A company is looking for a Supervisor, Utilization Management.Key Responsibilities : Monitoring and tracking UM resources to ensure adherence to performance, compliance, quality, and efficiency standardsCollaborating with the UM team to resolve complex care member issuesEducating and providing resources for the UM team on key initiatives and facilitating communication between team, members, and providersRequired Qualifications : Graduate of an Accredited School of Nursing or Bachelor's degree with 4+ years of related experienceKnowledge of utilization management principles preferredActive RN - Registered Nurse - State Licensure and / or Compact State LicensureExperience in developing and implementing UM policies, procedures, and guidelinesExperience in evaluating UM team performance and providing feedback
Utilization Management RN
A company is looking for a Utilization Management RN. ...
Supervisor Quality RN - Risk Management
The Patient Relations Supervisor is a clinical position, which oversees and manages the Patient Relations Liaison team and the clinical reviews associated with patient concerns. This role oversees all functions of the Patient Relations Liaison team, including staff performance management and evaluat...
Utilization Management RN - Arizona
A company is looking for a Utilization Management RN - Remote to ensure proper utilization of health services and improve member health outcomes. ...
Utilization Management Nurse RN - ME
Key Responsibilities:Validate and obtain authorizations for procedures and continued stay for patientsManage concurrent cases and collaborate with the Revenue Cycle team to resolve denialsConduct medical necessity reviews and ensure compliance with utilization management plansRequired Qualifications...
Travel Nurse RN - Case Manager - $2,944 per week in Irvine, CA
Registered Nurse - Case Management. TRS Healthcare is seeking a Registered Nurse who is licensed to work in CA, and has Case Management experience. RN Registered Nurse License/Certification. ...
Travel Nurse RN - Case Manager - $2,204 to $2,357 per week in Orange, CA
TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Orange, California, 92868!. As an nurse, you will be matched to one of our responsive recruiters who will have your back throughout your journey. ...
Travel Registered Nurse - Oncology - $1,863 per week in Fountain Valley, CA
Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced Oncology Registered Nurse (RN) for an exciting new travel job in Fountain Valley, CA 92708. If you are an experienced Oncology Registered Nurse (RN) with a passion for providing exceptional patient care, just let...
Travel Nurse - Registered Nurse - ICU - Intensive Care Unit - $2619.36 / Week
Epic Travel Staffing is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Tustin, CA. Our exclusive job openings can only be found through Epic Travel Staffing, where we specialize in providing staffing solutions for Nurse, Allied, and Interim Manageme...
Travel Nurse - RN - Case Manager - $2579.52 / Week - Hiring Now
Coast Medical Service is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Orange, CA. Please apply here or contact a recruiter directly to learn more about this position & the facility, and/or explore others that may be of interest to you. Since 1979, Co...
Travel Nurse - Registered Nurse - TELE - Telemetry - $2083 / Week
MedUS Healthcare is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. MedUS Healthcare, formerly Axis Providers, is a Joint Commission certified staffing company that specializes in the recruitment, placement, and partnership of travel nurses an...