- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is...player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Centene Corporation (Jefferson City, MO)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health (BH) utilization … more
- Dignity Health (Rancho Cordova, CA)
- …Summary:** Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable ... Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF Utilization Management...accredited school of nursing. - Clear and current CA Registered Nurse ( RN ) license. **Preferred… more
- Providence (Everett, WA)
- **Description** The Supervisor for Utilization Management provides a key role in leading, facilitating and managing the hospital utilization ... a row._ **Required Qualifications:** + Bachelor's Degree in Nursing. + Washington Registered Nurse License upon hire + Previous healthcare administration and/or… more
- AmeriHealth Caritas (Charleston, SC)
- …about us at www.amerihealthcaritas.com . **Responsibilities:** Under the direction of the Supervisor , the Behavioral Health Utilization Management Reviewer ... required: LPC, LCSW, LISW, LICSW, LCMHC, LMHC, LMFT or RN ( Registered Nurse graduated from...of behavioral health and substance use disorder experience.; + Utilization management experience in a managed care… more
- WelbeHealth (CA)
- …quality, compliant, and cost-effective care to our participants. By guiding this team, the Utilization Management RN Supervisor drives the continuous ... a critical role in our participant's journey and our Utilization Management team ensures we can provide...external), clinical staff, and others to timely resolve any utilization management issues **Job Requirements:** + Minimum… more
- AmeriHealth Caritas (Dover, DE)
- …the direction of a supervisor , the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... in a fast-paced environment. ;The Clinical Care Reviewer - Utilization Management will also be counted upon...(BSN) preferred. + An active OH or compact state Registered Nurse ( RN ) license in… more
- HCA Healthcare (Brownsville, TX)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Registered Nurse House Supervisor PRN you want with your current employer? ... of colleagues. Do you want to work as a(an) Registered Nurse House Supervisor PRN...patient care. These duties include providing effective distribution and utilization of personnel with emphasis on staffing for nursing… more
- Bon Secours Mercy Health (Suffolk, VA)
- …Advanced Cardiac Life Support acceptable in lieu of BLS) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) CCRN ... RN ) - Med-Surg - Harbour View Medical Center_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is responsible for delivering exceptional… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …for the $20,000.00 sign on bonus **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates the ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
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