- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Utilization Management ( UM ) Care Manager to join the UM Clinical Operations team. This position will be work from ... will be given to Pennsylvania-based candidates. The Utilization Management ( UM ) Care Manager is responsible...Case management certification or approved clinical certification preferred + Registered Nurse ( RN ) + Preference… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM /CM/QA/Managed Care + Medical/Surgical experience + Utilization Management (… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Job Title: Registered Nurse I Department: Utilization Management...guidelines. Responsibilities include managing the workflow with the standard UM sources for potential inpatient medical necessity denials. Assists… 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
- ERP International (Anchorage, AK)
- …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 a ** Registered Nurse Case Manager **...Care Coordinator program. Certification:** o Commission for Case Manager Certification Certified Case Manager (CCM) o… 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 (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 (Beverly Hills, CA)
- …the Los Angeles Fair Chance Initiative for Hiring. **Req ID** : 12949 **Working Title** : Registered Nurse - ISP Care Coordinator - PER_DIEM 8 Hour Days ... 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
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