- US Tech Solutions (May, OK)
- …experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... . MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review. . MUST HAVE 1 YEAR OF UTILIZATION… more
- Covenant Health Inc. (Morristown, TN)
- Overview Registered Nurse , Free Standing Emergency Department PRN/OCC, Variable Hours & Shifts Morristown Hamblen Overview: Morristown-Hamblen Healthcare System ... requested. + Performs other duties as assigned. Qualifications Minim um Education: None specified; however, must be sufficient to...and maintain Tennessee RN license and CPR. RN license Apply/Share Job Title Clin Nurse … more
- University of Michigan (Ann Arbor, MI)
- …Professional Licensure + Active licensure in the State of Michigan as a Registered Nurse , Pharmacist, or relevant clinical specialty. Education + Bachelor's ... advanced therapies such as Cell and Gene Therapy. Certifications/Licensure (Preferred) + Registered Nurse (Michigan Board of Nursing) + Licensed Pharmacist… more
- Datavant (Nashville, TN)
- …with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well...table:** + Two (2) years managed care experience in UM /CM/CDI Department preferred + Knowledge of CMS, State Regulations,… more
- UTMB Health (Webster, TX)
- …testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Current Texas licensure as a Registered Nurse ( RN ).with a minimum of three (3) years ... AS 400. + Demonstrates skill in accurately entering required UM data. + Monitors and facilitates appropriate utilization of...transfers and admissions from the prison facility. + Conducts nurse to nurse conference calls for all… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …as assigned. Essential Qualifications * Current Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in...URAC and NCQA. * 2+ years' experience in a UM team within managed care setting. * 3+ years'… more
- Highmark Health (Harrisburg, PA)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... assigned or requested. **EDUCATION** **Required** + High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... indicated. + Identify and facilitate resolution of system process problems impeding UM functions. Identify and resolve delays and obstacles as appropriate. +… more
- University of Michigan (Ann Arbor, MI)
- …contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse in the State of Michigan. + Master's degree in Nursing ... and care of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in a technology-intensive environment, including ECMO, CRRT,… more
- CareFirst (Baltimore, MD)
- …programs such as Microsoft Word, Excel, Access, PowerPoint and Outlook. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** UM Quality and Reporting **Equal Employment Opportunity** CareFirst BlueCross… more