- University of Maryland Medical System (Baltimore, MD)
- …We're making Maryland stronger! With roots that go as far back as 1895, the UM Rehab & Ortho Institute continues to be a pioneer in orthopedics and neurological ... mission and values of the University of Maryland Rehabilitation and Orthopaedic Institute ( UM Rehab & Ortho) and in accordance within the scope of practice,… more
- CVS Health (Columbus, OH)
- …energy and motivated team environment and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity, ... operation/work schedule - M-F 8:00AM-5:00PM EST. As a Utilization Management ( UM ) Nurse Consultant , you will utilize clinical skills to coordinate,… more
- CVS Health (Hartford, CT)
- …verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in state of ... residence + Must possess 1+ years of clinical experience in acute or post acute setting **Preferred Qualifications** + Managed Care experience **Education** + Associates Degree required + BSN preferred **Pay Range** The typical pay range for this role is:… more
- CVS Health (Des Moines, IA)
- …nursing licenses as business needs require + 3+ years of experience as a Registered Nurse + 1+ year(s) of Managed Care experience + 1+ year(s) of clinical experience ... in acute or post-acute setting + Utilization management is a 24/7 operation. Work schedules may include weekends and holidays and evening rotations. **Preferred Qualifications** + 3+ years of clinical experience preferred **Education** + Diploma RN acceptable… more
- CVS Health (High Point, NC)
- …(typically 1 holiday per year).** There is no travel expected with this position. This UM Nurse Consultant position is part of Aetna's Commercial Care ... care more personal, convenient and affordable. **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can… more
- CVS Health (Columbus, OH)
- …management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of ... Medicare/Medicaid populations + MCG experience + Managed care experience + UM Certification + MedCompass **Education** Associates degree required BSN preferred **Pay… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide… more
- ERP International (Corpus Christi, TX)
- …review, discharge planning, continued stay reviews, and appeal reviews. * Serve as consultant to all disciplines regarding UM issues. Provide nursing expertise ... **Overview** ERP International is seeking a **Registered Nurse (RN)** **Utilization Manager** for a full-time position in support of the **Naval Health Clinic Corpus… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position supporting **Branch Health Clinic Port Hueneme, CA** in ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more
- University of Miami (Miami, FL)
- …Alex's Place Sylvester Cancer Center Sign-on Bonus: $25,000 T he Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research ... process' in the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the treatment room in… more
- University of Miami (Miami, FL)
- …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
- LA Care Health Plan (Los Angeles, CA)
- …required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the day-to-day operations of the UM ... overall performance metrics. The Supervisor ensures all functions of the UM department are operating in accordance with the organization's mission, values… more
- University of Michigan (Ann Arbor, MI)
- …In addition, the ED PA coordinates emergent and urgent care with consultant services, recommends follow-up care, facilitates referrals to various internal and ... posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at ### or e-mail [email protected] .… more
