- Elevance Health (FL)
- …outpatient professional treatment health benefits through telephonic or written review. The BH Care Manager ( UM ) job progression is primarily a ... **JR169828 Behavioral Health Care Manager II** Responsible for managing...behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to… 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 timely ... Ensures accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance… more
- Molina Healthcare (Salt Lake City, UT)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...to overarching strategy to provide quality and cost-effective member care . Candidates with UM and Appeals experience… more
- ERP International (Hurlburt Field, FL)
- **Overview** ERP International is seeking a full time ** Registered Nurse ( RN ) Case Manager ** in support of the 1st Special Operations Medical Group at ... Counselor (CRC) American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) National Academy of Certified Care Managers: Care Manager… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- ERP International (Twentynine Palms, CA)
- …Counselor (CRC) o American Nurses Credentialing Center Nurse Case Manager ( RN -NCM) o National Academy of Certified Care Managers: Care Manager ... **Overview** ERP International is seeking ** Registered Nurse ( RN ) Case...**Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager ** for a full-time position supporting **SHG Clinic** in support of ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- Vanderbilt University Medical Center (Nashville, TN)
- …negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC- Registered Nurse - Licensure-OthersLicensure-Others **Work ... mission is to advance health and wellness through preeminent programs in patient care , education, and research. **Organization:** TMO/ UM Team E **Job Summary:**… more
- Cedars-Sinai (CA)
- …as a condition of continued employment. **Req ID** : 13443 **Working Title** : Registered Nurse Care Coordinator- Inpatient Specialty Program - 8 Hour ... are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to...nursing (Medical Surgical/Tele/ICU) with 2 or more year of care management experience ( UM or DC Planning).… more
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE - University Hospital -Operating Room Apply Now **Mission Statement** Michigan Medicine improves the health of patients, populations and ... communities through excellence in education, patient care , community service, research and technology development, and through...Recruitment at ###. **Required Qualifications Current licensure as a Registered Nurse in the state of Michigan.… more