- Blue KC (Workman, MN)
- …department, etc.). **Minimum Qualifications** + Associate degree in nursing + Valid and active Registered nurse ( RN ) in Missouri and Kansas. + 3 years ... transplant authorization, issues authorization letters, and follows in FACETS UM system in accord with UM concurrent...management and clinical transplant experience + Valid and active Registered nurse ( RN ) licensure in… more
- Cleveland Clinic (Cleveland, OH)
- …+ Graduate of an accredited School of Nursing + Current state licensure as a Registered Nurse ( RN ) + Basic Life Support (BLS) Certification through the ... basic disease processes + Three years of equivalent full-time clinical experience as a Registered Nurse + Analytical ability required to gather data, decide on… more
- UNC Health Care (Morrisville, NC)
- …serve. **Summary** : The **Executive System Director of Utilization Management ( UM )** is a strategic and operational leader responsible for designing, implementing, ... systems (ISD) to create a unified and standardized utilization management ( UM ) infrastructure. This collaboration ensures the delivery of high-quality, value-based… more
- Saint Francis Health System (Tulsa, OK)
- …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... and their receipt of necessary services and appropriate discharge planning. UM Coordinators participate in treatment teams, communicating with providers the details… more
- AmeriHealth Caritas (Philadelphia, PA)
- …; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid ... the day-to-day operations of the LTSS Review Home Modification and LTSS UM Department, including authorization and approval of services, appeals and the coordination… more
- UPMC (Seven Fields, PA)
- UPMC Home Health is Hiring a Full-Time Admissions Registered Nurse ( RN ) in the McKnight, Allison Park, Etna, Glenshaw and surrounding areas! UPMC Home Health ... + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act… more
- CVS Health (Austin, TX)
- …in clinical setting with diverse cultural dynamics of clinical staff and patients. Registered Nurse ( RN ) required. Licensed Clinical Social Worker (LCSW) ... and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): +… more
- Molina Healthcare (NM)
- …**JOB QUALIFICATIONS** **Required Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse (LVN) ... medical clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse … more
- UPMC (Coudersport, PA)
- …+ Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Driver's License + Registered Nurse ( RN ) OR Temporary Practice Permit (TPP) + Act ... UPMC Home Health is hiring a Registered Nurse for the area. Are...with rotations for on-call and weekend coverage. As an RN with UPMC Home Healthcare, you'll collaborate with our… more
- Centene Corporation (Sacramento, CA)
- …management principles preferred. 25% Travel CA RN License Required **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... day-to-day activities of utilization management team. + Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency… more