- AdventHealth (Daytona Beach, FL)
- …MEDICAL PKWY, Daytona Beach, 32117 **The role you'll contribute:** The role of the Emergency Department Utilization Management (UM) Registered Nurse (RN) ... days a week including weekends, holidays and overnight. The Emergency Department UM RN leverages the algorithmic...or designated leader for additional review as determined by department standards. The Utilization Management … more
- Ventura County (Ventura, CA)
- Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply Per Diem ... Registered Nurse II/III - Utilization Management VCMC Salary $109,727.64 - $184,627.89...Paula, CA Job Type Per-Diem Job Number 0536HCA-25AB (RF) Department Health Care Agency Division Ventura County Medical Center… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior Registered ... Nurse - Hospital Management Utilization Salary $118,668.43 - $141,888.74 Annually...CA Job Type Full-Time Regular Job Number 0307HCA-25AP (ECA) Department Health Care Agency Division Ventura County Medical Center… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department : Utilization Management Location: Los Angeles, CA, US, 90017 ... of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM. Knowledge of Department of Health Care Services (DHCS)… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Staff Nurse*to join our Utilization Management department for the/ Emergency Department / This position is ... *Assessment:* * Collects, reviews, and documents clinical data relevant to utilization management , including patient status, treatment plans, and healthcare… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …ensure compliance with regulations, standards and VHA directives. Preferred Experience: Case Management Emergency Department 2-3 years of Medical-Surgical ... Summary The Utilization Management (UM) Inpatient Care Coordinator...the discharge plan by monitoring consults Prescreens Veterans in Emergency Department for recommendation for level of… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...management objectives. Participates in program development and UR Department performance improvement. Responsible for day-to-day operations of the… more
- MetroHealth (Cleveland, OH)
- …**Responsible for communicating information to internal and external customers of the Utilization Review and Care Management Department . Follows up ... ** Utilization Review Specialist- Utilization Management **...Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.** **Summary:**… more
- AmeriHealth Caritas (Washington, DC)
- …Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... overtime, and weekends based on business needs. **Responsibilities:** + Conduct utilization management reviews by assessing medical necessity, appropriateness of… more