinical… more
- ERP International (Luke AFB, AZ)
- …BSN preferred for Case Management. Experience:** A minimum of 3 years for ADN or 2 years for BSN full-time experience in clinical case management working with ... active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case...2 years' experience for BSN in full time clinical case management with children, families, seniors, or groups.… more
- ERP International (Twentynine Palms, CA)
- **Overview** ERP International is seeking **Registered Nurse (RN) Case Managers** for full-time positions in support of the **Naval Hospital Twentynine Palms, CA** ... such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.… more
- ERP International (Tinker AFB, OK)
- …for ADN or 2 years experience for BSN in full time clinical case management with children, families, seniors, or groups. **- Licensure:** Maintain an active, ... **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker AFB,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Professional Coder (CPC) certification. (Required) + Four (4) years of experience applying clinical coding expertise with two ( 2 ) of those years spent in ... our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Clinical Policy Coding Administrator_** The **_Clinical Policy Coding Administrator_**… more
- University of Michigan (Ann Arbor, MI)
- …on your very first day + 2 :1 Match on retirement savings **Responsibilities The Clinical Nurse Specialist (CNS) is the clinical leader for a program or ... CLINICAL NURSE SPECIALIST (CNS)- University Hospital-...Time** Full-Time **Regular/Temporary** Regular **FLSA Status** Exempt **Organizational Group** Um Hospital **Department** MM AH - Quality **Posting Begin/End… more
- Integra Partners (Troy, MI)
- … UM program. Salary: $60,000.00/annual JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse 's responsibilities include but are not limited to: ... as criteria for medical necessity reviews + Work with non- clinical team to obtain additional clinical information,...in an acute or outpatient setting + Minimum of 2 years of UM experience in a… more
- Truman Medical Centers (Kansas City, MO)
- …Schedule** 7:30AM - 4:00PM **Hours Per Week** 40 **Job Description** The Utilization Management Nurse ( UM RN) collaborates with members of the healthcare team to ... (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Mgmt Nurse RN - Care Continuity - UH Truman Medical... licensed in state of Missouri, BSN preferred + 2 years clinical experience in acute hospital… more
- CVS Health (Austin, TX)
- …while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include ... clinical setting with diverse cultural dynamics of clinical staff and patients. Registered Nurse (RN)...+ Requisition Job Description **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote… more
- Saint Francis Health System (OK)
- …various levels of care and receipt of necessary services. The Utilization Management ( UM ) Registered Nurse will communicate with providers the details of ... Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of related… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - University Hospital - Electroconvulsive Therapy (ECT)/ Ketamine Clinic Apply Now **Mission Statement** Michigan Medicine improves the health of ... Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:… more
- University of Michigan (Ann Arbor, MI)
- …Survival Flight Initial Training Curriculum is to prepare the proficient emergency / critical care nurse for clinical practice as a Survival Flight Nurse at ... REGISTERED NURSE / FLIGHT NURSE SPECIALIST : University...This is a "multiple-fill" job opening: A total of two( 2 ) 1.0Registered Nurses will be hired to fill this… more
- University of Michigan (Ann Arbor, MI)
- …following completion of orientation. The selected candidate will practice as a Neonatal Nurse Practitioner for 2 years in the CS Mott Children's Hospital, ... REGISTERED NURSE - Neonatal Nurse Practitioner Internship...Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90… more
- University of Michigan (Ann Arbor, MI)
- Advanced Practice Professional ( Nurse Practitioner) Rogel Cancer Center - Pancreatic Oncology Apply Now **How to Apply** This is an Advanced Practice Professional ... to?** + Flexible Health, Dental, and Vision Plans + Retirement Savings Plans with 2 :1 Matching + Group Term Life Insurance + Long Term Disability Plan + Generous… more
- Corewell Health (Grand Rapids, MI)
- …role on or after January 1, 2017 (Spectrum Health Ludington Hospital) Required. + 2 years of relevant experience clinical nursing and or case management/managed ... Friday (4 hours), mostly remote, occasional on-site About the Department: RN UM - Supporting the insurance coordination functions for the Helen DeVos Children's… more
- University of Michigan (Ann Arbor, MI)
- Advanced Practice Professional ( Nurse Practitioner) D. Dan and Betty Kahn Health Care Pavilion: Cardiac Surgery Inpatient Service Apply Now **How to Apply** This is ... Dental, and Vision Plans + Retirement Savings Plans with 2 :1 Matching + Group Term Life Insurance + Long...Order and interpret diagnostic lab tests, radiographic procedures, and clinical studies. + Educate patients and their families on… more
- University of Michigan (Ann Arbor, MI)
- …of division. + Perform phone triage, in-basket management, including assessment, screening, clinical advice, nurse visits (in person/ video visit) in-clinic ... REGISTERED NURSE : Ambulatory Care Services (Ambulatory Care Nurse...Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Cardiovascular Center (Cardiovascular Operating Room ) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... Differential- $4.00 / hour + Day Shift Weekend Differential- $ 2 .90 / hour + Evening Shift Weekend Differential- $5.90...Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour The benefit package includes:… more
