- Elevance Health (Los Angeles, CA)
- …necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Ability to work with all levels ... equivalent background. + Current active unrestricted license such as RN LCSW LPC (as allowed by applicable state laws)...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more
- Elevance Health (Wallingford, CT)
- …necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... equivalent background. + Current active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… more
- Elevance Health (Durham, NC)
- …necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as ... an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by...if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis… 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...or Simulation Education preferred. Certification and Licensing: Valid Florida RN license Current AHA Provider/Instructor certification in BLS, ACLS;… more
- Dignity Health (Gilbert, AZ)
- … RN License Preferred: + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification Training: + Knowledge of managed care and payer ... mission of the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression...discharge planning for identified patients requiring these services. The RN Care Coordinator performs this role to meet the… more
- University of Michigan (Ann Arbor, MI)
- …pressure, heart rate, respiratory rate, oxygen saturation and reports abnormal values to RN + Respond to monitor alarms + Assist with connecting to monitors and ... + Prime central/pressure set ups (after bag spiked by RN ); time and date bag per policy + Discontinue...transport as needed **E. Reporting/lunch/breaks** + Reports to charge nurse at beginning and end of shift, whenever leaving… more
- Catholic Health Initiatives (Roseburg, OR)
- …of hire. + Preferred Qualifications: BSN, 5+ years nursing experience, CCM/ACM- RN / UM Certification, knowledge of managed care/payer environment. **Overview** CHI ... **Responsibilities** **Are you a highly skilled RN passionate about holistic patient care and seamless transitions? Do you thrive in a collaborative environment… more
- UPMC (Erie, PA)
- …experience preferred Licensure, Certifications, and Clearances: + Current licensure as a Registered Professional Nurse either in the state where the facility ... UPMC Home Health is hiring a full-time RN for the Southern Erie County area! Are you a nurse looking for a rewarding career where you can provide direct,… more
- Stony Brook University (Stony Brook, NY)
- …hospitalized patients who may be at a high risk for readmission. The RN following these patients must have good clinical and communication skills to address ... analysis * Adheres to all State and Federal requirements, RN license, JACHO, CMS and DOH regulations. * Maintain..._ _Bilingual_ _ * _ _Certified in Case Management, UM , Quality, Risk or MCG_ _ * _ _Home… more
- Centene Corporation (Burr Ridge, IL)
- …will be given to applicants (1) with an active Illinois or a compact LPN or RN licensure, (2) as well as some experience in each of the following areas: acute care, ... utilization management ( UM ), InterQual knowledge, and discharge planning knowledge. **Additional Details:**...management processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health Net… more