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May 07 Utilization Review - Rn Dignity Health Sacramento, CA

Support UM Manager in conducting telephonic inpatient concurrent review Work ... - Minimum of five years experience as an RN. Two years experience in a medical... more

Apr 08 RN Case Manager - Telephonic / 3272 APS Healthcare Bethesda Mechanicsburg, PA

decisions about their healthcare.As a Telephonic RN Case Manager in Mechanicsburg, ... that are the direct responsibility of the UM/CM Telephonic team. Assists in the... more

Oct 25 RN-Care Team Manager Nurse Resolutions San Antonio, TX

from identified alternatives. Decision-making is usually based on prior practice or ... With the assistance of the Managed Care/UM teams, guides physicians in their awareness of... more

Oct 25 Registered Nurse-Care Team Manager Nurse Resolutions San Antonio, TX

includes physicians, case managers (i.e., UM inpatient case managers), referral ... update care plans and determine follow-up frequency with the team. Essential Job... more

Oct 25 RN-Transition Case Manager Nurse Resolutions El Paso, TX

case managers (i.e., hospital and telephonic case managers), and health ... The interdisciplinary team includes physicians, case managers, health service/ UM coordina... more

More Job Postings from the Web
May 24 RN 24/7 Mgd Care Coord-Trsf Tm Job Henry Ford Health System Detroit, MI

The Admission/Transfer unit functions twenty-four (24) hours per day, seven (7) days per w ... and validation. Track physician non-compliance with UM Policies & Procedures and... more

May 19 Utilization Management Registered Nurse (RN) Kaiser Permanente San Diego, CA

Utilization Management Registered Nurse (RN)( Job Number: 110275) When you bring your ... MSN Primary Location : California-San Diego-Kaiser Permanente On Call @ Copley... more

May 11 Utilization Review (RN) Corizon Brentwood, TN

practice. - Perform on-site (hospital) and telephonic concurrent review for hospitalized ... -Assist with the data collection and reporting related to the UM outpatient/inpatient proc... more

May 09 RN Field Case Manager - NICU - Work from home Nurse Resolutions Lexington, KY

Review admissions through onsite and telephonic review to ensure medical necessity ... Licenses/Certifications: Active Kentucky RN license in good standing required... more

May 08 Utilization Management Nurse - Join Our Dynamic UM Team in Richardson UnitedHealth Group Plano, TX

cases-Participate in telephonic and in-person staff meetingsWhat makes your ... lives. Requirements-A current, unrestricted RN license in state of TX-Minimum of 3 years... more

May 08 Medical UM Specialist Public Programs Job Blue Cross and Blue Shield of Minnesota Eagan, MN

utilization management. - 3 - 5 years of RN experience. - Outstanding telephonic ... employment. Primary Location: United States-Minnesota-Eagan Shift: Day Job Job Level:... more

May 08 Utilization Management Nurse - Join Our Dynamic UM Team UnitedHealth Group Richardson, TX

cases-Participate in telephonic and in-person staff meetingsWhat makes your ... lives. Requirements-A current, unrestricted RN license in state of TX-Minimum of 3 years... more

May 04 LA RN Manager of Case Management - Managed Care Carenational Healthcare Services Los Angeles, CA

RN Manager of Case Management - Managed Care Los Angeles, CA Job Summary: Manager of Case ... and best practices to staff through one-on-one coaching, group interaction at IDTs,... more

May 02 Clinical Review Registered Nurse Kelly Healthcare Resources Houston, TX

830am-5pm with a potential salary between $26-28.00 per hour. This position is located in ... active RN License - 1-2 years previous UM/QM in managed care or acute hospital... more

May 02 Medical UM Specialist Appeals Job Blue Cross and Blue Shield of Minnesota Eagan, MN

case management, utilization management and/or auditing experience - 3-5 years of RN exper ... before beginning employment. Primary Location: United States-Minnesota-Eagan Shift: Day... more

Apr 25 UM Nurse Consultant (On- Stie in LA) RN Aetna Woodland Hills, CA

UM Nurse Consultant (On- Stie in LA) RN Job Group Health Care Auto req ID 7841BR Locations ... Word/1-3 Years/End User Microsoft Excel/1-3 Years/End User Microsoft Outlook/1-3... more

Apr 11 RN Case Manager - Telephonic APS Healthcare Mechanicsburg, PA

As a Telephonic RN Case Manager in Mechanicsburg, PA you will provide telephonic outreach/ ... resource and health organizations. As a Telephonic RN Case Manager you will be... more

Apr 02 Medical UM Specialist Appeals Blue Cross Blue Shield of Minnesota Eagan, MN

Title: Medical UM Specialist Appeals Location: Minnesota-Eagan Summary: The UM Specialist ... case management, utilization management and/or auditing experience * 3-5 years of RN exper... more

Mar 31 Behavioral UM Clinician Health Integrated Tampa, FL

the program procedures for conducting UM activities; Performs telephonic ... non-clinical staff and shall ensure that non-clinical staff is performing within the... more

Mar 30 UM Nurse Fallon Community Health Plan Worcester, MA

and Service Coordinators, performs first-level review to pre-certify elective ... both internal and external customers, the UM Nurse promotes and works towards achieving... more

Mar 13 RN Case Manager OMV Medical San Diego, CA

Certification, Nurse Case Manager (RN-NCM) issued by the American Nurses ... and services in a quality-conscious, cost-effective manner. Implement strategies to... more

Mar 01 RN / LPN, Utilization Management Nurse - In-House! Engage Partners New York, NY

opportunities available for a talented RN, Telephonic Case Manager / Utilization Review ... Knowledge of MS Office. Keywords: Nurse, RN, Registered Nurse, LPN, Licensed Practical... more

Jan 30 UM Specialist II Molina Healthcare Columbus, OH

resource for other licensed and non-licensed UM staff. Assists the Care Management Team ... care clinical experience and or managed care UM experience combined Required... more

Nov 08 RNs for Utilization Review Royale Class Consulting New York

Utilization Review Nurse FLSA Status: Non-Exempt Dept Number: 4950 Dept Name: Health ... Health Services Policy and Procedures Accept telephonic and faxed reviews Document the... more

Apr 26 TELEPHONIC NURSE CASE MANAGER (MANAGED CARE) Pride Health New York, NY

Care Company seeks a Registered Nurse (RN) - Telephonic Case Manager to identify, ... http://www.pride-healthcare.com 212-235-5355 (direct)212-235-5350 (main)212-599-3427... more

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