UM NURSE CONSULTANT

Overview About us: Fallon Health is a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top health plans for member experience, service, and...

SummaryJob DescriptionProvides leadership, support, training, and direction to the Inpatient UM teammates. The incumbent will use clinical judgment to provide utilization management review for inpatient during high volume situations. Provide high quality, cost-effective care to enable patients to achieve maximum medical improvement, while receiving care...

100% remote position from anywhere in the U.S. Work hours: 11:30 am-8:00 pm EST, Monday-Friday .00% attendance is required during the first 3 weeks of training / 8:30 am-5 pm EST, Monday-Friday. Work in clinical telephone queue working with providers Nurse, Consultant, Healthcare, Clinical, Retail, Benefits

This role is Telework anywhere! Schedule for this position is Monday - Friday, 8:00 am - 5:00 pm EST - Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring precertification. The majority Clinical, Nurse, Consultant, Medical Director, Clinic, Remote, Retail, Healthcare

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Supervisor, UM Inpatient & Specialty - CCA, the incumbent will work with hospitals, in collaboration with their assigned Team Center to...

Fully remote Work from home anywhere in the US. Working hours will be Tuesday - Saturday 0800 AM - 5:00 PM EST; (training schedule 8 a-5 pm Est time). Holidays will be on rotation. No travel is required. Applicants from any state can apply. Prior Aut Nurse, Authorization, Consultant, Healthcare, Retail, Clinical, Benefits

Overview of the Role: Alignment Health is seeking a collaborative and tech savvy LVN / LPN utilization management (UM) nurse (must have California license), for a long-term temporary engagement (with medical benefits) to join the remote, utilization management, pre-service team. As a UM nurse, you will review requests for pre-service for both inpatient and...

Job Description UM Upper Chesapeake Health (UM UCH), a member of the University of Maryland Medical System (UMMS), has a Full-time employed position available for a Nurse Practitioner Program Coordinator to join their reputable, well-established Comprehensive CARE Center (a transitional care clinic) located on the UM Upper Chesapeake Medical Center campus...

Company DescriptionUniversity of Maryland Upper Chesapeake Health (UM UCH) offers the residents of northeastern Maryland an unparalleled combination of clinical expertise, leading-edge technology, and an exceptional patient experience.A community-based, integrated, non-profit health system, our vision is to become the preferred, integrated health system...

Job Description The University of Maryland St. Joseph Medical Center (UM SJMC), a member of the University of Maryland Medical System (UMMS), is seeking permanent and PRN Certified Registered Nurse Anesthetists to join its team in Towson, Maryland. Position details: * University of Maryland St. Joseph Medical Center is a CMS 5-Star, Leapfrog Grade 'A'...

Job Description UM Shore Regional Health, a member of the University of Maryland Medical System (UMMS), is seeking a Board Certified Psychiatric Mental Health Nurse Practitioner to provide full time inpatient coverage in Easton, MD. The ideal candidate will be providing mental and behavioral health consultations to our adult inpatient populations. Out...

Company DescriptionUniversity of Maryland Medical System (UMMS) is a physician-led, internationally recognized healthcare system offering uniquely rewarding careers in major Maryland marketplaces. Create your future in a healthcare setting that is right for you and your practice. Become part of something greater by applying your experience, input, and...

Job Description Registered Nurse - M&B Part-time - Night Shift Largo, Maryland At UM Capital Region Health, we're about to changeUP everything with the opening of our new hospital in Spring 2021! Located in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide...

Company DescriptionWhen you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team...

Consultative NurseSign on bonus for all Full time positionsToday, Conexio Care serves as one of Delawares largest nonprofits, collaborating with government, community, corporate, and other philanthropic partners to maximize services for our states most vulnerable The Program Ambassador is a member of the clinical team who assists clients and guests in...

Job Description UM Upper Chesapeake Health (UM UCH), a member of the University of Maryland Medical System (UMMS), has a Part-time employed position available for a Wound Care Nurse Practitioner to join their growing, community-based Wound care/Hyperbaric medicine practice located on the UM Upper Chesapeake Medical Center campus in Bel Air, MD. Nurse...

UC Health is hiring a full time Nursing Workforce Consultant. The Nursing Workforce Consultant will work in collaboration with nursing leadership, human resources, and talent acquisition on strategic nursing related workforce, retention strategies, developing pipelines, nursing recruitment, and nursing career pathway programs. The consultant will use their...

Job Description* COLLABORATES WITH THE PATIENT, SIGNIFICANT OTHERS AND ANCILLARY DEPARMTENTS TO BECOME A MULTIDISCIPLINARY HEALTHCARE TEAM TO PROVIDE CARE THAT IS CONTINUOUS AND WELL COORDINATED: Prioritizes work assignments and adjust to meet changing priorities. Consults and refers to other healthcare professionals. Delegates work to the healthcare team....

The QM Consultant has a key role in developing and implementing data-driven strategies/interventions that support the delivery of high quality health benefits and services for members. The QM Consultant manages specific vendor relationships that supp Consultant, Nurse, Health, Benefits, Retail, Healthcare

Are you ready to elevate your career and further your experience? If you are ready for the next steps in your career, you should consider joining an elite group of Nurse Consultants with Pathway Health! Pathway Health is looking for experienced registered nurses (RN) that are interested in leadership opportunities. We have Nurse Consultant positions that...