- Elevance Health (Tampa, FL)
- …with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. ** Licensed Utilization Review II ** **Location:** This is a ... or days may be required based on operational needs (holiday rotation). The ** Licensed Utilization Review II ** is responsible for working primarily with… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... to provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and retrospectively… more
- HCA Healthcare (Orange Park, FL)
- …encourage you to apply for our Mental Health Professional II PRN Licensed Master opening. We review all applications. Qualified candidates will be contacted ... the PRN career opportunities as a(an) Mental Health Professional II PRN Licensed Master you want with...other parties as appropriate regarding behavioral services . Performs utilization review as assigned . Participates in… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- LA Care Health Plan (Los Angeles, CA)
- …patient care, such as ambulatory care, home care, or case management. OR experience in Utilization Review or Care Management will be considered in lieu of direct ... and/or disabilities in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning,… more
- Covenant Health Inc. (Oak Ridge, TN)
- Overview Registered Nurse, Care Manager II Full time, 80 hours per pay period, Day shift With more than 30 specialties from Cardiology and Neurosurgery to ... joints, sudden heart failure, and non-healing wounds. + 283 licensed beds + 25 ICU beds + 12 intermediate...Over 800 employees Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice… more
- VRX, Inc. (El Paso, TX)
- …inspection. General Description The General Description for a Construction Inspector II to CI IV include: Inspects construction methods and workmanship to ... inspection activities for ongoing airport improvement projects. Responsible to a licensed professional engineer who has full authority for approval of all… more
- ManpowerGroup (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review /case management/clinical/or combination; 2 of 4 years ... **Title:** **Managed Care Coordinator UM II ** **Location: Columbia SC (Onsite)** **Duration: 3 months** **Pay Range : $31/hr (On W2)** We are looking for a "… more
- Bassett Healthcare (Cobleskill, NY)
- …the best quality of life possible. What you'll do The Registered Professional Nurse II , Acute Care is accountable for the delivery of safe patient care utilizing the ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to… more