Utilization Management Nurse

UM Nurse Qualifications Bachelor's degree in Nursing Compact RN License 2+ years experience in medical review or utilization management. Knowledge of utilization review, Medicare, utilization management, and EMR systems. Certification in managed care (preferred). Job Description We are seeking a dedicated and detail-oriented Utilization Management...

Job Title: Utilization Management NurseJob Description We are seeking a dedicated and detail-oriented Utilization Management Nurse to join our team. The ideal candidate will be responsible for meeting all State and Federal regulations, as well as internal mandates related to claims and preauthorization processing. This role involves accurate and timely...

Workers' compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, Management, Nurse, External, Insurance, Healthcare

Job SummaryAs a Clinical Review Nurse - Utilization Management, you will play a critical role in ensuring the medical necessity of care at all levels. You will utilize evidence-based guidelines to coordinate care across the continuum, interacting with physicians, providers, claimants, and peer reviewers. This position requires a current and unrestricted RN...

Job Title: Utilization Management NurseWe are seeking a dedicated and detail-oriented Utilization Management Nurse to fill this role. The ideal candidate will be responsible for ensuring compliance with State and Federal regulations, as well as internal mandates related to claims and preauthorization processing.This role involves accurate and timely medical...

Description Workers' compensation utilization management activities include the review of clinical information to determine medical necessity at all levels of care. You will utilize criteria, or evidence-based guidelines, coordinate of care across the continuum, and interact with physicians, providers, claimants and peer reviewers as part of the utilization...

Job SummaryAs a Clinical Review Nurse - Utilization Management, you will play a crucial role in ensuring the medical necessity of care provided to claimants. This involves reviewing clinical information, utilizing evidence-based guidelines, and coordinating care across the continuum. You will interact with physicians, providers, claimants, and peer reviewers...

JobsRUs.comis seeking to hire a Utility Worker for our client in Omaha NE! Benefits Available!Weekly Pay! Pay Rate - $12/HourJob DescriptionThe Utility Worker is responsible for maintaining kitchen work areas, equipment and utensilsThe general responsibilities of the position include those listed below, but the client may identify other responsibilities of...

JobsRUs.comis seeking hire a Utility Worker for our client in Omaha NE! Benefits Available!Weekly Pay! Pay Rate - $12/HourShift Details: 11:00AM to 6:00PMJob DescriptionThe Utility Worker is responsible for maintaining kitchen work areas, equipment and utensilsThegeneral responsibilities of the position include those listed below, but Client may identify...

Position Summary Perform as a skilled electrician in all phases of utility equipment electrical maintenance, construction, repair, and other activities related to the trade. Position is responsible for utility electrical system compliance and electrical distribution operation for the Utility Plant that serves the UNMC/NE Med Campus Electrical...

Job Description: At Pentair, you will work along-side passionate problem-solvers who are committed to the future of our planet. We put our purpose into practice, inspiring people to move, improve and enjoy life's essential resources for happier, healthier lives. From our residential and business water solutions to our sustainable innovations and...

Travel Nurse RN PCU - Progressive Care Unit Contract OpportunityAt Jackson Nurse Professionals, we're seeking a skilled Registered Nurse to fill a travel contract in our Progressive Care Unit. As a travel nurse, you'll have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care to those who need it most.Key...

Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Omaha NE - Omaha, NE Education Level 2 Year Degree Job Shift Day Job Category Nurse Description TheRegistered Nurse Case Managerplans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The...

TravelNurseSource is working with Lark Medical Staffing to find a qualified Rehab RN in Omaha, Nebraska, 68118 About The Position Title: High-Paying Travel Nurse Opportunity with Lark Medical StaffingLocation: NationwideLark Medical Staffing is seeking dedicated and passionate Travel Nurses to join our team. At Lark, we understand the unique challenges and...

Job Title: Travel Nurse RN SpecialistJob Summary: We are seeking a skilled Travel Nurse RN Specialist to join our team at Origin Travel Nurses. As a Telehealth Nursing Position, you will be responsible for providing high-quality patient care in a stepdown unit setting.Key Responsibilities:Monitor patients' vital signs and electrocardiogram readoutsAdminister...

Critical Care Nurse Specialist Opportunity in Omaha, Nebraska============================Location: Omaha, NebraskaCompany Overview---------------Next Move Healthcare is a fast-growing travel nurse agency dedicated to providing a raving fan experience to clinicians nationwide. With a focus on clinician-first, clinician-led staffing, they are a leading source...

Travel Nurse RN PCU OpportunityAt Jackson Nurse Professionals, we're seeking a skilled Registered Nurse to join our team as a travel nurse in the Progressive Care Unit. This 13-week contract offers a unique chance to work with medical and surgical patients in a dynamic acute care setting. Key Responsibilities:• Provide high-quality patient care in the PCU...

At CHI Health, we are seeking a skilled RN Care Manager to join our team in the Immanuel Partial Hospitalization program. As a key member of our interdisciplinary team, you will play a vital role in facilitating patient care, enhancing clinical outcomes, and promoting patient satisfaction.The RN Care Manager will coordinate and facilitate patient care...

We're seeking a skilled Registered Nurse to join our team in a Labor and Delivery travel assignment. As a member of our team, you'll have the opportunity to work in a state-of-the-art area hospital, providing care to mothers and their babies during the delivery process.This 13-week contract assignment offers a rewarding experience for nurses with experience...

Are you a skilled and dedicated nurse looking for a new challenge? Travel Nurse Source is working with Triage Staffing to find a qualified Telemetry RN in Omaha, Nebraska, 68147Pay InformationWe are offering a competitive salary of $2,036 per week for this position.About The PositionAs a Telemetry RN, you will be responsible for providing high-quality...