- 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 ) *Current licensure… more
- Elevance Health (Rocky Hill, CT)
- …and outpatient professional treatment health benefits through telephonic or written review. The BH Care Manager ( UM ) job progression is primarily a provider ... **JR168947 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
- 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
- Molina Healthcare (GA)
- …services and supports (LTSS), or equivalent combination of relevant education and experience. + Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... + Excellent organizational, problem-solving and critical-thinking skills. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be… 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
- CVS Health (Austin, TX)
- …on authorization trends, turnaround times, and team performance. **Required Qualifications** + Registered Nurse ( RN ) with an active and unrestricted ... commercial insurance plans. + Familiarity with NCQA accreditation standards. **Education** Registered Nurse , BSN preferred **Anticipated Weekly Hours** 40 **Time… more
- Magellan Health Services (Boise, ID)
- …- Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... RN , Masters or Doctoral level provider. General Job Information Title Clinical Manager , Behavioral Health ( UM ) -Licensed, Remote in Idaho Grade 27 Work… 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
- Elevance Health (Las Vegas, NV)
- RN - Utilization / Medical Management Nurse ...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with diagnosis. ... shift within 8am - 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the most complex or challenging cases that… more
- University of Michigan (Ann Arbor, MI)
- …employer. **Job Detail** **Job Opening ID** 268225 **Working Title** REGISTERED NURSE - D. Dan and Betty Kahn Health Care Pavilion-Operating Room **Job ... REGISTERED NURSE - D. Dan and Betty Kahn Health Care Pavilion-Operating Room Apply Now **Job Summary** The D. Dan and Betty Kahn Health Care Pavilion is a… more
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