- Sharp HealthCare (San Diego, CA)
- …2 Years Medical Management experience, preferably in a managed care setting California Registered Nurse ( RN ) - CA Board of Registered Nursing ... FTE 1 Shift Start Time Shift End Time California Registered Nurse ( RN ) - CA...and implements new programs under the direction of the manager of in-patient care management and the… more
- UPMC (Pittsburgh, PA)
- …Friday. Preference will be given to candidates located in Pennsylvania. The Utilization Management ( UM ) Care Manager is responsible for utilization review of ... for you! We are hiring a full-time Utilization Management Care Manager to support the Utilization Management...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Act… more
- 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
- Healthfirst (NY)
- …prior authorization, concurrent review, and service requests Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social ... from an accredited institution or equivalent work experience NYS RN Demonstrated understanding of UM regulatory requirements,...Care Plan (MLTCP) Experience working as a case manager for a long-term care programs such… 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 (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
- University of Michigan (Ann Arbor, MI)
- REGISTERED NURSE : Ambulatory Care Services...as a Clinical Care Coordinator or Case Manager + Current RN experience managing adult plastic ... + Two (2) or more years of direct patient care as a RN with the adult...employer. **Job Detail** **Job Opening ID** 271744 **Working Title** REGISTERED NURSE : Ambulatory Care Services… 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
