- Christus Health (Tyler, TX)
- …and government payors and Joint Commission regulations and guidelines related to UM . This Nurse effectively communicates with internal and external clinical ... DescriptionSummary: The Utilization Management Nurse II is responsible for determining the clinical...role at CHRISTUS Health required. Licenses, Registrations, or Certifications RN License in state of employment or compact… more
- Humana (Columbus, OH)
- …your skills to make an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- UPMC (Harrisburg, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... Registered Nurse , Home Health Harrisburg Are...shifts with rotations for on-call and weekends. As an RN with UPMC Home Healthcare, you'll collaborate with our… more
- Molina Healthcare (IA)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... **_For this position we are seeking a REGISTERED NURSE with previous experience in...Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT / Multi state RN LICENSURE IS… more
- Magellan Health Services (Boise, ID)
- …Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and ... with necessary degrees: CEAP, LMSW, LCSW, LSW, LPC or RN . Minimum 2 years experience post degree in healthcare,...quality of care. General Job Information Title Care Manager ( UM /UR) - Remote, Idaho Licensed Grade 24 Work Experience… more
- UPMC (West Mifflin, PA)
- …experience preferred **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility ... **UPMC Home Health is hiring a Part-Time RN ** **to cover Fayette County and part of...daylight hours 8:00am-4:30pm with some weekends** Are you a nurse looking for a rewarding career where you can… more
- UPMC (West Mifflin, PA)
- …Care Facility preferred. Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse or TPP either in the state where the ... UPMC Home Health is hiring an RN for the Brentwood, Southside areas Are you a nurse looking for a rewarding career where you can provide direct, one-on-one… more
- UPMC (Altoona, PA)
- …positioning of patients. Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state where the facility ... GROWING OUR UPMC HOME HEALTH TEAM FOR RN OPENINGS IN ALTOONA AND OTHER OFFICES INCLUDING...CAMBRIA, SOMERSET, HUNTINGDON, MIFFLIN, AND CENTRE. Are you a nurse looking for a rewarding career where you can… more
- UPMC (West Mifflin, PA)
- …experience preferred **Licensure, Certifications, and Clearances:** + Current licensure as a Registered Professional Nurse either in the state where the facility ... UPMC Home Health is hiring an RN for Fayette County and part of Westmoreland...shift incentive and experience various settings as a resource nurse that floats to various locations. + Care for… more
- SSM Health (St. Louis, MO)
- …of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... Workers for care coordination and discharge planning and exclude UM or UR. You can expect a patient ration...State of Work Location: Oklahoma + Registered Nurse ( RN ) Issued by Compact … more
- Stanford Health Care (Palo Alto, CA)
- …**This is an onsite Stanford Health Care job.** **A Brief Overview** The Utilization Management Registered Nurse ( UM RN ) will be responsible for ensuring ... Access, Clinical Documentation Integrity, Billing, and Revenue Cycle, the UM RN plays an essential role in...Certifications** + Nursing/ RN - Registered Nurse - State Licensure and/or Compact State… more
- Omaha Children's Hospital (Omaha, NE)
- …EPIC experience preferred. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and + BLS - ... requirements, payer issues, and benefits management. + Understands the NCM and UM Nurse role in revenue cycle management. + Collaborates with the UM… more
- UNC Health Care (Hendersonville, NC)
- …week. PARDEE Other information: Qualifications Required * Must be licensed to practice as a Registered Nurse in the state of North Carolina or one of compact ... the unique communities we serve. Summary: The Utilization Manager ( UM ) assesses new admissions, continued stay and discharge review...* Two (2) years of experience working as a Registered Nurse . * Strong verbal and written… more
- UPMC (Erie, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... UPMC Home Health is hiring a Hospice Registered Nurse to join its team...of care in collaboration with the physician, patient and UM Professional in accordance with the physician orders and… more
- Molina Healthcare (WI)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
- Molina Healthcare (San Francisco, CA)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
- Molina Healthcare (MI)
- **_For this position we are seeking REGISTERED NURSE ( RN ) or Licensed Clinical Social Worker (LCSW) previous experience in Hospital Acute Care, Concurrent ... Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT / Multi state RN LICENSURE IS...teams to promote Molina Care Model. + Adheres to UM policies and procedures. + Occasional travel to other… more
- Molina Healthcare (Milwaukee, WI)
- **JOB DESCRIPTION** **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review/ ... / Utilization Management and knowledge of Interqual / MCG guidelines. WI or COMPACT RN LICENSURE IS REQUIRED within 30 days of employment._**… more
- Molina Healthcare (Lincoln, NE)
- **_For this position we are seeking a ( RN ) Registered Nurse with previous experience in BEHAVIORAL HEALTH, Psychiatric Hospital Acute Care, Concurrent ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Molina Healthcare (OH)
- **_For this position we are seeking a REGISTERED NURSE with previous experience in Hospital Acute Care, Concurrent Review/_** **_Utilization Review / Utilization ... Management and knowledge of Interqual / MCG guidelines. COMPACT / Multi state RN LICENSURE IS PREFERABLE to support multiple states._** **_Home office with… more
