- CVS Health (Columbus, OH)
- …Clinical experience Knowledge of Medicare/Medicaid Managed care (MCO) experience CM/ UM Certification **Education** Associates Degree in Nursing is required BSN ... preferred **Pay Range** The typical pay range for this role is: $26.01 - $56.14 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer… more
- CVS Health (Olympia, WA)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): ... care more personal, convenient and affordable. **Position Summary** **This Utilization Management ( UM ) Nurse Consultant role is fully remote but must reside… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position supporting **Branch Health Clinic Port Hueneme, CA** in ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more
- University of Miami (Miami, FL)
- …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% 1. Works closely with the medical director and the pediatric ... protocol and clinical practice standards. 5. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. 6. Meets study… more
- University of Miami (Miami, FL)
- …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
- University of Michigan (Ann Arbor, MI)
- …as needed to share clinical condition changes, new laboratory results, consultant recommendation etc. on the neurosurgical and neurology patients. After appropriate ... this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ###. **Required Qualifications NP: - Current licensure to… more
- University of Michigan (Ann Arbor, MI)
- …In addition, the ED PA coordinates emergent and urgent care with consultant services, recommends follow-up care, facilitates referrals to various internal and ... posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at ### or e-mail [email protected] .… more
- Alameda Health System (Oakland, CA)
- …tracking variances based on critical timelines. + Develops and provides statistical UM information and reports to appropriate committees and in conjunction with the ... and/or techniques. + Review cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff with review of… more
- Guthrie (Sayre, PA)
- …operational leadership, oversight, and support to the Acute Case Managers, nurse utilization management team, medical social workers and administrative staff. Leads, ... coordination, and discharge planning activities. + Develops and provides statistical UM information and reports to the appropriate committees in conjunction with… more