- Dignity Health (Bakersfield, CA)
- …experience. - Graduate of an accredited RN Program. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of nursing theory and ability to ... **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial in ensuring accurate...line with CommonSpirit's values. You will function as a UM nurse reviewer, applying clinical expertise to… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management ( UM ) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Job Title: Registered Nurse I Department: Utilization Management...guidelines. Responsibilities include managing the workflow with the standard UM sources for potential inpatient medical necessity denials. Assists… more
- Highmark Health (Harrisburg, PA)
- …specialization + Experience in a clinical setting **Preferred** + Experience in UM /CM/QA/Managed Care + Medical/Surgical experience + Utilization Management ( UM ) ... Review experience **LICENSES AND CERTIFICATIONS** **Required** + Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse … more
- United Methodist Communities (Pitman, NJ)
- …| Hourly | 44-54 per hour | 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
- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... care in the comfort of their homes. As an RN with UPMC Home Health, you'll collaborate with our...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- Health Care Service Corporation (Downers Grove, IL)
- …health needs within the scope of their benefit plan. **Required Job Qualifications:** + Registered Nurse ( RN ) with current, valid, unrestricted license to ... to obtain multi-state licenses. **Preferred Job Qualifications:** + Familiarity with UM /CM activities and standardized criteria set. + Knowledge of ancillary… more
- Healthfirst (NY)
- …authorization, concurrent review, and service requests + Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social ... an accredited institution or equivalent work experience + NYS RN + Demonstrated understanding of UM regulatory...+ NYS RN + Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care… more
- Trinity Health (Columbus, OH)
- …technology, financial analysis, audit, provider relations and more. **Position Purpose:** The RN Case Manager MCHP is responsible for the coordination of the medical ... appropriate. Assists in the implementation of Case Management software along with the Plan's UM and QM Program and the review of the Plan's Medical Management Plan.… more
- Elevance Health (Cerritos, CA)
- **Behavioral Health Care Manager II, UM ** **Location:** California **Virtual:** This role enables associates to work virtually full-time, with the exception of ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Adult Emergency Services) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations ... no-cost CEs and professional development for advancement **Responsibilities The UM Adult ED is a Level 1 Trauma Center...Nurse Recruitment at ###. **Required Qualifications Current Michigan Registered Nurse License. One (1) year of… 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 ... education, and preventative interventions are maintained. Qualifications: + Active RN license, entry level RN welcome +...Qualifications: + Active RN license, entry level RN welcome + Excellent written and verbal communication skills… 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 ... hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour CSR RN 's...Recruitment at ###. **Required Qualifications Current licensure as a Registered Nurse in the State of Michigan.… 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 ... classes and inservices, etc.). **Nursing Specific Info** This UMPNC RN posting is posted as Nursing Framework LEVEL C....###. **Required Qualifications + License to practice as a Registered Nurse in the State of Michigan… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Mott Childrens Hospital (Childrens Emergency Department Graduate Nurse Internship) Apply Now **Job Summary** Children's Emergency Services ... program, which prepares the new Graduate Nurses for a RN position in the Children's Emergency Services (CES). Orientation...newly licensed in the State of Michigan as a Registered Nurse ,. **The candidate must not have… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Domino Farms MEND Clinic...Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C. ... licensure to practice nursing in the State of Michigan ( RN ) + Minimum of two (2) years RN...employer. **Job Detail** **Job Opening ID** 271280 **Working Title** REGISTERED NURSE : Domino Farms MEND Clinic **Job… more
- CVS Health (Indianapolis, IN)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult General Care Cluster) Apply Now **Job Summary** This RN would be part of our Central ... competitive salary with excellent benefits! + Hourly range for Registered Nurses **$41.78-$64.81** / hour **CSR RN 's...at ###. **Required Qualifications Must have a current Michigan Registered Nurse License. One (1) year or… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Pediatric Infusion) Apply Now **Mission Statement** The University of Michigan Health System improves the health of ... Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....current license in the State of Michigan as a Registered Nurse . + At least one (1)… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Mott Children's Hospital-Operating Room, Internship) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... (6) month operating room orientation program. By teaching the RN a wide range of skills and knowledge, the...###. **Required Qualifications The candidate must be a Graduate Nurse or newly licensed Registered Nurse… more
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