- Community Health Systems (Naples, FL)
- …coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records for ... Program ** Student Loan repayment plan ** Comprehensive benefits ( Medical , Dental, Vision) **Job Summary** The Care Manager -...cases as needed to the Physician Advisor or Utilization Management ( UM ) committee. + Identifies avoidable hospital… more
- CVS Health (Columbus, OH)
- …24/7 operation and work schedule may include weekends, holidays, and evening hours._ ** UM Nurse Consultant** Fully Remote- WFH **Schedule** - Mon-Fri 10:30AM-7PM ... with alternate weekends and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess,… more
- Datavant (Nashville, TN)
- …job function as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade denials and ... expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well...Word, Excel, Outlook, experience working in a health plan medical management documentation system a plus. Minimum… more
- BronxCare Health System (Bronx, NY)
- …and committees as determined by Director. Qualifications CERTIFICATION/LICENSURE : Registered Nurse or physician or a foreign medical graduate preferred . ... and implementation of educational programs for Denial Prevention and Management . Responsibilities - Establish and maintain positive relationships with patients,… more
- UTMB Health (Webster, TX)
- …testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse ( RN ).with a minimum of three (3) years ... Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2506588 The mission of...of enhancing quality clinical outcomes, promoting timely access to medical care, and managing care cost and efficient use… more
- Health Care Service Corporation (Houston, TX)
- …and facilitates the coordination of care for identified members. **JOB REQUIREMENTS:** ** Registered Nurse ( RN ) with current, valid, unrestricted license ... Management in a health insurance/managed care setting** **Knowledge of medical management policies and procedures** **1-year education experience in… more
- University of Michigan (Ann Arbor, MI)
- …contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse in the State of Michigan. + Master's degree in Nursing ... from state, regional, national, and international referrals. PCTU specializes in the medical and surgical care of infants, children, adolescents, and adults with… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight ... of best practice workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in the delivery of AwareUM… more
- University of Miami (Miami, FL)
- … Medical Training Lab at the Gordon Center is currently seeking a full time Nurse Educator - Medical Simulation and Education Lab to work in Miami, FL. The ... Nurse Educator provides clinical education to nursing and patient..., and critical thinking skills development. + Collaborates with medical providers, patient care staff, and unit management… more
- University of Michigan (Ann Arbor, MI)
- …above description. **Required Qualifications NP + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... world and has been the site of many groundbreaking medical and technological advancements since the opening of the... Practitioner-Primary Care (with 2 years of Pediatric Surgery RN /NP experience), Family Nurse Practitioner (with 2… more