- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication ... best and most appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers,… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …the Lt. Col. Luke Weathers, Jr. VA Medical Center. Responsibilities Registered Nurse - Utilization Management Inpatient Care Coordinator (UMICC) facilitates ... Summary The Utilization Management (UM) Inpatient Care Coordinator... (UM) Inpatient Care Coordinator is a professional registered nurse who is responsible and accountable for indirect patient… more
- The County of Los Angeles (Los Angeles, CA)
- …ambulation may be involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN that has Case Management experience whose primary charge ... so may result in an incomplete application and may lead to disqualification. We will send notifications to the...County of Los Angeles, a Utilization Review Nurse is an RN that has Case Management… more
- Integra Partners (Troy, MI)
- The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team ... internal partners (eg, Provider Relations, Quality) to resolve escalations and address utilization management issues. + Represent UM nursing team in internal… more
- CVS Health (Little Rock, AR)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective...Summary** The Team Lead plays a key role in supporting the daily… more
- Alameda Health System (Oakland, CA)
- Director, Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing...necessarily performed by each individual in the classification. + Lead and manage a team of utilization … more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director, Utilization Management (UM) will manage the Utilization Management team consisting of Clinicians and Non-Clinical support ... with time sensitive requirements. + Support and grow the utilization management team through strong professional relationships,...day operations and oversight of the UM program. + Lead , develop and manage processes to respond, solution, and… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... financial, and utilization goals through effective management , communication, and...to 5) years of professional leadership experience (ie, charge nurse , team leader, preceptor, committee chair, etc.) * Five… more
- CVS Health (Little Rock, AR)
- …+ 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + Must have experience using MS Office + Must be willing ... Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible...ability to serve as a model change agent and lead change efforts + Create a positive work environment… more
- CVS Health (Little Rock, AR)
- …members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the ... ability to serve as a model change agent and lead change efforts + Create a positive work environment...years of Managed Care experience. + 3+ years of Utilization Management experience. + 1+ year Leadership… more