- Cleveland Clinic (Cleveland, OH)
- …one of the most respected healthcare organizations in the world. Utilization Management RN Reviewers perform UM activities including admission review, ... Utilization Management ( UM ) RN Reviewer... Utilization Management ( UM ) RN Reviewer Join the Cleveland...of professional nursing + Current state licensure as a Registered Nurse ( RN ) + Basic… 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 ... role model, educator, practitioner, and manager-providing leadership to the UM RN team. The UM ...of utilization management . Responsibilities The Utilization Management ( UM ) Nurse… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …include but not limited to: The Nurse Utilization Management ( UM ) Registered Nurse ( RN ) is responsible for providing competent, ... Summary Registered Nurse ( RN ) Utilization Management ( UM ) delivers knowledge-based care to clients while developing technical skills. Assesses,… more
- Independent Health (Buffalo, NY)
- …managed care operations required; multi-dimension project management experience preferred. + Registered Nurse ( RN ) with active, unrestricted NYS license ... benefits and commitment to diversity and inclusion. **Overview** The Program Manager- Utilization Management ( UM ) will be accountable for the management… more
- AdventHealth (Orlando, FL)
- …**The role you'll contribute:** The role of the Utilization Management ( UM ) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... hospital admission, treatment, and appropriate level of care. The UM RN leverages the algorithmic logic of...including concurrent payer communications to resolve status disputes. The Utilization Management Nurse is accountable… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- Summary The Utilization Management ( UM ) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and ... not creditable as related degrees. Preferred Experience: Master's prepared Registered Nurse 3 years of Utilization Management /Chart Review/ Utilization… more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary The Utilization Management ( UM ) Admissions Liaison RN II is primarily responsible for ... Utilization Management Admissions Liaison RN...compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Centene Corporation (Tallahassee, FL)
- …Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... given to applicants who (1) have an active Florida RN license and are based in the state of...and forecasted data to identify areas for improvement within utilization management ( UM ) to align… more
- Molina Healthcare (Columbus, OH)
- For this position we are seeking a ( RN ) Registered Nurse who... nurse and other clinical functions in Utilization Management ( UM ), Case ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and...years of experience in case management , disease management or utilization management in… more
- CVS Health (Olympia, WA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** **This Utilization Management ( UM ) Nurse Consultant role is ... is no travel expected with this position. As a Utilization Management Nurse Consultant, you...turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not… more