- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
- AdventHealth (Orlando, FL)
- …role you'll contribute:** The Population Health Case Manager (PHCM) ensures effective utilization and case management oversight activities as defined by inter ... through Friday 8:00 am to 5:00 pm **Location:** Virtual Remote near 602 COURTLAND ST, Orlando, FL, 32804 **The...in home health + 2 years of experience in management position. + Registered Nurse State Licensure… more
- Centene Corporation (Sacramento, CA)
- …levels of care and facilities + Partners with interdepartmental teams on projects within utilization management as part of the clinical review team + Partners ... findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and… more
- Veterans Affairs, Veterans Health Administration (South Jordan, UT)
- …The Salt Lake City Veteran's Healthcare System is recruiting for a Registered Nurse (RN) for the Patient Aligned Care Team (PACT Team) Outpatient department. The ... and access is provided to patient panels. Responsibilities The Nurse II Patient Aligned Care Team (PACT) Outpatient Staff...and coaching on wellness, disease prevention, and chronic care management . The RN will assist in directing the provision… more
- State of Colorado (Denver, CO)
- Assistant Nurse Manager - Nurse III - Colorado Mental Health Hospital in Fort Logan (S. Denver) Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5049470) Apply Assistant Nurse Manager - Nurse III - Colorado Mental Health Hospital in Fort… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- Summary The ED Assistant Nurse Manager supports the Nurse Manager with supervisory duties and responsibility and accountability for the 24/7 operation of their ... into the evaluation of individual performance. Responsibilities The duties of the Assistant Nurse Manager include, but are not limited to: Functions as a role model,… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …application. Former EDRP participants ineligible to apply. Responsibilities The Dialysis Registered Nurse (RN) is a professional nurse with specialized knowledge ... with other disciplines/departments to achieve desired patient outcomes. Functions as primary nurse for ESRD patient panel and serves as key resource assisting… more
- Centene Corporation (Olympia, WA)
- …findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and ... of care preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. WA or Compact RN / LPN… more
- SSM Health (St. Louis, MO)
- …MO-SSM Health 7980 Clayton RD **Worker Type:** Regular **Job Highlights:** Note:** Remote work is not available until after two years, along with certification** ... Referral Bonus available to current employees Responsible for emergency telephone management of poisoning exposures and questions handled by the Missouri Poison… more
- Idaho Division of Human Resources (ID)
- …and facilitation of quality assurance (QA), quality improvement (QI), and utilization management (UM). Additional responsibilities include working closely with ... Senior Registered Nurse (RN) - MED Posting Begin Date: 2025/08/19...End Date: 2025/09/16 Category: Nursing Work Type: Full Time Remote : Flexible Hybrid Location: Statewide, ID, United States Minimum… more