- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Utilization Management Nurse - Weekend Front End Review utilizes clinical nursing ... Tuition Reimbursement Parent Leave Go365 perks for well-being The Utilization Management Nurse - Weekend ...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in Florida with no disciplinary action.… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Sharp HealthCare (San Diego, CA)
- …the episode of care and supports other members of the System Centralized Utilization Management team to ensure final status reconciliation. This position ensures ... Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered...Degree in a health related field. + 3 Years Utilization Management or case management … more
- Hackensack Meridian Health (Neptune, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The Case Management Care Coordinator, Utilization Management is a member of the ... Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to... Licenses and Certifications Required: + NJ State Professional Registered Nurse License + AHA Basic Health Care Life… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
- Hackensack Meridian Health (Holmdel, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- Hackensack Meridian Health (Hackensack, NJ)
- …transform healthcare and serve as a leader of positive change. The **Care Coordinator, Utilization Management ** is a member of the healthcare team and is ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more
- CVS Health (Raleigh, NC)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted...of clinical experience in acute or post-acute setting - Utilization management is a 24/7 operation. Work… more
- CVS Health (Richmond, VA)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate, ... document and communicate all aspects of the utilization /benefit management program. **Required Qualifications** + Licensed independent behavioral health… more
- St. Luke's University Health Network (Easton, PA)
- …but not limited to: RN and Social Work care managers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among all ... we serve, regardless of a patient's ability to pay for health care. The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex… more
- CVS Health (Baton Rouge, LA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... external constituents in the coordination and administration of the utilization /benefit management function. **Required** **Qualifications** + Licensed… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- UNC Health Care (Hillsborough, NC)
- …stay, and discharge reviews in accordance with federal regulations & the Hospitals? Utilization Management Plan. In addition, the Utilization Manager is ... case management referrals. Initiates appropriate social work referrals. 3. Utilization Management Process - Performs utilization management… more
- CVS Health (Phoenix, AZ)
- …broadband service. **Preferred Qualifications** + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills in a… more
- Trinity Health (Muskegon, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Weekend Registered Nurse - 3 - 12hour shifts** **Position Purpose:** Our Home Care Baylor/ Weekend ... Aides and LPNs as needed. Provides therapeutic intervention, overall care management and achievement of top decile client outcomes and patient satisfaction.… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …transform healthcare and serve as a leader of positive change. The Utilization Management Coordinator utilizes clinical knowledge and understanding of behavioral ... appropriate alternative level of care setting for continued treatment. Employs the utilization management process to assist in setting priorities, planning,… more
- Dartmouth Health (Lebanon, NH)
- Overview This position is a float position. One 10hr shift every other weekend . Triages, coordinates and facilitates the clinical management for an assigned ... standards and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. Responsibilities * Facilitates the development of… more
- BayCare Health System (Cotton Plant, AR)
- …Critical Care or Emergency Nursing RN. **Certifications and Licensures:** + Required RN ( Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and... Review or + Required 2 years in Case Management + Preferred 3 years Registered Nurse… more
- SSM Health (WI)
- …Shift (United States of America) **Job Type:** Employee **Department:** 8746030033 Sys Utilization Management **Scheduled Weekly Hours:** 40 _SSM Health is an ... a calling** WI-REMOTE **Worker Type:** Regular **Job Highlights:** + **Department:** Utilization Review + **Schedule:** Full Time, Day Shift, 8:30am-5:00pm; every… more