- Ascension (Nashville, TN)
- …prior authorization codes for all clients.Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the Tennessee Board of Nursing ... to optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready to lead and innovate? Apply now!Benefits… more
- 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...for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions. They must competently and… more
- LifePoint Health (Las Cruces, NM)
- …Professionals or InterQual is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or ACM desired. *_EEOC Statement_*: ... local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** * RN Case Manager - UM - PRN*...Medical Center* **Title:** * RN Case Manager - UM - PRN* **Location:** *New Mexico-Las Cruces* **Requisition ID:**… more
- Centers Plan for Healthy Living (Jamaica, NY)
- UM RN 90-27 Sutphin Blvd, Jamaica, NY 11435, USA Req #12129 Wednesday, November 13, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... and plans they need for healthy living. JOB SUMMARY: The Utilization Management nurse works within a multidisciplinary team to help identify and manage members who… more
- Elevance Health (Grand Prairie, TX)
- …CST. Weekend and holiday coverage is rotated among the team.** The ** Nurse Medical Management II** responsible to collaborate with healthcare providers and members ... projects and initiatives. **Required Qualifications** + Requires current active unrestricted RN license to practice as a health professional in applicable state(s)… more
- United Methodist Communities (Camden, NJ)
- …| Camden, NJ, USA | Hourly | Per Diem RN : Registered Nurse UMC -...and orientation process is quick and easy Abo ut UM C: + Our Mission is to serve our ... have flexibility to work as little or as much as you choose. Requirements for an RN : Registered Nurse : + Cover an open shift as assigned and agreed upon +… 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
- University of Virginia (Charlottesville, VA)
- …of the healthcare team to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All ... Under general direction: The Utilization Management RN serves as a leader resource in the...care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia… more
- ProMedica Health System (Sylvania, OH)
- …applicable nursing experience License: A current, active, and unrestricted licensure as a Registered Nurse in the state of practice is required. Certification: ... Position Summary: The RN Acute Care Navigator is responsible for direct...Care Coordination Plan, updates as appropriate. 12. Collaborates with UM team, as appropriate and applies clinical understanding of… more
- United Methodist Communities (Pitman, NJ)
- 40 per hour | Pitman, NJ, USA | Other | Part Time Day RN : Registered Nurse - Home Care Visiting Nurse Part Time Days - 20 hours per week, scheduled by ... You care for them. We care for you! The RN Home Care Visiting Nurse will provide...orientation process + Supportive and encouraging team! Abou t UM C: + Our Mission is to serve our… more
- United Methodist Communities (Collingswood, NJ)
- 75 per visit | Collingswood, NJ, USA | Other | Per Diem RN : Registered Nurse - Home Care Visiting Nurse Serving clients in Monmouth and Ocean Counties ... Streamlined orientation process + Supportive and encouraging team! Requirements: RN 's must be Covid vaccinated and boosted and have...and valid Driver's License is also required. Abou t UM C: + Our Mission is to serve our… more
- Elevance Health (Indianapolis, IN)
- …Health office.** **HOURS** **: Monday - Friday, 8am - 5pm, EST.** The Nurse Medical Management I is responsible to collaborate with healthcare providers and members ... requirements and standards. **Required Qualifications** + Requires current active unrestricted RN license to practice as a health professional within the scope… more
- Centers Plan for Healthy Living (Margate, FL)
- …Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... UM Clinical Reviewer 5297 W Copans Rd, Margate,...education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +… more
- Magellan Health Services (Boise, ID)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... 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
- Elevance Health (Durham, NC)
- …and insightful analytics to improve the delivery of care. **BH Care Manager I, UM /Crisis Line - North Carolina** Candidate must live AND be licensed in the state ... and Rotating Holiday coverage.** The **BH Care Manager I, UM /Crisis Line** is responsible for managing psychiatric and substance...active, unrestricted license, such as either a LCMHC, LCSW, RN (must have experience in behavioral health) LMFT or… more
- University of Michigan (Ann Arbor, MI)
- …education and the management of chemotherapy, biotherapy and immunotherapy administration. The Registered Nurse ( RN ) supports professional nursing practice ... REGISTERED NURSE (Ambulatory Care Services, West...and teaches patients, families, orients colleagues and peers. The RN administers injections, IV hydration, blood products, and chemotherapy,… more
- CVS Health (Phoenix, AZ)
- …state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): -Reviews ... care more personal, convenient and affordable. **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote and the candidate… more
- University of Michigan (Ann Arbor, MI)
- …education and the management of chemotherapy, biotherapy and immunotherapy administration. The Registered Nurse ( RN ) supports professional nursing practice ... REGISTERED NURSE (Ambulatory Care Services, Dual...and teaches patients, families, orients colleagues and peers. The RN administers injections, IV hydration, blood products, and chemotherapy,… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Psychiatric Emergency Services) Apply Now **Job Summary** Provide clinical leadership in the nursing care of individuals, ... for age and physical condition. + Liaison with other UM Health System nurses in coordination of care. +... Nurse Recruitment at ###. **Required Qualifications Active Registered Nurse licensure in the State of… more
- Elevance Health (FL)
- …necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more
