UM NURSE CONSULTANT

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the a Nurse, Consultant, Healthcare, Clinical, Retail, Benefits

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...

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...

What You Can You 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!As the Supervisor, UM Regulatory & Compliance, you play a pivotal role in ensuring the success, productivity, and regulatory compliance for Prior...

Overview of the Role:Alignment Health is seeking an organized, detail-oriented and customer service oriented inpatient utilization management (UM) coordinator to join the UM team. As an inpatient UM coordinator, you will assist with managing census and admissions, retrieve medical records, and discharge planning while working with the case management (CM)...

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...

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!The Manager, UM Regulatory & Compliance - CCA is responsible for the coordination, implementation, and oversight of the IEHP’s overall Utilization Management...

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'...

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 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...

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...

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...

CoBridge Workforce Solution - The Nurse Consultant ensures the quality care of all residents in conjunction with the Client’s Operations Team. The position requires an understanding and commitment to the principals and values of the company. The position requires creativity and flexibility with employees and residents who have complex situations and is...

Are you ready to elevate your career and further your experience? How does a $10K* sign on bonus sound? 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...

Pay Range:$46.87 - $64.18 SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it's a fulfilling...

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....