- Sutter Health (Sacramento, CA)
- … care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information ... SHSO-Sutter Health System Office-Valley **Position Overview:** This position facilitates utilization management (UM) processes to support that the right … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...net required to achieve that purpose. Job Summary The Utilization Management (UM) Admissions Liaison RN II … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Elevance Health (Louisville, KY)
- **Title: Utilization Management Representative II ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative II ** will be responsible...to a nurse reviewer; and handles referrals for specialty care . + Processes incoming requests, collection of information needed… more
- Elevance Health (West Des Moines, IA)
- ** Utilization Management Representative II ** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... locations. The **Utilizations Management Representative II ** is responsible for managing incoming calls, including triage, opening of cases and authorizing sessions.… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Utilization Management (UM) Nurse Manager (NM) is a registered professional nurse responsible for the assessment, planning, provision and evaluation ... as it relates to the practice of utilization management. Responsibilities The Utilization Management (UM) Nurse Manager (NM) s directly supervised by the… more
- Sharp HealthCare (San Diego, CA)
- …and safe patient handovers to next level of care ; work closely with ambulatory care manager (ACM) at the system level, in clinics, with SCMG and other ... utilization review demands to assure patients are receiving care in the appropriate setting and level of ...course of hospitalization and beyond through the continuum of care .The RN CM II will relate and… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …outcomes for discharge. Advocates for fiscal responsibility in the management of care through effective utilization of resources. Provides education to rotating ... experience. Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. A BSN with 2 years of… more
- AmeriHealth Caritas (Jacksonville, NC)
- …administrative services. Discover more about us at; www.amerihealthcaritas.com .; **Responsibilities** The Care Manager II is responsible for managing and ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- AmeriHealth Caritas (Southfield, MI)
- …at; www.amerihealthcaritas.com .; **All applicants must reside in the state of Michigan.** The Care Manager II is responsible for managing and coordinating ... care and barriers to care . The Care Manager II develops a...care management platforms where applicable. + Monitor appropriate utilization and coordinate services with other payer sources, make… more