- Signet Health (Clinton, MD)
- …Collaboration and Coordination with providers and State agencies regarding Case management members Collaboration with Community Support Programs Utilization ... PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day...assessing and managing members referred for Behavioral Health Case management Tracking and management of members identified… more
- Signet Health (Clinton, MD)
- …Collaboration and Coordination with providers and State agencies regarding Case management members. Collaboration with Community Support Programs. Utilization ... following: Triaging, assessing and managing members referred for Behavioral Health Case management . Tracking and management of members identified as needing… more
- A-Line Staffing Solutions (Tampa, FL)
- …Case Manager, Medical Coding, BSN, Medical Management , Utilization Review, Utilization Management , Registered Nurse , MCO, RN, HMO, Concurrent Review, ... with members, caregivers, or provider s through in person visits and telephonic contact Authorize and coordinate referral for services Ensure provider services are… more
- Integrated Resources, Inc (Detroit, MI)
- …Shift Timings: 8 am to 5 pm. Schedule Notes: . Full Time Day Shift Position Utilization Management or Telephonic Case management experience are not ... able to integrate quickly. . Required: Clinical Background, 3-5 Years Case Management Experience Therapy background will not be considered and strong computer… more
- Humana (Austin, TX)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and concurrent review, and… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote… more
- CVS Health (Columbus, OH)
- …Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Columbus, OH)
- …and the candidate can live in any state. No travel is required. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... to make health care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- CVS Health (Austin, TX)
- … Consultant role is fully remote and employee can live in any state.As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- Robert Half Office Team (Monterey Park, CA)
- Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the ... on case findings. Functions & Job Responsibilities * The Utilization Management Nurse Specialist LVN...for admissions in any inpatient setting * May performs telephonic and/or on-site admission and concurrent review, and collaborates… more
- Adecco US, Inc. (Dallas, TX)
- **Join Our Team as a Utilization Management Nurse !** **Experience Required:** + Five years inpatient clinical nursing experience in an acute care hospital ... setting + Minimum of two years Utilization Management acute care setting experience + Minimum of one year drafting and submitting reconsiderations and appeals to… more
- Adecco US, Inc. (Dallas, TX)
- We are currently seeking a ** Utilization Management Nurse ** in **Dallas, Texas** . If you want to join our team, apply today! We offer competitive salary ... experience in an acute care hospital setting required. + Minimum of two years Utilization Management acute care setting experience required. + Minimum of one… more
- Adecco US, Inc. (Dallas, TX)
- Adecco Medical is seeking a ** Utilization Management Nurse ** for a direct-hire position with our client in **Dallas, Texas** . **Experience** : + Five years ... in an acute care hospital setting required. + Minimum of two years Utilization Management acute care setting experience required. + Minimum of one-year… more
- Adecco US, Inc. (Dallas, TX)
- …a very close knit team and being a team player is a must! The Utilization Management Nurse will provide precertification of inpatient hospitalizations and ... courses of outpatient. The nurse will use clinical judgement, utilization management , application of product benefits, understanding of regulatory… more
- Universal Health Services (Conway, SC)
- …documentation, clinical and critical thinking skills essential. Working knowledge of utilization management / case management preferred. Strong problem ... Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management Lighthouse Behavioral Health Hospital is a… more
- Adecco US, Inc. (Dallas, TX)
- We are now in search of a dynamic Utilization Management Nurse for a Direct Hire role with our esteemed client in Dallas, Texas. Experience: + Mandatory five ... within an acute care hospital setting. + Minimum of two years' experience in Utilization Management within an acute care setting. + Proficiency with drafting and… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ… more
- ERP International (Camp Pendleton, CA)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- The Arora Group (Twentynine Palms, CA)
- …(WII) under the Psychological Health Transition to Care Initiative in the Case Management / Utilization Management Division at Naval Hospital 29 Palms . ... assessment, planning, implementation, coordination, and monitoring. + Integrate case management (CM) with utilization management ...experience within the last 3 years as a registered nurse providing case management and obtain one… more
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