- 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
- Centene Corporation (Springfield, IL)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... mental health settings and utilization management / review. * Department: PHCO BH UM supporting IL Meridian Medicaid * Business Unit: Corporate * Schedule: Thursday… more
- Covenant Health Inc. (Sevierville, TN)
- Overview Registered Nurse , Critical Care PRN/OCC, Variable Hours, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of Covenant Health, ... + Performs other duties as assigned. Qualifications Min im um Education: None specified; however, must be sufficient to...RN licensure. CPR required Apply/Share Job Title CLIN NURSE III ID 4104211 Facility LeConte Medical Center Department… more
- LA Care Health Plan (Los Angeles, CA)
- …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... internal LA Care departments such as Care Management (CM), Utilization Management ( UM ), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral… more
- UCLA Health (Los Angeles, CA)
- …- $341,800/annually Qualifications We're seeking an experienced leader with: + A Registered Nurse License, Advanced Practice Provider ( Nurse Practitioner ... will: + Oversee the development and execution of multiple UM processes and workflows, while continuously identifying and evaluating...+ 3-5 years of experience in a clinical capacity ( RN , APP, etc.), required + 3-5 years of executive… more
- CVS Health (Lansing, MI)
- …may include weekends, holidays, and evening hours._ _Weekends: F/S/S/M 10 hour shifts_ ** UM Nurse Consultant** Fully Remote- WFH **Position Summary** UM ... Nurse Consultant Position Summary: UM Nurse Consultant Utilizes clinical experience and skills in a...**Required Qualifications** + 3+ years of experience as an RN + Active and unrestricted RN licensure… more
- 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 ... of a computer. + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams as needed, ensuring continuity… more
- University of Miami (Miami, FL)
- …+ Maintains a current list of contact numbers, of all appropriate UM LAORA/Transplant/Research/Transportation personnel and updates list as needed. + This list will ... knowledge of organ donation/recovery process in a timely manner. + Keeps UM LAORA Clinical Operations Director and Organ Allocation and Recovery Managers apprised… more
- University of Michigan (Ann Arbor, MI)
- …the APP Manager. **Required Qualifications NP: + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... + Current specialty certification to practice as an Adult-Gerontology Acute Care Nurse Practitioner **or** + Current specialty certification to practice as a FNP,… more
- University of Michigan (Ann Arbor, MI)
- …Recruitment at ###. **Required Qualifications NP + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... or Adult-Gerontology Primary Care NP or Family NP + Graduate of an accredited Nurse Practitioner program. + Certification as a Nurse Practitioner recognized by… more