UM NURSE CLINICAL CONSULTANT

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...

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

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...

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...

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 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...

Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

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...

Seeking experienced Chief Financial Officer Consultants for clients in the Northeast Wayne Country, MI area to be engaged on an interim basis. As a Chief Financial Officer Consultant, specific roles with clients and position responsibilities will vary from engagement to engagement.  For individuals with correlating experience, please reply to this Chief...

Registered Nurse RN Concurrent UM Review WellMed Compact LicenseOpportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and...

Clinical Reimbursement Consultant RNJOB PURPOSE: Coordinates the training of center partners and audits and provides recommendation for Process Improvement for the following areas: * The RAI Process, the Care Management Process, and the use of various supporting software applications to ensure an appropriate level of Resident care and equitable and timely...

Clinical Reimbursement Consultant RNJOB PURPOSE: Coordinates the training of center partners and audits and provides recommendation for Process Improvement for the following areas: * The RAI Process, the Care Management Process, and the use of various supporting software applications to ensure an appropriate level of Resident care and equitable and timely...

Our Critical Care Services team are seeking a dynamic Critical Care Nurse leader for this fixed term part-time Critical Care Clinical Nurse Consultant position. This key leadership role will work alongside our collaborative nursing and medical leaders in driving innovation and improvement, clinical excellence and ensuring the delivery of high quality...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are...

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Nurse Consultant will report to the Manager of Care Management for the Population Health Management Medi-Cal Team. In this role, you will ensure that services are...

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...

Job TitleClinical Solutions Delivery Consultant - Northern CAJob DescriptionClinical Solutions Implementation Consultant, Patient Monitoring (NorCal)Leads the clinical implementations of HPM solutions with customers. Consults and partners with customers, Customer Project Managers, Clinical Solutions Delivery Consultant (CSDC), Clinical Solution Workflow...