• RN - Utilization Management

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Nurse Utilization Management ( UM ) Registered Nurse...nursing experience in which one year is equivalent to Nurse I, Level 2 ; OR a BSN and ... prospective, observation, admission, and continued stay patients. Responsibilities The Nurse Utilization Management ( UM ) Registered Nurse...1 year of professional nursing experience equivalent to the Nurse I, Level 2 ; OR a Master's… more
    Veterans Affairs, Veterans Health Administration (08/23/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Savannah, GA)
    …national, state, and local laws and regulatory requirements affecting the medical and clinical staff. MD licenses required for the following states: WA, FL, MI, MS, ... appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership… more
    Molina Healthcare (08/28/25)
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