• UM Nurse

    Humana (Tallahassee, FL)
    …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
    Humana (09/04/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …criteria used for decision-making. - Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to validate ... denial notice for determination. - Escalates non-compliant cases to UM compliance and consistently reports on denial activities. -...LVN Program. - Clear and current CA Licensed Vocational Nurse (LVN). - Knowledge of nursing theory and ability… more
    Dignity Health (07/13/25)
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  • UM LVN

    Dignity Health (Bakersfield, CA)
    …with each and every internal and external customer. - Perform all functions of the UM nurse reviewer. - Composes denial letter in a manner consistent with ... - Graduate of an accredited LVN Program. - Clear and current CA Licensed Vocational Nurse (LVN). - Knowledge of nursing theory and ability to apply or modify as… more
    Dignity Health (08/09/25)
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  • Utilization Management Nurse Supervisor

    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 providing direct leadership and oversight to the UM nursing team. This role ensures team… more
    Integra Partners (08/26/25)
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  • RN Registered Nurse Utilization Management

    AdventHealth (Tampa, FL)
    …does not align with the physician order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated ... **The role you'll contribute:** The role of the Utilization Management ( UM ) Registered Nurse (RN) is to use clinical expertise by analyzing patient records… more
    AdventHealth (09/04/25)
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  • Oncology Utilization Management RN / Registered…

    University of Washington (Seattle, WA)
    …medical necessity and financial liability for patients all hospitalized patients. The UM Nurse communicates this information with the interdisciplinary team to ... procedures, and quality patient care for the duration of the hospitalization. The UM Nurse is responsible for maintaining the knowledge and skill set related to… more
    University of Washington (08/29/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Denver, CO)
    …high-quality healthcare for members. We are seeking a dedicated Utilization Management ( UM ) Nurse Consultant to join our remote team. **Key Responsibilities** ... of a computer. + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams as needed, ensuring continuity… more
    CVS Health (09/04/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Santa Fe, NM)
    …healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. In this role, you'll ... + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams as needed, ensuring continuity of care and… more
    CVS Health (08/16/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Phoenix, AZ)
    …the lives of patients facing complex medical journeys. As a Utilization Management ( UM ) Nurse Consultant specializing in Oncology and Transplant, you'll play a ... + Minimum of 1 year of experience in Oncology and Transplant either in UM , concurrent review, or prior authorization + 3+ years of experience in Acute clinical… more
    CVS Health (08/16/25)
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  • Registered Nurse 2 - Pain Center - Full…

    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
    University of Miami (07/02/25)
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