- Harbor Health Services, Inc. (Mattapan, MA)
- …improvements in quality and consistency of decisions. Supervisory responsibilities for UM RN , Quality Analyst, Appeals and Grievances Specialist. Requirements: ... of care within a managed care environment. Additionally, the Director of UM ensures that collaborative relationships are maintained with external entities (eg,… more
- Alameda Health System (Oakland, CA)
- …background. Required Licenses/Certifications : Valid license to practice as a Registered Nurse in the State of California. Preferred Licenses/Certifications ... of utilization practices; assists physicians and hospital personnel in understanding UM matters. Perform all other duties as assigned. Prepares cost analysis… 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
- Elevance Health (Richmond, VA)
- …on relatively complex case types that require the training and skill of a registered nurse . Acts as a resource for more junior Clinicians. **Primary duties ... clinician staff. **Required Qualifications** + Current active, valid and unrestricted RN license and/or certification to practice as a health professional within… 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
- Commonwealth Care Alliance (Boston, MA)
- …Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Adult Emergency Services) **Early Site Maintenance** We are performing updates and maintenance to our applicant ... 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
- Healthfirst (NY)
- …prior authorization, concurrent review, and service requests Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social ... related field from an accredited institution or equivalent work experience NYS RN Demonstrated understanding of UM regulatory requirements, clinical review… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Ambulatory Care Nurse Resource Pool-Surgical Specialties) **Early Site Maintenance** We are performing updates ... and pediatric Surgical Specialty patients in multiple Surgical Specialty ACU?s. The Registered Nurse demonstrates adaptability to changing needs and priorities… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Central Staffing Resources (Pediatric Critical Care Cluster) **Early Site Maintenance** We are performing updates and maintenance to our ... 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 - University Hospital - Electroconvulsive Therapy (ECT)/ Ketamine Clinic **Early Site Maintenance** We are performing updates and maintenance to ... opportunity employer. **Job Detail** **Job Opening ID** 271937 **Working Title** REGISTERED NURSE - University Hospital - Electroconvulsive Therapy (ECT)/… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult General Care Cluster) **Early Site Maintenance** We are performing updates and ... 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 - Briarwood Family Med) **Early Site Maintenance** We are performing updates and maintenance to our applicant experience. As a ... Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....employer. **Job Detail** **Job Opening ID** 271834 **Working Title** REGISTERED NURSE (Ambulatory Care - Briarwood Family… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (5B Medical/Surgical Unit) **Early Site Maintenance** We are performing updates and maintenance to our applicant ... position. **Desired Qualifications BSN preferred. One year experience as a Registered Nurse . Experience with General Medicine patients Demonstrated effective… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (D. Dan and Betty Kahn Health... RN posting is posted as Nursing Framework REG NURSE - LEVEL C. Actual Nursing Framework LEVEL and salary ... Nurse Recruitment at ###. **Required Qualifications + Current RN licensure to practice nursing in the State of...employer. **Job Detail** **Job Opening ID** 271675 **Working Title** REGISTERED NURSE (D. Dan and Betty Kahn… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Cardiovascular Center (Cardiovascular Operating Room ) **Early Site Maintenance** We are performing updates and maintenance to our applicant ... posting period. Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....Recruitment at ###. **Required Qualifications Current licensure as a Registered Nurse in the state of Michigan… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - Neonatal Nurse ...can not be submitted. Apply Now **Job Summary** Qualified RN applicants will be considered who will extend their NNP ... 0.9-1.0 FTE appointment fraction. **Nursing Specific Info** This UMPNC RN posting is posted as Nursing Framework LEVEL C....**Required Qualifications + Current licensure to practice as a Registered Nurse in the State of Michigan.… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Cardiovascular Answer Line) **Early...care setting (within the past five (5) years). + RN experience as a charge nurse or ... Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....employer. **Job Detail** **Job Opening ID** 271586 **Working Title** REGISTERED NURSE (Cardiovascular Answer Line) **Job Title**… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Mott Children's Hospital- 12...Nurse Recruitment at ###. **Required Qualifications Current Michigan RN license 1 year if current RN ... Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....employer. **Job Detail** **Job Opening ID** 271956 **Working Title** REGISTERED NURSE (Mott Children's Hospital- 12 East… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (5A Ortho/Trauma Surgical Unit) **Early Site Maintenance** We are performing updates and maintenance to our applicant ... opportunity employer. **Job Detail** **Job Opening ID** 263217 **Working Title** REGISTERED NURSE : University Hospital (5A Ortho/Trauma Surgical Unit) **Job… more
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