- Magellan Health Services (Boise, ID)
- Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse ... develops discharge plans and oversee their implementation. + Performs quality clinical reviews while educating and making appropriate interventions to advance the… more
- Integra Partners (Troy, MI)
- …manager for frontline staff. Salary: $75,000.00/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The UM Nurse Team Lead's responsibilities include but are ... The Utilization Management ( UM ) Nurse Supervisor is responsible for...overall team performance, escalating issues as needed to the UM Clinical Manager. + Ensure compliance with… more
- University of Miami (Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . JOB DESCRIPTION UM Title: Senior Registered Nurse Supervisor's ... 2014. Job Summary (Purpose and Function): The Pain Management Nurse will be a professional registered nurse ...and variances to the plan of care. Documents in UM Care program intra-procedure assessment of patient condition. Planning… more
- LA Care Health Plan (Los Angeles, CA)
- …direct patient care that may include at least 2 years of relevant Licensed Vocational Nurse (LVN) experience in a UM or CM capacity substituted for 1 year of ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical...nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get… more
- University of Miami (Miami, FL)
- …Accountabilities (For Non-exempt Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the ... and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study timelines… more
- Centene Corporation (Sacramento, CA)
- …Remote position. Must work PST **RN-Must hold a current CA license.** **Must have** ** 2 -4 years related** **experience in UM -Concurrent Review. 2 + years of ... 2 - 4 years of related experience. 2 + years of acute care experience required. Clinical...management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health Net… more
- University of Miami (Miami, FL)
- …(For Non-exempt Employees Include Percent of Effort): Meets requirements of Clinical Trials Senior Chemotherapy Nurse 30% Administers research study ... protocol and clinical practice standards. Provides documentation to the Research Nurse and/or Data Manager. Meets study timelines and objectives as defined by… more
- AdventHealth (Tampa, FL)
- …role you'll contribute:** The role of the Utilization Management ( UM ) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to ... physician order or a status conflict is indicated, the UM nurse is responsible for escalation to...(ADN or BSN) required. Minimum 3 years acute care clinical nursing experience required. Minimum 2 years… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Registered Nurse works as a part of a team to ... position include, but are not limited to: Performance Nursing Duties as per Nurse Job Description 100% Perform patient interview and obtains vital signs. Assists… more
- Humana (Lansing, MI)
- …our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent critical ... years of clinical experience in utilization management. + Minimum two ( 2 ) years of direct or indirect leadership experience. + Knowledge of Medicare regulatory… more