- Christus Health (San Antonio, 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
- SSM Health (St. Charles, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Registered Nurse ( RN ) Issued by Compact State Or ... improvement in standard work. May also be responsible for: utilization management process, ED case management...Registered Nurse ( RN ) - Missouri Division of Professional… more
- SSM Health (Bridgeton, MO)
- …Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse ( RN ) - Missouri Division of Professional Registration ... communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. Utilizes research and other forms of evidence...Or Registered Nurse ( RN ) Issued by Compact State State… more
- SSM Health (Yukon, OK)
- …Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse ( RN ) Issued by Compact State Or Registered ... and communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. Utilizes research and other forms of evidence to… more
- UTMB Health (Galveston, TX)
- …timely and accurate information to payers. The role integrates and coordinates utilization management , care coordination and discharge planning functions. Equal ... Minimum Qualifications: RN with Bachelor's degree in Nursing and two years of inpatient experience in a hospital environment. Current license or valid permit to… more
- Fresenius Medical Care (Olmito, TX)
- …Preparedness Plan; ensure maintenance of equipment . Ensure proper medical records management and HIPAA compliance . Oversees the continuous and data driven Quality ... and policies, and then developing and implementing an associated center specific management plan. . Ensure adverse events are reported, documented and necessary… more
- Fresenius Medical Care (San Antonio, TX)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... by working with the Vice President of Quality and other organization management to ensure that organization/ASC policies and procedures are followed. Responsible for… more
- Irving Coppell Surgical Hospital (10819) (Irving, TX)
- …nursing preferred, with a strong background in leadership roles. Licensure/Certification: Current Registered Nurse ( RN ) license in TX; Certification in ... Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR),… more
- Irving Coppell Surgical Hospital (10819) (Irving, TX)
- …nursing preferred, with a strong background in leadership roles. Licensure/Certification: Current Registered Nurse ( RN ) license in TX; Certification in ... Perioperative Services is responsible for the strategic oversight and operational management of the surgical services department, including the operating room (OR),… more
- Katmai (Fort Carson, CO)
- …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 and ... Provide a comprehensive utilization review (UR) and utilization management (UM) program for all TRICARE...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …depending on customer and departmental needs. + Plans, implements, and documents utilization management activities which incorporate a thorough understanding of ... productivity and gain efficiencies for performance improvement opportunities in the Utilization Management Department. + Assists in updating departmental… more
- CVS Health (Austin, TX)
- …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... with diverse cultural dynamics of clinical staff and patients. Registered Nurse ( RN ) required. Licensed...(LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant… more
- UNC Health Care (Morrisville, NC)
- …the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational leader responsible ... for designing, implementing, and standardizing utilization management functions across a large healthcare system, including a complex academic health system and… more
- Alameda Health System (Oakland, CA)
- Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- CVS Health (Austin, TX)
- …the department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical ... with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant...the coordination and administration of the utilization /benefit management function. **Required Qualifications** + RN with… more
- CVS Health (Carson City, NV)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant... function. **Required Qualifications** -Must reside in PST zone. - RN with active and unrestricted state licensure in state… more
- McLaren Health Care (Port Huron, MI)
- …related duties as required and directed. **Qualifications:** Required ⦁ State licensure as a registered nurse ( RN ) ⦁ Bachelor's degree in nursing from ... as Assigned:** 1. Performs a variety of concurrent and retrospective utilization management -related reviews and functions to ensure that appropriate… more
- McLaren Health Care (Flint, MI)
- …to help people live healthier and more satisfying lives. We are looking for a Utilization Management RN , to join in leading the organization forward. MHP ... service to all our members. **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited to… more
- Alameda Health System (San Leandro, CA)
- Clinical Nurse III, Acute Inpatient Behavioral Health Utilization Management + San Leandro, CA + John George Psychiatric Hospital + JGP Care Coordination + ... fields in EHR. 17. Maintains current knowledge of clinical practice and Utilization Management by literature review, membership in a professional organization.… more
- CVS Health (Baton Rouge, LA)
- …we do it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... professionals to ensure the efficient, compliant, and high-quality delivery of utilization management processes. This leader supports organizational goals by… more
