UM Team Lead RN — Drive Timely Care Decisions
Personify Health
Personify Health seeks an RN UM Team Lead to guide a clinical review team responsible for medical-necessity decisions. You will coach reviewers, monitor daily workflow, and ensure timely, compliant determinations while protecting patient data. You will collaborate across care management, providers, and internal teams to remove barriers, support audit readiness, and drive training completion in a dynamic payer environment. #J-18808-Ljbffr Personify Health
- ...progressive, quality patient care with significant investments in... ...reflects compensation for a **full-time equivalent (1.0 FTE)**... ...personnel working directly with RN Team Leader to insure optimum patient... ...strong problem solving and decision making skills. Demonostrates strong...SuggestedFull timeTemporary workPart timeFlexible hours
$62.7k - $100.4k
## Community Based Care Manager RNApplylocations: Georgia Mobiletime... ...an inter-disciplinary care team (ICT), providers, community... ...benefits, etc. so that timely and informed decisions can be made* Employ ongoing... ...Partnerships* Develop Self and Others* Drive Execution* Influence Others*...SuggestedHourly payWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift$66k - $100k
The Care Manager is responsible for completing a comprehensive assessment... ...the best care at the right time and in the most-cost effective... ...Ability to make independent decisions in accordance with established... ...environments. Ability to drive to and from a variety of settings...SuggestedFull timeShift work- ...nursing facility in Queens County, New York, is seeking a full-time RN Supervisor to oversee day-to-day clinical operations and... ...Supervisor will interpret patient information, make critical care decisions, administer medications and wound care, and ensure compliance...SuggestedFull time
- ...department or ambulatory care. This includes, but... ...Patient Care 1. Leads nursing practice... ...Patient Care Team that leads to the development... ...concerns in a timely manner and provides... ..., using data to drive continuous improvement... ...informed staffing decisions and continuous workforce...SuggestedHourly payFull timeWork at officeLocal areaMonday to FridayShift workDay shift
- ...by uniting communities through care. We believe that health care is... ...Position Overview The Clinical Team Lead, under the direction of the Vice... ...or applicable care setting. UM/UR experience in managed care or... ...Registered Professional Nurse (RN), Licensed Practical Nurse (LPN...Shift work
$39.78 - $42.36 per hour
...healthcare organization in New Jersey is seeking a Care Coordinator to provide care coordination... ...ideal candidate is a Registered Nurse (RN) or MSW with at least 3 years of... ...English and Spanish is preferred. This part-time position is focused on enhancing the care...Hourly payPart time$52.32 - $63 per hour
...hospital, our physician-led care teams provide critically ill patients... ...they need, for the time they need it - empowering them... ...restaurants and shops within a short driving distance. Job Summary Supervises... ...performance. Ability to make decisions and accept responsibility for...Full timeNight shift- ...patient‑ and family‑centered care to serve the diverse... ..., and support ethical decision‑making. Uses data to monitor... ...and inter‑professional teams, fostering open... ...Licensed Registered Nurse (RN) or Physician Assistant... ...Comprehensive package for full‑time and part‑time colleagues...Full timeTemporary workPart timeFlexible hoursShift workNight shift
$157.96k - $197.32k
...management of patient care. He or she works... ...Care 1. Leads nursing practice... ...Interdisciplinary Patient Care Team that leads to... ...concerns in a timely manner and... ...Wrap Up, and MD/RN Unit... ...Leads a shared decision making model by... ...continuous learning drive positive change,...Hourly payFull timeTraineeshipWork at officeLocal areaMonday to FridayShift work- ...Center in Woodbury, NY, is seeking a Full-Time RN with a passion for nursing and an eagerness... ...an outgoing, experienced RN to join our team of wellness professionals on a mission to... ...so they can do more of what they love. The lead RN IV Therapist will recommend bloodwork and...Full time
$45 - $50 per hour
A healthcare facility in New York is seeking an RN Supervisor to oversee patient care and manage staff. The ideal candidate will have New York State RN... ...for continued education. Join a supportive team and advance your nursing career in a friendly environment...Hourly payDaily paidPart timeAfternoon shift$125k - $140k
RN Homecare Team Leader with 15K Sign on bonus, Pension and 4 weeks vacation... ...specializes in home care, hospice and palliative care... ...physician. Provide accurate and timely documentation requesting authorization... ...status in making hiring decisions. Sometimes Jobot is required...Temporary workLocal areaRelocation packageFlexible hours- ...Montefiore Medical Center in New York, NY. In this role, you will lead interdisciplinary care teams, ensuring comprehensive patient care and maintaining the... ...position requires a BS/BSN in Nursing, a New York State RN License, and certifications in BLS and PALS. You will be...
$125k - $130k
...follow our LinkedIn page! Job details: Full time Hospice RN Team Leader role with $15,000 Sign on Bonus... ...including hospice and palliative care, rehabilitation, and skilled nursing Why... ...of unemployment status in making hiring decisions. Sometimes Jobot is required to...Full timeTemporary workWork at officeLocal areaRelocation packageFlexible hours$129.41k
Help Drive the Success of Behavioral Health... ...Square Hospital is a leading behavioral health... ...and family‑centered care by taking your career... ...Clinical Resource RN Float Pool -... ...Psychiatry - Part Time Nights As a Clinical... ...every person. Join our team and discover where...Part timeNight shift- ## Capacity Management RN - Hopewell - Full-Time - NIGHTSApplylocations: Pennington... ..., quality patient care with significant investments... ...daily operational oversight and decision making of patient flow activities... ...education to the health care team on the overall patient flow...Full timeTemporary workPart timeWork at officeFlexible hoursShift workNight shift
- ...patient- and family-centered care, the professional nurse... ..., and support ethical decision making. Uses data to... ...and inter-professional teams, fostering open communication... ...Heart Association RN - Licensed Registered Nurse... ...package of benefits for full-time and part-time colleagues...Daily paidFull timeTemporary workPart timeFlexible hoursShift work
$111.9k - $136.65k
...opportunity to join our team as a Registered Nurse - 3... ...candidate carries out patient care responsibilities with emphasis on decision‑making related to the... ...patient healthcare data. Leads patients/family and... ...patient care in a safe, timely and appropriate manner....Full time$58.5k - $76.08k
...research, and direct patient care. At NYU Langone Health,... ...opportunity to join our team as a Financial Analyst.... ...and holding accounts. Lead meetings with faculty to... ...about devoting your time and your talents. NYU Grossman... ...basis for an employment decision. We require applications...Full timeWork at office- Title: Registered Nurse (RN), Maternity Care Center, Full-Time Nights, Camden Job Category: Nurse Requisition... ...with our patients, guests, other team members, and medical staff by striving... ...using knowledge, skills, judgment, and decision-making skills for the specific area...Full timeNight shift
$92.3k - $120k
Registered Nurse (RN), Home Health Utilization... ...preventive care while leveraging data... ...Utilization Management (UM) team supports Clover... ...support evidence-based decision‑making while... ...restrictive setting. Ensure timely completion of... ...decisions. Help drive continuous improvement...Work at officeLocal areaRemote workFlexible hours$118.13k - $155.79k
## Registered Nurse - RN - Stepdown - Part-time - DaysApplylocations: NYP/Brooklyn... ...a compassionate culture of care and caring. Together, we improve... ...scheduling, shared clinical decision-making, inspirational... ...embraces every person. Join our team and discover where amazing works...Part timeFlexible hoursShift workDay shift$40 - $45 per hour
...and dedicated nurses to join our team in providing exceptional home health and hospice care. The agency is driven by our... ...CPR certification Why Elite Full‑time opportunities Competitive pay and... ...and work record. No employment decision is made, nor do we discriminate,...Hourly payFull timePart timeWeekend work- Employment Type: Full time Shift: 12 Hour Night Shift... ...and the highest quality of care. We are searching for a Full Time ICU RN in Ontario on Night shift... ...of the health care team in the ongoing assessment... ...competency in judgment, decision-making, implementation of...Full timeLive outLocal areaShift workNight shift
$55.26 - $67.22 per hour
...practice evidence-based nursing and lead efforts to enhance patient care. This full-time night shift position is ideal for... ...care. Engage in shared clinical decision-making. Participate in educational... ...Experience: 2+ years of acute care RN experience preferred Licenses & Certifications...Hourly payFull timeNight shift$39 - $41 per hour
...to value-based care. In fact, medical... .... Our dedicated team of data abstractors... ...(Clinical Data Leads) use Q-Centrix... ...organizational and time management... ...teams (preferred) RN, LPN, RT, RVT, or... ...healthcare for all—drives everything we do... ...our employment decisions: race, religious...Hourly payFull timeTemporary workRemote workFlexible hoursShift work- ...competent quality care based on nursing... ...healthcare team in the development... ...Wrap Up, and MD/RN Unit Collaboration... ...principles into decision making for... ...continuous learning drive positive change,... ...nursing, and a leading school of medicine... ...challenges of our time discovering and...Hourly payFull timeLocal areaShift workNight shift
$133.6k - $153.22k
Staff Nurse - RN - Hospital at Home - Full time Days Hospital at Home is a unique and innovative... ...inpatient hospital level care at the patient’s home. The... ...readmission rates, and driving cost savings to the... ...are looking for motivated team members to help us become the...Full timeRemote workShift workWeekend workDay shift$56.03 - $67.98 per hour
...Registered Nurse - RN - Emergency Department... ...Valley - Full Time - Nights Practice the... ...Hudson Valley Hospital. Lead the charge in improving the patient care experience. Join an action-orientated team and go to the next level... ..., shared clinical decision-making,...Hourly payFull timeFlexible hoursShift workNight shift
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