- UPMC (Pittsburgh, PA)
- …and Clearances: + Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act 34 *Current licensure either ... Are you a registered nurse with a background in...given to candidates located in Pennsylvania. The Utilization Management ( UM ) Care Manager is responsible for utilization review of… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management ( UM ) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and… more
- Elevance Health (Richmond, VA)
- …on relatively complex case types that require the training and skill of a registered nurse . Acts as a resource for more junior Clinicians. **Primary duties ... clinician staff. **Required Qualifications** + Current active, valid and unrestricted RN license and/or certification to practice as a health professional within… more
- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... care in the comfort of their homes. As an RN with UPMC Home Health, you'll collaborate with our...Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state… more
- Commonwealth Care Alliance (Boston, MA)
- …Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management ( UM ) Reviewer is responsible for day-to-day ... clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets… more
- Healthfirst (NY)
- …prior authorization, concurrent review, and service requests Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social ... related field from an accredited institution or equivalent work experience NYS RN Demonstrated understanding of UM regulatory requirements, clinical review… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Adult Emergency Services) **Early Site Maintenance** We are performing updates and maintenance to our applicant ... no-cost CEs and professional development for advancement **Responsibilities The UM Adult ED is a Level 1 Trauma Center...Nurse Recruitment at ###. **Required Qualifications Current Michigan Registered Nurse License. One (1) year of… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Central Staffing Resources, Adult Critical Care Cluster) **Early Site Maintenance** We are performing updates and ... a competitive salary with excellent benefits!** Hourly range for Registered Nurses **$41.78-$64.81/ hour** CSR RN 's will...20 hours/week may be combined. **Required Qualifications Current Michigan Registered Nurse License. Two (2) or more… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : D. Dan and Betty...Beacon Award for excellence! **Nursing Specific Info** This UMPNC RN posting is posted as Nursing Framework LEVEL A. ... to existing inpatient care facilities. This internship program which prepares the new Graduate Nurse for a Registered Nurse Position in the Pavilion 5… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Central Staffing Resources (Pediatric Critical Care Cluster) **Early Site Maintenance** We are performing updates and maintenance to our ... hour Night Shift Weekend Differential- $6.90 / hour Charge Nurse Differential- $1.00 / hour CSR RN 's...Recruitment at ###. **Required Qualifications Current licensure as a Registered Nurse in the State of Michigan.… more