- Humana (Lansing, MI)
- …community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent critical thinking ... appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers, Enrollees, or other… 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...per year. Training programs include curricula developed by the UM Gordon Center, and other organizations, such as the… more
- Blue KC (Workman, MN)
- …standards. Documents transplant authorization, issues authorization letters, and follows in FACETS UM system in accord with UM concurrent review guidelines. ... state and federal regulations. + Valid and active Registered nurse (RN) in Missouri and Kansas. + Valid and...level keyboarding skills + Intermediate level knowledge of FACETS UM , CM and claims applications. + Experience in working… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Adult Emergency Services) Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and ... Night Shift Weekend Differential- $6.90 / hour + Charge Nurse Differential- $1.00 / hour What Benefits can you...no-cost CEs and professional development for advancement **Responsibilities The UM Adult ED is a Level 1 Trauma Center… more
- Actalent (Sacramento, CA)
- …+ Communicate avoidable days, delays in care, and readmission risks to UM leadership + Participate in audit readiness, quality improvement projects, and performance ... reporting + Educate providers and facilities on Medicare UM criteria and Vivant Health documentation standards + Performs related duties consistent with the scope… more
- University of Miami (Miami, FL)
- …tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse Human Genetics Full Time The Advanced ... Practice Registered Nurse (H) (APRN) d elivers medical care to a...needed + Evaluates and diagnoses new patients referred to UM /JMH Genetics + Provides long-term follow-up to diagnosed patients… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …integration of VHA and industry best standards. Responsibilities Responsibilities of the RUR Nurse Manager (NM) include, but are not limited, to the following: RUR ... Nurse Manager is accountable to the Consolidated Patient Account...Services, Compliance, Providers, Health Information Management (HIM), Utilization Management ( UM ), and Community Care. Completes 4-6 month orientation to… more
- University of Michigan (Ann Arbor, MI)
- Nurse Practitioner (NP) Pediatric Gastroenterology & Pediatric Nephrology Services Apply Now **How to Apply** These are Advanced Practice Professional (APP) job ... this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ###. **Nursing Specific Info** Employment is contingent upon… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- …EDRP participants ineligible to apply. Responsibilities The Clinical Command Center (CCC) Nurse Practitioner at the VA Palo Alto Health Care System (VAPAHCS) ... and serves as a clinical liaison with patients, physicians, nursing staff, UM team, and other interdisciplinary health team members regarding the comprehensive needs… more
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