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

as a Telephonic Utilization Management Nurse at our Richardson, TX office for an ... Telephonic Utilization Management Nurse responsibilities include:-Perform... more

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

as a Telephonic Utilization Management Nurse at our Richardson, TX office for an ... Telephonic Utilization Management Nurse responsibilities include:-Perform... more

Apr 24 UM Program Administrator Premera Blue Cross Mountlake Terrace, WA

initiatives associated with the UM Program. The UM Program Administrator ... oversight to UM activities included in the UM Program Description and annual UM Work... more

More Job Postings from the Web
May 29 Registered Nurse - Health Services Coloops Oxnard, CA

Local Government Services/Regional Government Services Logo Registered Nurse - Health Serv ... inpatients as appropriate. * As part of the UM RN triage program, conduct ongoing... more

May 25 Behavioral UM Clinician Health Integrated Tampa, FL

Accountabilities: Job Performance/Responsibilities: Contributes to UM program goals and ob ... UM program CQI activities; Communicates all UM review outcomes in accordance with the... more

May 25 UM Nurse Consultant Aetna Bedford, NH

UM Nurse Consultant Job Group Health Care Auto req ID 8234BR Locations NH-Bedford Percent ... LICENSES AND CERTIFICATIONS Nurses/Registered Nurse (RN) is required FUNCTIONAL EXPERIENCE... more

May 19 Regional UM RN Senior Consultant Kaiser Permanente Pasadena, CA

Regional UM RN Senior Consultant( Job Number: 117939) Working for an organization with the ... transplant coordinators and front-line UM staff. Essential Functions: Oversees... more

May 18 UM Nurse Consultant Aetna Life Insurance Company Allentown, PA

in many ways. POSITION SUMMARY The UM Nurse Consultant utilizes clinical skills ... LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required FUNCTIONAL EXPERIENC... more

May 17 UTILIZATION MANAGEMENT NURSE Wexford Health Phoenix, AZ

Indicators and communicate to Director of UM. Weekly Prepare weekly summary report for ... as indicated (state specific) and Manager of UM. Licensing: Requires current, valid RN... more

May 15 UM - QM Trainer RN TMP Worldwide Jacksonville, FL

for technical training classes. Serve in a consultant role by establishing and maintaining a communication network and cooperative relationships with colleagues, corporate... more

May 14 UM/UR Reviewer - RN / LCSW / LPC Kepro Richmond, VA

physician consultant and processes physician consultant decisions. Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate... more

May 05 UM Frontline Leader Humana Louisville, KY

problem solving. Acting as both a broker and consultant regarding resources, you engage ... Qualifications: Role Essentials Current RN license in the state in which the nurse is / wi... more

May 03 Nurse Quality Manager - UM UR QI Kepro Richmond, VA

year's clinical experience as a Registered Nurse. 1 year+ continuous quality improvement experience required. Knowledgeable and skilled in applying McKesson's InterQual criteria... more

May 03 Utilization Management (UM) Supervisor Humana Minnetonka, MN

problem solving. Acting as both a broker and consultant regarding resources, you engage ... Qualifications Role Essentials * Current RN license in the state in which the nurse is / w... more

Apr 20 CLIN NURSE SPEC (University Hospital- Adult Emergency Services) Regents of the University of Michigan Dearborn, MI

Adult Emergency Services) Job Title CLIN NURSE SPEC Work Location UM Health System Ann ... accountability. Collaborate with Educational Nurse Specialists, Educational Nurse... more

Apr 10 UM QM Trainer RN Jacksonville, FL

for technical training classes Serve in a consultant role by establishing and maintaining a communication network and cooperative relationships with colleagues, corporate liaisons... more

Apr 10 UM QM Trainer RN Florida Blue Jacksonville, FL

for technical training classes Serve in a consultant role by establishing and maintaining a communication network and cooperative relationships with colleagues, corporate liaisons... more

Apr 06 San Fran Utilization Review RN - Managed Care Carenational Healthcare Services San Francisco, CA

inpatient care management). The UM Nurse will performs reviews of current ... effectively meet their needs. The UM Review Nurse will evaluate the options and services... more

Apr 04 UM QM Trainer RN Blue Cross and Blue Shield of Florida Jacksonville, FL

for technical training classes ?Serve in a consultant role by establishing and maintaining a communication network and cooperative relationships with colleagues, corporate... more

Apr 02 UM Nurse Associate Aetna Dallas, TX

UM Nurse Associate Job Group Health Care Auto req ID 7507BR Locations TX-Dallas Percent of ... LICENSES AND CERTIFICATIONS Nursing/Licensed Vocational Nurse (LVN) is required FUNCTIONAL... more

Mar 24 UM Specialist II Molina Healthcare Columbus, OH

Spreadsheet Tracking Log, and consults with UM Claims Nurse as needed. Demonstrates the ... various call-tracking boxes, including UM, Appeals, Continuity of Care, and UM,... more

Mar 13 RN Case Manager OMV Medical San Diego, CA

Certified Rehabilitation Registered Nurse (CRRN) issued by the Association of ... on Rehabilitation Counselor Certification, Nurse Case Manager (RN-NCM) issued by the... more

Feb 14 Quality Improvement Program Consultant Blue Cross Blue Shield of Massachusetts Quincy, MA

maintenance of compliance with NCQA UM and QI delegation standards as applicable. ... Experience and Education: * Registered nurse or BH Professional with active... more

Nov 17 UM RN/LVN Kelly Services San Bernardino, CA

seeking for full time Utilization Review Nurse (RN or LVN) in San Bernardino County, CA with 1-2 years work experience. Qualified candidate will be responsible for working with... more

Oct 25 RN/LVN UM Case Complex Manager Kelly Services San Gabriel, CA

California registered nurse or vocational nurse. California drivers license with the ability to provide own transportation within Los Angeles County. Ability to enter data into... more

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