- 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 (Sacramento, CA)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... ensure appropriate care to members. Supervises day-to-day activities of utilization management team. + Monitors and tracks...with all policies and standards **Candidates must have a Registered Nurse ( RN ) license for… more
- Molina Healthcare (Los Angeles, CA)
- …and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse ) or RN ( Registered Nurse ) . License must be current, active and ... services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term… more
- UPMC (Pittsburgh, PA)
- …within one year of hire or 1 year health plan management experience required + Registered Nurse ( RN ) + Act 34 *Current licensure either in the state ... UPMC Health Plan is seeking a full-time Professional Care Manager, Supervisor to join our Utilization Management (UM) Clinical Operations team. This position… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day ... service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...requirements are met + Additional duties as requested by supervisor + Maintains knowledge of CMS, State and NCQA… more
- AmeriHealth Caritas (Washington, DC)
- …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
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Hospital Management Utilization ...Supervisor Pay - $4.00 per hour + Charge Nurse Premium Pay - $1.50 per hour + Float ... Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5061650) Apply Senior Registered Nurse - Hospital Management Utilization Salary… more
- Bon Secours Mercy Health (Richmond, VA)
- …Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. ** Registered Nurse Supervisor ( RN ) - ASU PACU - ... Mary's Hospital** Primary Function/General Purpose of Position The Surgery Supervisor is responsible for oversite of the staff and...- American Heart Association (required) Currently Licensed as a Registered Nurse in the State of Practice… more
- Bon Secours Mercy Health (Greenville, SC)
- …an environment where associates want to work and help communities thrive. ** Registered Nurse ( RN ) OR Supervisor Surgery** - **St. Francis Downtown - ... Greenville, SC** **Job Summary:** The Surgery Supervisor is responsible for oversite of the...American Heart Association (required) + Currently Licensed as a Registered Nurse in the State of Practice… 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