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- ...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
$49.7k
Job Description Job Description Salary: $49,700 Position Summary : This position is responsible for coordinating services, managing utilization, and authorizing initial and ongoing services for children and families involved in the child welfare system. The role...SuggestedFlexible hoursFamily Partnerships of Central Florida
Rockledge, FL16 days ago- Job Description Job Description Click here to RSVP to Notting Hill of West Bloomfield's Onsite Hiring Event on 8/6 from 11am-4pm! $20,000 Sign On Bonus Night Shift, 2:30pm-11:30pm Are you an RN looking for a leadership role? Do you have a passion for leading...SuggestedRelocation packageNight shift
Notting Hill of West Bloomfield
West Bloomfield, MI21 days ago - Job Description Job Description $20,000 Sign On Bonus Are you an RN looking for a leadership role? Do you have a passion for leading and teaching other skilled nursing staff? The RN Unit Manager provides, plans, coordinates or manages nursing care and health education...SuggestedRelocation package
The Laurels of Sandy Creek
Wayland, MI21 days ago $63.59k - $121.53k
...duty military spouses consistent with applicable policy and business needs. The Opportunity As a dedicated Sr. Injury Adjuster- UM , you will be responsible to adjust attorney-involved, moderately complex UM/UIM claims or moderately complex to include confirming...SuggestedContract workH1bWork at officeRemote workRelocation packageAfternoon shift3 days per week$34 - $47 per hour
...any other job duties as requested Qualifications Active and unrestricted LVN license in CA. At least 1 years of outpatient UM experience Experience with Microsoft applications such as Word, Excel, and Outlook You’ll be Great for this Role If: At least...SuggestedHourly payLive inWork at officeRemote workMonday to FridayShift workAstrana Health, Inc.
Monterey Park, CA27 days ago$21 - $24 per hour
...Job Description Job Description Description Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring compliance with regulatory...SuggestedHourly payWork at officeShift workWeekend work- ...utilization management decisions Maintain accurate and up-to-date documentation of authorization requests, approvals, and denials in the UM system Apply evidence-based clinical criteria (e.g., InterQual, Milliman) to support medical necessity determinations Communicate...SuggestedFull timeWork at officeWork from homeFlexible hours
- 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...SuggestedFull timeWork at officeWork from homeMonday to FridayFlexible hours
$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...SuggestedHourly payWork at officeWeekend work- ...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
$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- ...Job Description Job Description Position Summary The Utilization Management (UM) LVN is responsible for performing clinical review activities to support the prior authorization, concurrent review, retrospective review, and care coordination processes. Working within...SuggestedPart timeFlexible hours
$49.7k
Salary: $49,700 P o s i t i o n S u m mar y : This position is responsible for coordinating services, managing utilization, and authorizing initial and ongoing services for children and families involved in the child welfare system. The role ensures the...SuggestedFull timeFlexible hours- Job Description Job Description Major Duties and Responsibilities Plans, develops, organizes, implements, and directs nursing services for residents on the unit assigned. Ensures compliance with current applicable federal, state and local regulations and facility...SuggestedLocal area
SNF Healthcare
Somerville, NJ21 days ago - Job Description Job Description RN Unit Manager Registered Nurse Orwigsburg Nursing and Rehab Center | Long-Term Care & Short-Term Rehab Orwigsburg Nursing and Rehab Center is currently seeking an experienced and motivated RN Unit Manager to join our dedicated...Temporary work
Orwigsburg Nursing and Rehabilitation Center
Orwigsburg, PA11 days ago $60.2k - $107.4k
Behavioral Health Care Advocate Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits...Remote jobMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday- A healthcare organization in Ohio is seeking a Bilingual Telephonic UM Coordinator to support non-clinical operations. The ideal candidate must have bilingual skills in English and Spanish, along with administrative and healthcare experience. The position offers a competitive...Remote jobAfternoon shift
- Review Assistant Work Location Type: Remote CA Duration: 6 Months Contract The role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. This individual will uphold a comprehensive understanding of internal policies...Contract workWork experience placementWork at officeRemote workFlexible hours
$60.2k - $107.4k
The Strategic Outpatient Engagement & Management (STEM) Care Advocate will complete telephonic clinical reviews directly with providers to ensure members receive the most effective and efficient care, promoting best practices in outpatient psychotherapy and community‑based...Remote jobMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday- Manages daily UR activities to main timeliness. Responsible for staffing and scheduling allocations. Monitors quality of work by all staff. Promotes professional development of staff through educational offerings. Performs annual appraisals of job performance. Serves as...
- ...may be the place for you! Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and precertification reviews for Georgia Fee-for-Service Medicaid members for the team...Contract work
Alliant Health Solutions, Inc.
Atlanta, GA13 days ago - ...Job Description Job Description JOB TITLE: UM Coordinator - Outpatient DEPARTMENT: Utilization Management REPORTS TO: Supervisor, Utilization Management JOB SUMMARY: This position processes authorizations and ensures that all information is correct before...Work at office
$116.3k - $264.6k
UCLA Outpatient Clinics is looking for an experienced Utilization Management Assistant Director in Los Angeles. In this key leadership role, you will oversee Intensive Case Management and Utilization Management operations, ensuring high-quality patient care across complex...$24 per hour
...excited to share this temporary opportunity! We partnered with a prominent healthcare organization based in Montebello, CA to fill a UM Coordinator position. Please consider applying if you come with a minimum of 2 years of Utilization Management and Prior Authorization...Temporary workMonday to Friday- A leading healthcare provider in Bradenton, Florida is seeking a RN UM Case Manager to manage patient care effectively. The role involves collaborating with healthcare teams and ensuring quality clinical outcomes. Candidates should have a bachelor's degree in healthcare...
$18 - $27 per hour
Job Description Job Description Primary Purpose: Data input of referral authorization requests received from the Organization's Contracted Providers; generate member notifications as directed. Principal Duties and Responsibilities (* = essential functions):...Hourly payWork at officeShift work- A leading healthcare provider is seeking an RN UM Case Manager in Bradenton, Florida. The role involves promoting appropriate Length of Stay (LOS) and managing patient care by collaborating with healthcare teams. Ideal candidates will have a bachelor’s degree and a minimum...
- ...0 hours per week within the working hours of M-F 8:00 am - 5:00 pm based on need and projects. General Statement: The QM/UM Analyst works under the direction of the Director of Quality and Utilization Management, or designee, in a variety of clinical settings...Temporary workPart timeWork at officeWeekend work
- ...RN UM Case Manager Lakewood Ranch Medical Center (LWRMC), located in the heart of the Lakewood Ranch community, has served the people of Lakewood Ranch and surrounding areas since 2004. It is an award-winning, high-quality, acute-care hospital accredited by The Joint...Relief
