- Corewell Health (Royal Oak, MI)
- …experience in care management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse ( RN ) - State of Michigan License Upon ... review cases for medical necessity, uses InterQual and/or other UR/ UM Committee-approved medical necessity screening criteria, when appropriate. Works… more
- UNC Health Care (Smithfield, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... as appropriate. As necessary meet with the Utilization Manager ( UM ) and SW after the meeting to discuss updates...Two (2) years of health care experience as a Registered Nurse . **Knowledge/Skills/and Abilities Requirements:** * Strong… more
- UCHealth (Aurora, CO)
- …Preferred: Bachelor's degree in Nursing. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Basic Life Support (BLS) Healthcare ... Location: UCHealth Anschutz Outpatient Pavilion - Aurora, CO Department: Um AMC FTE: PRN, 0.0, 0.00 hours per pay...of an accredited or state board of nursing approved Registered /Professional Nursing program if less than 3 years experience.… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist...Certification required + Broad understanding of multiple areas (ie UM and CM). At this level, incumbent is required… more
- Dartmouth Health (Lebanon, NH)
- …excellent phone and email/electronic communication etiquette. Required Licensure/Certifications - Licensed Registered Nurse in New Hampshire required. - Basic ... Overview Care Manager, RN - Capacity Coordination Center 4 x 10...to support system transfers. * In collaboration with the UM /AMD determines appropriateness of requests for inpatient transfers from… more
- CVS Health (Oklahoma City, OK)
- …it all with heart, each and every day. **Position Summary** The Manager, UM Clinical Services, conducts oversight and management of clinical team processes including ... outcomes. **Required Qualifications** + Must reside in Oklahoma + Oklahoma-licensed RN or Mental Health Professional- Licensed Professional Counselor (LPC), Licensed… more
- CommonSpirit Health Mountain Region (Lehi, UT)
- …total nursing experience required. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred. + Experience working with EMR ... across the nation, letting humankindness lead the way. Overview: ** RN Case Managers may be eligible for a relocation...flourish and leaders who care about your success. The RN Care Coordinator is responsible for overseeing the progression… more
- Dignity Health (Rancho Cordova, CA)
- …needs. - Identify and facilitate resolution of system process problems impeding UM functions. Identify, collaborate and resolve. - Facilitate the annual update of ... (or other screening tool) software, create training tools in collaboration with UM leadership. - Assist with developing and maintaining efficient and effective… more
- UnityPoint Health (Cedar Rapids, IA)
- …health care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for patients admitted to ... with physicians, third party payers and regulatory agencies. The UM spcialist will also be called upon to provide...health care decision-making. Qualifications + State of Iowa Licensed RN + Two years of behavioral health work experience.… more
- Dignity Health (Los Angeles, CA)
- …(5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification preferred + Knowledge of managed care and ... to exceed 10% of salary for this position. 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