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Registered Nurse Case Manager
Association of Rehabilitation Nurses :. Certified Rehabilitation Registered Nurse (CRRN). Possess a Masters Degree in Nurse Case Management from a program...
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Senior Director Case Management Utilization Review
Clinical Management Consultants - Norristown, PA
$112,238 - $127,141 a year
This Magnet Recognized facility is ready to welcome a transformational leader into the Managed Care UM Utilization Management RN Director role....
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Case Management Nursing Manager Utilization UM
Clinical Management Consultants - Bremerton, WA
$104,755 - $126,955 a year
Nurse Manager Managed Care, Case Management Nursing Manager, Utilization Review RN Nurse Manager, UR, Utilization Management, Assistant Nurse Director,...
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UM Nurse Consultant

Aetna - 1,770 reviews - Omaha, NE  +10 locations
Nursing/Registered Nurse (RN) license is required. This position requires use of critical nursing experience and skills to determine the appropriateness of...

UM Nurse Consultant-Womens' Health-Infertility

Aetna - 1,770 reviews - Blue Bell, PA 19422
Nursing/Registered Nurse (RN) is required. The Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate,...

UM Nurse Consultant - RN

Aetna - 1,770 reviews - High Point, NC  +3 locations
The Utilization Management Nurse Consultant:. Nursing/Registered Nurse (RN) is required. Utilizes clinical skills to coordinate, document and communicate all...

UM Clinical Consultant

Aetna - 1,770 reviews - Linthicum, MD  +2 locations
Nursing/Registered Nurse (RN) is required. Only current RN licensed in MD will be considered....

Clinical Appeal Consultant

Wellmark - 13 reviews - Des Moines, IA
General understanding of UM criteria or provider payment rules, appeals, regulations, and workflow management....

UM Clinical Consultant, Adult

Aetna - 1,770 reviews - Phoenix, AZ
Nursing/Registered Nurse (RN) is desired. Exhibits the following UM Clinician - BH Behaviors. Or Registered Nurse with an Active Independent Licensure in the...

Utilization Management Nurse II RN Health Plan Jobs

Baylor Scott & White Health - 212 reviews - Temple, TX 76508
Utilization Mangement Nurse II RN. Health Plan Qualifications Required Experience 3+ Years Required Education Associate Required Licensure Registered Nurse....

UM Clinical Consultant Behavio

Aetna - 1,770 reviews - Phoenix, AZ
Nursing/Registered Nurse (RN) is desired. Exhibits the following UM Clinician - BH Behaviors. Or Registered Nurse with an Active Independent Licensure in the...

Clinical Specialist

Accountable Health Care IPA - Signal Hill, CA
Consult with Medical Director, UM Director, CM/UM/QM Nurses, and other Clinical Specialists in the proper application of AHC IPA adopted clinical criteria....
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Provider Performance Improvement Consultant I/II

Excellus BlueCross BlueShield - 23 reviews - Rochester, NY
This position serves as a consultant and subject matter expert in all aspects of quality. A minimum of two years of Health Plan experience in UM, CM, DM or QM...
Nurse Manager Oncology Case Management UR UM
Clinical Management Consultants - Los Angeles, CA
$129,895 - $154,925 a year
Nurse Manager Oncology Case Management UR UM Job in Los Angeles CA. Nursing Manager Case Management, Oncology Nurse Case Manager, Nurse Manager Managed Care,...
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RN Prior Authorization Supervisor
HealthCare Support Staffing - 80 reviews - Maitland, FL
$74,000 - $79,000 a year
Strongly prefer at least one year of UM experience coming from a managed care setting. Connect with one of our Professional Recruiting Consultants today to see...
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