- Centene Corporation (Carson City, NV)
- …to target unique populations. + Leadership. + Oversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined ... with 5+ years of relevant experience required. Master's Degree preferred. License: RN Required Candidate must have or become licensed in California. Pay Range:… more
- University of Miami (Miami, FL)
- …compliance to policies and protocols of the Cardiac Ultrasound section and UM service standards and Direcct Values Perform and train complex specialized tasks ... checklist: + Adults + Geriatric + Challenged/Disabled + Ensures Cardiac Echo techs, RN , performs basic nursing functions in the patient's care ie, assists with… more
- Covenant Health Inc. (Sevierville, TN)
- …Quality and Care Management. The Coordinator, in collaboration with the manager and the nurse manager is a leader, innovator and change agent in pursuit of seamless ... meetings and other venues, as required. + Serves as a Liaison between UM and Quality and Care Management. + 7.Tracks data related to Performance Improvement… more
- Dartmouth Health (New London, NH)
- …days of admission. Initiates discharge planning process. Maintains communication with UM coordinator regarding assessments, outcomes, and projected lengths of stay. ... * Graduate of an accredited school of nursing and licensed to work as an RN in the State of NH * Area of Interest:Allied Health/Clinical; * Pay Range:$28.96 -… more
- Catholic Health Services (Melville, NY)
- …contractual changes from the Managed Care Department and applies to UM and appeals management processes. Works collaboratively with physicians, physician office ... Graduate of an accredited Nursing School or College; current New York State, RN License required, BSN Bachelor of Science in Nursing or Health preferred. Minimum… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech… more