- Molina Healthcare (Long Beach, CA)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... Oversight Nurse ** is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as… more
- Humana (Oklahoma City, OK)
- …in the State of Oklahoma.** + 2+ years of leadership/management experience. + Licensed Registered Nurse (RN) in the State of Oklahoma (or compact license) with ... Horizons in Oklahoma is seeking a Manager, Utilization Management ( UM ) Physical Health Nurse , who utilizes clinical...procedures to provide the best and most appropriate treatment, care , or services for members. The Manager roles and… more
- CVS Health (Tallahassee, FL)
- …first 3 weeks training required 100% participation during 8:30am-5pm Monday-Friday. + A Registered Nurse that must hold an unrestricted license in their state ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...the user up front. **Required Qualifications** + 1 year UM , concurrent review or prior authorization + 5 years… 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
- US Tech Solutions (Columbia, SC)
- **Job Title:** ** Registered Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract** **Job Description:** + Reviews and evaluates ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for… 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 - ... directly influence quality of care . General Job Information Title Care Manager ( UM /UR) - Remote, Idaho Licensed Grade 24 Work Experience - Required Clinical… more
- Sutter Health (Sacramento, CA)
- …* Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** * RN- Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** * 8 years ... state regulations and guidelines. Has frequent contact with hospital leadership, Nurse Executives and Directors, Risk Management & Ethics staff, Ancillary Services,… 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
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - Brighton Center Specialty Care Medical Procedures Unit Apply Now **Mission Statement** Michigan Medicine improves the health of patients, ... employment opportunity employer. **Job Detail** **Job Opening ID** 261240 **Working Title** REGISTERED NURSE - Brighton Center Specialty Care Medical… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - 6A Acute Care Medicine Unit in the University Hospital Apply Now **How to Apply** This is a "multiple-fill" job opening: A total of three ... an equal employment opportunity employer. **Job Detail** **Job Opening ID** 260109 **Working Title** REGISTERED NURSE - 6A Acute Care Medicine Unit in the… more
- University of Michigan (Ann Arbor, MI)
- … REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult Critical Care Cluster) **Job Title** REGISTERED NURSE - LEVEL C **Work ... REGISTERED NURSE : University Hospital (Central Staffing...in each area to serve as both the critical care nurse as well as the patient/family… more
- University of Michigan (Ann Arbor, MI)
- …employer. **Job Detail** **Job Opening ID** 261340 **Working Title** REGISTERED NURSE - D. Dan and Betty Kahn Health Care Pavilion-Operating Room **Job ... REGISTERED NURSE - D. Dan and Betty Kahn Health Care Pavilion-Operating Room Apply Now **Job Summary** The D. Dan and Betty Kahn Health Care Pavilion is a… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Taubman Center Infectious Disease HTAP) Apply Now **Mission Statement** Michigan Medicine improves the health of ... employment opportunity employer. **Job Detail** **Job Opening ID** 261369 **Working Title** REGISTERED NURSE : Ambulatory Care Services (Taubman Center… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE (Ambulatory Care - Pediatric Pulmonary Clinic) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations ... employment opportunity employer. **Job Detail** **Job Opening ID** 261438 **Working Title** REGISTERED NURSE (Ambulatory Care - Pediatric Pulmonary Clinic)… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (C&W Adult Bone Marrow Transplant & Leukemia Clinic) Apply Now **Job Summary** The Ambulatory Care RN is ... equal employment opportunity employer. **Job Detail** **Job Opening ID** 261241 **Working Title** REGISTERED NURSE : Ambulatory Care Services (C&W Adult Bone… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - (Ambulatory Care Services, Dominos Farms Allergy Clinic) Apply Now **Mission Statement** Michigan Medicine improves the health of ... equal employment opportunity employer. **Job Detail** **Job Opening ID** 261373 **Working Title** REGISTERED NURSE - (Ambulatory Care Services, Dominos Farms… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services (Rogel Cancer Center Maize Team Float) Apply Now **Mission Statement** The University of Michigan Health System ... employment opportunity employer. **Job Detail** **Job Opening ID** 261410 **Working Title** REGISTERED NURSE : Ambulatory Care Services (Rogel Cancer Center… more
- University of Michigan (Ann Arbor, MI)
- …employer. **Job Detail** **Job Opening ID** 261376 **Working Title** REGISTERED NURSE - D. Dan and Betty Kahn Health Care Pavilion: Otolaryngology, Oral ... REGISTERED NURSE - D. Dan and Betty Kahn Health Care Pavilion: Otolaryngology, Oral Surgery, Spine, and Vascular Apply Now **How to Apply** This is a… 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 : 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