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- ...Must hold an active Massachusetts Registered Nurse (RN) license. \n Requires 2–4 years of experience in Utilization Management (UM) and 2–4 years of experience within a managed care environment. \n Hands-on experience using InterQual clinical criteria for reviewing...SuggestedRemote work
Voto Consulting LLC
West Virginia6 days ago - Job Description Job Description LPN or RN Welcome! Essential Duties and Responsibilities: Provides direct supervision and monitoring of the nursing care given to our residents on a daily basis ensuring required documentation is completed. Provides leadership...SuggestedDay shift
- ...RN UM Saint Johnsbury, VT, United States About the Job RN UM Responsibilities: Supervise and coordinate the activities of nursing staff in a healthcare setting Ensure that patient care is delivered in accordance with established policies and procedures...SuggestedShift work
$18 per hour
...inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing: The Coordinator, UM Intake at Evolent provides support to the Utilization Management Team. The coordinator will support administrative operations by...SuggestedImmediate startRemote work- Job Description Job Description RN/LPN Unit Manager Location: Wilkesboro, North Carolina Company: Ridge Valley Center for Nursing and Rehabilitation Job Summary: We are seeking an experienced and compassionate RN/LPN Unit Manager to join our team at...SuggestedDaily paidImmediate startFlexible hours
- Job Description Job Description Nurse Unit Manager Join Washington Township's Team of Healthcare Professionals At Atlas Healthcare at Washington Township, we are dedicated to delivering exceptional medical care to the communities we serve throughout New Jersey...Suggested
- ...UM Nurse Position Type Full Time Category Managed Care Description General Summary: UM Nurse focuses on the Gonzaba Medical Group UM Review Process. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All...SuggestedFull timeWork at office
- ...UM Tech Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering...Suggested
- ...Job Description Job Description Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior authorization requests, processing referrals, documenting case activity, and supporting timely utilization review activities using...SuggestedWork at officeFlexible hours
- ...UM Review Assistant Location: CA (remote) Duration: 6 months Provide primary non-clinical program support by encompassing provider training, customer service, call triaging, authorization preparation, data entry, and the development and tracking of functions for...SuggestedContract workWork experience placementWork at officeRemote workFlexible hours
$32.01 - $68.55 per hour
Registered Nurse (RN) Utilization Management Join a dynamic healthcare team and make an impact on patient care from wherever you work. We are seeking an experienced Registered Nurse (RN) to support our 24/7 Utilization Management operations. In this role, you will...SuggestedHourly payFull timeTemporary workWork at officeWork from homeAfternoon shift$26.01 - $68.55 per hour
...diverse cultural dynamics of clinical staff and patients. Registered Nurse (RN) required. Position Summary This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any state. Working Hours: Monday through Friday 8:30am-5:00pm in...SuggestedHourly payFull timeTemporary workLive inWork at officeLocal areaRemote workMonday to FridayShift workAfternoon shift- ...mission and goals, fosters communication and collaborative practice with physicians and other departments. Participates and supports the UM Committees within the hospital and or other hospital committees to ensure program requirements are met. Core Responsibilities and...SuggestedContract workLocal area
- ...the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day, on any of the 7 days per week, utilizing Indicia...SuggestedShift work
$24 - $25 per hour
...Job Description Job Description Title: UM Coordinator Location: Montebello, CA (Onsite) Schedule: Mon–Fri (8:00–5:00 or 8:30–5:00) Position Type: Temp-to-hire (based on need and performance) Pay Rate: $24 - $25/HR Job Summary: This position is...SuggestedTemporary work- ...Savings bank Training & development Vision insurance Wellness resources About the Role Join MedPOINT Management as an Outpatient UM Coordinator in Sherman Oaks, CA, where you'll play a crucial role in ensuring the quality and efficiency of outpatient care. This position...Work at officeWork from homeFlexible hours
- LPN UM / RN UM Lebanon Ctr 24 Old Etna Road, Lebanon, NH 03766 Shift: 8:00 a m 4:30 p m Guaranteed hours: 40 weeks: 9 Intellisoft TechnologiesShift work
$21 - $26 per hour
...Job Description Job Description Description Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana...Hourly payWork at officeFlexible hoursShift workWeekend work- Fully Remote Position Perform utilization review activities, including concurrent and retrospective reviews of inpatient cases using evidence-based InterQual criteria and Medical Policy. Obtain clinical information from facility EMR to expedite timely decisions. ...Work at officeRemote workNight shiftAfternoon shift
- Wyndmoor Hills Health Care & Rehab Center Wyndmoor Hills Health Care & Rehab Center Looking for experienced, Team-oriented, organized, professional LPN to join our team. Able to redirect, educate, and assist staff and residents, able to multi-task, familiar with admission...
- ...Hospital Utilization Management (UM) Nurse How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to...Immediate startRemote workShift work
$65k - $85k
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge...Permanent employmentFull timeWork at officeLocal areaRemote work$65 per hour
RN Unit Manager Position: RN Unit Manager (RNUM) Location: Concord, MA 03301 Facility: LTC/SNF Shift: 7am - 3:30pm (Five days in a week that includes EOW) Contract: 9 weeks Pay Rate: $65/hr Start: ASAP Responsibilities: Evaluating nurse and medical...Contract workImmediate startShift work3 days per week$30 - $34 per hour
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Compensation: $30.00 - $34.00 / hour Department: Health Services (HS - UM) Job Title Utilization Management Review Nurse About the Role Astrana Health is looking for a Utilization Review Nurse to assist...Hourly payWork at officeMonday to FridayShift work- ...UM / Data Entry Tech Principal Accountability: Screens information received and refers members to the appropriate provider and/or contacts the provider directly for members. Facilitates the authorization process for requests that do not require clinical criteria...Shift work
- ...right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers. Summary The UM Admin Support Specialist provides essential administrative and operational support to the Utilization Management team, ensuring...Work at office
- Direct message the job poster from BroadPath BroadPath is excited to announce that we are hiring Work from Home UM Assistants . This role is responsible for receiving, processing, and accurately entering demographic information for all referral and authorization requests...Full timeWork at officeWork from homeMonday to FridayFlexible hours
$45 per hour
...month. Utilize your clinical expertise to support quality, cost-effective healthcare in a fully remote managed care setting. The UM RN Nurse Coordinator reviews outpatient authorization requests, assesses medical necessity, collaborates with interdisciplinary teams...Contract workTemporary workRemote workMonday to FridayWeekend workYoh, A Day & Zimmermann Company
Fairfield, CA17 days ago$25 - $28 per hour
...Utilization Management Coordinator (UM) Ridgeview Institute-Monroe - Monroe, GA 30655 Overview Salary Range $25.00 - $28.00 Hourly Level Experienced Position Type Full Time Education Level 2 Year Degree Position Summary JOIN OUR TEAM AS A UTILIZATION MANAGEMENT...Hourly payFull timeTemporary work- ...Job Description Job Description JOB DESCRIPTION JOB TITLE: Director, UM - RN FLSA STATUS: Exempt DEPARTMENT: Utilization Management REPORTS TO: Chief Medical Officer AUTHORITY : Clinical and non-clinical staff JOB SUMMARY: Responsible for providing...
