- University of Michigan (Ann Arbor, MI)
- …to rooming patients, vitals, obtaining records, insurance authorization, laboratory and medical management monitoring, order entry, referral transcription, fax ... Medical Assistant Associate/Assistant Apply Now **Job Summary** In...Process prescription renewals as directed by a provider or RN . + Patient follow-up for normal and low complexity… more
- Elevance Health (Washington, DC)
- …practitioners in the development, implementation, and coordination of a comprehensive integrated Medical Management program designed to manage health outcomes in ... + Engages in the development and implementation of integrated medical management programs across the different member...as aligned to license which includes 3 years prior management experience + Current active unrestricted RN … more
- MVP Health Care (Tarrytown, NY)
- …you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 months after ... our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Medical Management /Clinical** **Pay Type** **Salary** **Hiring Min Rate** **56,200… more
- Evolent (Olympia, WA)
- …mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance ... for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices of...under the auspices of the office of the Chief Medical Officer. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : include the… more
- University of Michigan (Ann Arbor, MI)
- …Qualifications ** Nurse Practitioners** + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... and collaborative educational series. + Orient and precept newly onboarding APPs, nurse practitioner students, physician assistant students, and medical students… more
- Elevance Health (Walnut Creek, CA)
- …offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- Dignity Health (Gilbert, AZ)
- … RN License Preferred: + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification Training: + Knowledge of managed care and payer ... **Job Summary and Responsibilities** The Care Coordination Department at Mercy Gilbert Medical Center plays a critical role in providing exceptional patient care to… more
- Centene Corporation (Salem, OR)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... for all appeals utilizing nationally recognized criteria to determine medical necessity of services requested. + Prepare reviews for...LPN, LVN, or RN license. **Texas Requirements:** RN license required within Utilization Management at… more
- Elevance Health (NC)
- …necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more
- Elevance Health (Metairie, LA)
- …necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... equivalent background. + Current active unrestricted license, such as RN , LCSW, LMSW, LMHC, LPC, LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more