- Molina Healthcare (Manhattan, NY)
- …people who are eligible for Medicaid and Medicare.** **We are looking for Registered Nurse Care Review Clinicians with Prior Authorization experience. ... programs. + Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies...Education** Any of the following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse… more
- Apex Health Solutions (Houston, TX)
- …of Nursing) Licenses/Certifications: Current, unrestricted Texas licensure to practice as a Registered Nurse or Licensed Vocational Nurse required and ... office staff when benefit coverage or UR questions or issues arise. To support care management initiatives, the UM Reviewer should also identify enrollees in… more
- Sharp HealthCare (San Diego, CA)
- …Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; ... Will Do** As a member of the System Integrated Care Management (ICM) team the Utilization Manager ( UM...clinical experience as defined by the CBA. + California Registered Nurse (RN) - CA Board of… more
- Magellan Health Services (Honolulu, HI)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - ... influence quality of care . General Job Information Title HMSA Care Manager - BH, UM Reviewer - Remote Hawaii Grade 24 Work Experience - Required Clinical… 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, FL...and manage members who are in need of additional care or support in their home to improve their quality… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …+ Master's Degree **Licenses and Certifications Preferred:** + NJ State Professional Registered Nurse License or NJ Licensed Social Worker **Job ID** ... understanding of behavioral health resource management to review and coordinate the care for a designated patient caseload. Collaborates with the attending LIP,… more
- Trinity Health (Silver Spring, MD)
- …licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse . + Graduation from an accredited nursing program; Associate Nursing ... DC and Baltimore, MD **Description:** + Reporting to the Director of Care Management + Provides process oversight and education toward new staff orientation,… more
- Trinity Health (Syracuse, NY)
- …outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that ... Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and retrospective inpatient and… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - 6A Acute Care Medicine Unit in the University Hospital Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... equal opportunity/affirmative action employer. **Job Detail** **Job Opening ID** 258293 **Working Title** REGISTERED NURSE - 6A Acute Care Medicine Unit in… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Rogel Cancer Center, Radiation Oncology) Apply Now **Mission Statement** The University of Michigan Health System ... opportunity/affirmative action employer. **Job Detail** **Job Opening ID** 258218 **Working Title** REGISTERED NURSE : Ambulatory Care Services (Rogel Cancer… more
- University of Michigan (Ann Arbor, MI)
- … REGISTERED NURSE : Mott Children's Hospital (Central Staffing Resources, Pediatric Acute Care Cluster) **Job Title** REGISTERED NURSE - LEVEL C **Work ... REGISTERED NURSE : Mott Children's Hospital (Central Staffing Resources, Pediatric Acute Care Cluster) Apply Now **Job Summary** This RN would be part of our… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Central Staffing Resources (Pediatric Critical Care Cluster) Apply Now **Job Summary** This is a Central Staffing Resource RN position ... **Job Detail** **Job Opening ID** 257417 **Working Title** REGISTERED NURSE : Central Staffing Resources (Pediatric Critical Care Cluster) **Job Title**… more
- University of Michigan (Ann Arbor, MI)
- … REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult General Care Cluster) **Job Title** REGISTERED NURSE - LEVEL C **Work ... REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult General Care Cluster) Apply Now **Job Summary** This RN would be part of our Central… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Cardiovascular Center- CVC 5, Cardiovascular Intensive Care Unit) Apply Now **Mission Statement** Michigan Medicine improves the health of ... **Job Detail** **Job Opening ID** 258292 **Working Title** REGISTERED NURSE (Cardiovascular Center- CVC 5, Cardiovascular Intensive Care Unit) **Job Title**… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (8D Intermediate Care /Intensive Care Unit) Apply Now **Mission Statement** Michigan Medicine improves the health of ... employer. **Job Detail** **Job Opening ID** 258322 **Working Title** REGISTERED NURSE : University Hospital (8D Intermediate Care /Intensive Care Unit)… more
- University of Michigan (Ann Arbor, MI)
- …**Job Detail** **Job Opening ID** 258294 **Working Title** REGISTERED NURSE (Cardiovascular Center- CVC 4, Cardiovascular Intensive Care Unit) **Job ... REGISTERED NURSE (Cardiovascular Center- CVC 4, Cardiovascular Intensive Care Unit) Apply Now **Mission Statement** Michigan Medicine improves the health of… 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 patient ... Coordination Plan, updates as appropriate. 12. Collaborates with UM team, as appropriate and applies clinical understanding of… more
- United Methodist Communities (Collingswood, NJ)
- 40 per hour | Collingswood, NJ, USA | Other | Part Time Day RN: Registered Nurse - Home Care Visiting Nurse Part Time Days - 20 hours per week, scheduled ... We care for you! The RN Home Care Visiting Nurse will provide professional nursing...orientation process + Supportive and encouraging team! Abou t UM C: + Our Mission is to serve our… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Von Voigtlander Womens Hospital) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and communities ... through excellence in education, patient care , community service, research and technology development, and through...###. **Required Qualifications + License to practice as a Registered Nurse in the State of Michigan… 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, ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability… more