Job Seekers, Welcome to ACA Career Central
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
www.growinggroundedcounseling.com
South Chesterfield, Virginia
Vanderbilt University
Nashville, Tennessee
St. Mary's University
San Antonio, Texas
Featured! Featured!
Florida State University
Tallahassee, Florida
Florida State University
Tallahassee, Florida
New Mexico State University
Las Cruces, New Mexico
Presbyterian Healthcare Services
Albu, New Mexico
Carlos Rosario International Public Charter School
Washington, D.C.
Hazel Health
United States - Nationwide
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Utilization Management (RN) - Community Health Choice - Utilization Management
JOB SUMMARY: The UM RN will perform utilization review of Community members requiring authorization for health services. The UM RN will help ensure proper data entry of authorization in the managed care platform, and initiate the approval process for requested services/treatments utilizing nationally recognized evidenced based clinical criteria and/or internal policies, protocols, and procedures. The UM RN will screen and review clinical information for the most appropriate service areas within Community; making referrals to high risk perinatal team, complex case management and disease management. The UM RN will work closely with the Medical Directors and refer requests that do not meet medical necessity criteria. The UM
Loading. Please wait.