- Pacific Medical Centers (Renton, WA)
- …+ Coursework/Training Nursing (must be RN ) And + Upon hire: Washington Registered Nurse License + 5 years Clinical experience **Preferred Qualifications:** + ... **Description** The Supervisor Care Management RN is responsible for...the supervision of case management (CM) and utilization management ( UM ) functions of US Family Health Plan to achieve… more
- Saint Francis Health System (Tulsa, OK)
- …various levels of care and receipt of necessary services. The Utilization Management ( UM ) Registered Nurse will communicate with providers the details of ... Nursing. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum 2 years of… more
- University of Michigan (Ann Arbor, MI)
- …Current State of Michigan Board of Nursing licensure Minimum of three (3) years of acute care RN nursing experience OR 3 years care management of acute ... RN CASE MANAGER: University Hospital ( Care ...Time** Full-Time **Regular/Temporary** Regular **FLSA Status** Nonexempt **Organizational Group** Um Hospital **Department** MM OH Care Mgt… more
- Whidbey General Hospital (Coupeville, WA)
- …CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an assessment to identify the patient's ... at the right time-we'd love to meet you! The RN - Care Manager is a health...within the Transitions Department. + Performs pre-admission status recommendation review for multiple care settings as assigned… more
- UnityPoint Health (Cedar Rapids, IA)
- …and health care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication - ... + Area of Interest: Patient Care + FTE/Hours per pay period: 1.0 +...optimal clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients… more
- Providence (Santa Rosa, CA)
- … Network: Healthcare related field - Nursing Preferred. + Bachelor's degree for Case Management/ UM Review : Nursing or related field. + 2 years for Care ... department direction and has daily operations oversight of the RN Case Managers in the Care Management...year Leadership experience. + 3 years for Case Management/ UM Review : 3 years Case Management experience.… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge...1. Demonstrates sound clinical knowledge base regarding CM standards, UM standards, clinical standards of care , NCQA… more
- Dignity Health (Bakersfield, CA)
- …experience. + Certified Case Manager (CCM) Accredited Case Manager (ACM- RN ) or UM Certification preferred + Knowledge of managed care and payer environment ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines… more
- Dignity Health (Long Beach, CA)
- …experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed care and payer environment ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines… more
- Dignity Health (Glendale, CA)
- …experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed care and payer environment ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for...Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines… more