- Centene Corporation (San Diego, CA)
- …benefits including a fresh perspective on workplace flexibility. **Behavioral Health UR Clinical Call Center Environment - Coverage: 365/24 -7** **Required Days: ... or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $26.50 -… more
- Corewell Health (Royal Oak, MI)
- …review cases for medical necessity, uses InterQual and/or other UR /UM Committee-approved medical necessity screening criteria, when appropriate. Works ... management, utilization review, home care and/or discharge planning. Preferred + Registered Nurse (RN) - State of Michigan License Upon Hire required How Corewell… more
- CareFirst (Baltimore, MD)
- …ensure appropriate coordination of health care services and compliance with UR policies/procedures, as well as regulatory and CareFirst's accreditation standards. We ... work experience. **Licenses/Certifications Upon Hire Required:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure. **Experience:** 3 years… more
- Dignity Health (Rancho Cordova, CA)
- …the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review ( UR ) LVN uses clinical judgement in providing utilization management (UM )services. ... - 5 years LVN experience. - Clear and current CA Licensed Vocational Nurse (LVN) license. - Knowledge of health plans. Medical specialty procedures and diagnoses.… more
- Pacific Medical Centers (Renton, WA)
- …efficient referral process; assists the utilization review and case management nurse with management of referrals and monitoring or institutional patients. ... + 2 years Experience in medical related field. + Previous experience in UR , health plan, or managed care environment. **Preferred Qualifications:** + LPN or health… more
- Henry Ford Health System (Wyandotte, MI)
- GENERAL SUMMARY: Reports to Nurse Manager-Intake & Admissions. Under minimal supervision, reviews, and screens admission requests for inpatient psychiatric ... BSN preferred. * One (1) year of Behavioral Health clinical, intake or UR experience required. Additional Information + Organization: Henry Ford Wyandotte Hospital +… more
- Erickson Living (Dallas, TX)
- …patient-specific outcomes. + Researches and selects care options as appropriate. The nurse care coordinator may utilize a range of alternative, non-medical services ... community health nursing, home health care) and/or 3 years case management and/or UR experience preferred. + Knowledge of health care and insurance industries and… more
- University of Rochester (Rochester, NY)
- …highly-ranked public schools, outstanding cultural amenities, and a vibrant metropolitan area. UR Medicine's Division of Breastfeeding & Lactation Medicine is one of ... is expected to be involved in the training of lactation consultants, nurses, nurse practitioner or PA students, staff, etc ii. Be available for ongoing education… more
- University of Rochester (Rochester, NY)
- …Center for Health + Technology and Center for Translational Neuromedicine). The UR Main and Medical Center campuses are adjacent to one another, facilitating ... University of Rochester represents a talented team of neurologists, scientists, nurse practitioners, nurses, research coordinators, trainees, and staff who are… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 20 Department: 500415 GeroPsych Tech-Nursing Work Shift: Range: UR URC 203 H Compensation Range: $17.51 - $23.64 _The referenced pay ... to help implement healthcare interventions at the direction of the bedside nurse . Assisting patients with ambulation, hygiene, nutrition, linen changes, and other… more