Hybrid Stop-Loss & Utilization Risk (Registered Nurse) Healthcare Support is currently interviewing for a Stop-Loss... & Utilization Risk (Registered Nurse) position with a top-rated managed care organization in the state of New Jersey...
Healthcare Support. Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse... is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members...
CVS HealthPURPOSE OF POSITION: The primary purpose of the Utilization Management LPN in the Care Coordination process... and directed to assure that treatment requests of the Utilization Management Department/Case Management Department are handled...
Aultman Health FoundationUnder general direction: The Utilization Management RN serves as a leader resource in the Utilization Management... compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management...
University of VirginiaBe a Patient Advocate, Drive Quality Care: Utilization Review Nurse Do you have a passion for patient well-being... the most appropriate and cost-effective treatment. We're looking for a dedicated Utilization Review Nurse to join our team...
Ethos Risk ServicesBe a Patient Advocate, Drive Quality Care: Utilization Review Nurse Do you have a passion for patient well-being... the most appropriate and cost-effective treatment. We're looking for a dedicated Utilization Review Nurse to join our team...
Ethos Risk Services’ registered nurse experience required Two years utilization management experience preferred Experience working in risk-based... like an organization you want to be a part of, we would love to have you. ROLE OVERVIEW and PURPOSE The Registered Nurse of Utilization...
Neighborhood HealthcareAbout The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs..., or new ones may be assigned at any time with or without notice. Primary Responsibilities Performs concurrent utilization...
Brighton Health Plan Solutions, LLCor email and we will be happy to assist you. REGISTERED NURSE - UTILIZATION MANAGEMENT REGISTERED NURSE - UTILIZATION MANAGEMENT Req #: 228720... Department: HARBORVIEW - UTILIZATION MANAGEMENT Job Location: Harborview Medical Center Posting Date: 05/03/2024 Closing Info...
University of WashingtonBecome a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes... administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation...
HumanaCare Nurse McKesson Certified Professional in Utilization Management AAMCN Utilization Review Professionals RNCB Certified... Rehabilitation Registered Nurse ANCC Nursing Case Management CDMS Certified Disability Management Specialist NBCC Certification in...
Baptist Health South FloridaThe Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals.... At least 2 years Utilization Management/Case Management experience in a hospital or HMO setting . Preferred: Managed Care...
L.A. Care Health Planthe State of New Jersey POSITION SUMMARY The RN Utilization Management Days is responsible for the overall... Utilization Management process for assigned patient population. This includes reviewing clinical information to determine the...
AtlantiCareour ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Utilization... Management is a 24/7 operation and work schedule may include weekends, holidays and evening hours. Applies critical thinking...
CVS Healthand communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically... - Previous Utilization Management and/or Managed Care experience preferred - Discharge planning experience Education...
CVS HealthA large health care organization is looking for a CONTRACT LPN Utilization Management in the Pacific West region... utilization management software applications Must be proficient in the application of Microsoft Word, Excel, Outlook, and the...
Allmed StaffingDuration: 10 Weeks Rate: $66/hr on W2 or $70/hr on 1099 Preferred skills Utilization Management/Review...
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