- Mount Sinai Health System (New York, NY)
- …the delivery of comprehensive front-line Case Management services, including utilization management , care facilitation and discharge planning. The ... field, Master's degree preferred + 5 years of Case Management and 6 years as a clinical nurse... management is preferred Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West… more
- AmeriHealth Caritas (Philadelphia, PA)
- …in Nursing preferred. + Minimum of 3 years of experience providing direct patient care ;as a Registered Nurse working with medically fragile pediatric ... and 5:00p EST.** ; + Current, active, and unrestricted Registered Nurse licensure in Pennsylvania. + Associate...+ Minimum of 3 years of Utilization Management experience, preferably within a managed care … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse , Revenue Integrity & Utilization Management Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant ... by Forbes as a Best Employer. Position Summary: The RN Utilization Management I will...word and excel. Licensure Requirements: Current licensure as a Registered Nurse ( RN ) as issued… more
- McLaren Health Care (Pontiac, MI)
- **Position Summary:** Responsible for Utilization and Care Management services to the Emergency Center. Advises providers to determine initial medical ... needs in EMR for continued communication with ICM UM RN and Care Management staff...as assigned. #LI-KH1 _Required_ + State licensure as a Registered Nurse ( RN ) + Bachelor's… more
- Central Maine Medical Center (Lewiston, ME)
- …experiences for our community and for each other every day. Position Summary: The Utilization Management Nurse is responsible for a comprehensive clinical ... minimum qualifications for the position including:*Current State of Maine RN licensure.*Three (3) or more years of previous experience...licensure.*Three (3) or more years of previous experience in Utilization Management and/or Care … more
- AdventHealth (Orlando, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... and valid license to practice in Florida as a Registered Nurse (ADN or BSN) required. +...- greater than five years + Minimum four years Utilization Management within acute care … more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN , to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... + Two(2)yearsclinicalnursingexperience. + One (1) year previous experience in Managed Care Utilization Management , Medical Management , Case Management… more
- CVS Health (Austin, TX)
- …will include holidays and evening hours **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...Friday, 9:00am to 5:30pm EST with occasional holiday rotation. Utilization Management is a 24/7 operation and… more
- Guthrie (Binghamton, NY)
- Provides health care services regarding admissions, case management , discharge planning and utilization review. Responsibilites: Reviews admissions and ... coordinates compliance to federally mandated and third party payer utilization management rules and regulations The pay...a part of a tradition of excellence in health care . In all areas and at all levels of… more
- Ascension Health (Nashville, TN)
- …cross-functional meetings to drive collaboration and efficiency, lead strategic initiatives in utilization management to optimize patient care and partner ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Tennessee Board… more