- Dignity Health (Bakersfield, CA)
- …experience. - Graduate of an accredited RN Program. - Clear and current CA Registered Nurse ( RN ) license. - Knowledge of nursing theory and ability to ... **Job Summary and Responsibilities** As a Utilization Management RN , you will be crucial...line with CommonSpirit's values. You will function as a UM nurse reviewer, applying clinical expertise to… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - ... written communication and interpersonal skills + Good understanding of medical management techniques and processes + Strong...Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse -… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management ( UM ) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. ... for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical… more
- UPMC (Pittsburgh, PA)
- UPMC Home Health is Hiring a Full-Time Registered Nurse ( RN ) for the Uniontown and Surrounding Areas Are you a nurse looking for a rewarding career where ... patients' plans of care in collaboration with physicians, patients, and utilization management ( UM ) professionals to meet physicians' orders and patients' needs.… more
- Trinity Health (Columbus, OH)
- …with the Plan's UM and QM Program and the review of the Plan's Medical Management Plan. **What we are looking for:** + Education: Associate Degree in ... analysis, audit, provider relations and more. **Position Purpose:** The RN Case Manager MCHP is responsible for the coordination...Manager MCHP is responsible for the coordination of the medical care provided to Plan members with Plan providers,… more
- University of Michigan (Ann Arbor, MI)
- …the care and management of patients receiving extracorporeal photopheresis. The Registered Nurse ( RN ) supports professional nursing practice across ... Specific Info** Salary & Nursing Framework Level: This UMPNC RN posting is posted as Nursing Framework LEVEL C....Certified Nurse - (OCN), Certified Registered Nurse Infusion (CRNI) Experience with electronic medical … more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - Medical Procedures Unit-...at ###. **Required Qualifications + Current licensure as a Registered Nurse ( RN ) to practice nursing ... equal employment opportunity employer. **Job Detail** **Job Opening ID** 272726 **Working Title** REGISTERED NURSE - Medical Procedures Unit- East Ann Arbor… more
- Elevance Health (Cerritos, CA)
- **Behavioral Health Care Manager II, UM ** **Location:** California **Virtual:** This role enables associates to work virtually full-time, with the exception of ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to...equivalent background. + Current active unrestricted license such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : University Hospital (Psychiatric Emergency Services) Apply Now **Job Summary** Provide clinical leadership in the nursing care of individuals, ... Clinical Nursing Supervisor, Manager of the Psychiatric Emergency Department, Medical Director of PES and has a functional relationship... Nurse Recruitment at ###. **Required Qualifications Active Registered Nurse licensure in the State of… more
- Katmai (Fort Carson, CO)
- …or American Red Cross. + Three (3) years within the last four (4) years as a registered nurse in utilization management . + One (1) year of experience in UR/ ... **SUMMARY** Provide a comprehensive utilization review (UR) and utilization management ( UM ) program for all TRICARE eligible...full, active, and unrestricted license to practice as a registered nurse . + Must be a graduate… more