• Case Manager - UM II…

    Healthfirst (FL)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services and optimal health… more
    Healthfirst (09/12/25)
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  • Revenue Utilization Review (RUR) Nurse…

    Veterans Affairs, Veterans Health Administration (Orlando, FL)
    …of VHA and industry best standards. Responsibilities Responsibilities of the RUR Nurse Manager (NM) include, but are not limited, to the following: RUR Nurse ... Manager is accountable to the Consolidated Patient Account Center...policy. Utilizes comprehensive knowledge of nursing clinical practice and case management principles to assess appropriate level of care… more
    Veterans Affairs, Veterans Health Administration (09/04/25)
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