- Spectraforce Technologies (Columbia, SC)
- …proper processing of authorized or unauthorized services. Job Requirements: Required Education: Associate Degree - Nursing , OR, Graduate of Accredited School of ... Nurse Licensure Compact (NLC) Preferred Education: Bachelor's degree- Nursing . Preferred Work Experience: 7 years-healthcare program management. Preferred… more
- Blue Cross and Blue Shield of Kansas City (Wichita, KS)
- …steering committee, contracting department, etc.). Minimum Qualifications Associate degree in nursing Valid and active Registered nurse (RN) in Missouri and ... in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director...to Case Management role/department. Preferred Qualifications Bachelor's degree in nursing with minimum of 5 years' experience, including at… more
- University of Michigan (Ann Arbor, MI)
- …initiatives that positively impact patient care. Reporting Relationship: The 10W PCTU Clinical Nursing Director reports to the Associate Chief Nursing ... CLINICAL NURSING DIRECTOR (CS Mott Children's Hospital:...care unit. Provide information regarding budget variances to the Associate Chief Nursing Officer. + Collaborate and… more
- University of Michigan (Ann Arbor, MI)
- …financial, and accreditation requirements. **Organizational Relationships** + Reports to the Associate Chief Nursing Officer (ACNO) for Primary Care and ... School of Social Work. + Provides functional and administrative supervision for Associate Directors, Clinical Nursing Directors, Social Work Managers, Nursing… more
- University of Michigan (Ann Arbor, MI)
- …operational excellence across all settings. + **Reporting Relationship:** Reports directly to the Associate Chief Nursing Officer (ACNO), serving as a key member ... leadership team. + **Collaborative Leadership:** Partners with the ACNO, ACCO, ACCC, Associate Directors, Senior Nursing Directors to drive strategic priorities,… more
- Blue KC (Workman, MN)
- …committee, contracting department, etc.). **Minimum Qualifications** + Associate degree in nursing + Valid and active Registered nurse (RN) in Missouri and ... authorization letters, and follows in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside… more
- Elevance Health (Indianapolis, IN)
- …and education needed to be safely discharged. + Collaborates with and provides nursing consultation to Medical Director and/or Provider on select cases, such ... Must be an Indiana resident ** The **Medical Management Nurse ** is responsible for review of the most complex...clinician staff. **Minimum Requirements:** + Requires a minimum of associate 's degree in nursing . + Requires a… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Program in Big Data and Real-World Evidence reporting to the Cancer Center Director through the supervising Associate Director for Quantitative Science ... Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and… more
- CVS Health (Lansing, MI)
- …in the lives of patients facing complex medical journeys. As a Utilization Management ( UM ) Nurse Consultant specializing in Medical Review, you'll play a vital ... CPB or other criteria guideline application experience is preferred. **Education** + Associate 's degree in nursing (RN) required, BSN preferred. **Anticipated… more
- University of Michigan (Ann Arbor, MI)
- …**SUPERVISION RECEIVED** General supervision is received from Administrative Manager, Medical Director or Nurse Manager. **PHYSICAL REQUIREMENTS** This position ... Medical Assistant Associate /Assistant (Internal Applicants Only) Apply Now **Responsibilities BASIC FUNCTION AND RESPONSIBILITY To perform and assist with clinical… more
- AmeriHealth Caritas (LA)
- …holidays and 1 to 2 weekends per year **Education & Experience** + Registered Nurse candidates: Associate Degree in Nursing (required) or Bachelor Degree ... and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that treatment delivered is… more
- University of Southern California (Alhambra, CA)
- …and assignments. 12. Other duties as requested or assigned. Required Qualifications: + Req Associate 's Degree Nursing + Req 5 years Clinical experience + Req 2 ... the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Maryland School of Medicine seeks a mid-career or senior level Neonatologist to join UM -SJMC as the level III NICU Medical Director . This position requires ... *Medical Director , Level III Neonatal Intensive Care Unit* *University...Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The Department of Pediatrics,… more
- University of Michigan (Ann Arbor, MI)
- …Qualifications + Bachelor's degree in a health-related discipline (eg, Nursing , Social Work, Respiratory Therapy), healthcare administration, or an equivalent ... (https://hr.umich.edu/working-u-m/my-employment/ways-we-work-resource-center/ways-we-work-implementation-group/modes-work) . **Additional Information** Direction is received from the Associate Chief Medical Officer for Capacity Management and the… more
- University of Michigan (Ann Arbor, MI)
- …RAHS Operations Manager. **Required Qualifications + Bachelor's degree in public health care or Associate Nursing degree (LPN or RN) + 5 years of lead experience ... with RAHS Medical Directors, RAHS APP Manager, RAHS Operations Manager, and RAHS Director to ensure compliance with standards of care, policies, and procedures. +… more
