Job Seekers, Welcome to ACA Career Central
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 9341 Jobs
Create Alert
Loading... Please wait.
Purdue University Northwest Logo
Purdue University Northwest

Hammond, Indiana

NEW! NEW!
Kodiak Area Native Association

Kodiak, Alaska

Maine College of Art & Design

Portland, Maine

Aids Healthcare Foundation

United States - Nationwide

Eastern Illinois University Logo
Eastern Illinois University

Charleston, Illinois

Gracewood Logo
Gracewood

Houston, Texas

The Mind Store Logo
The Mind Store

Lone Tree, Colorado

Texas Tech University Health Sciences Center

Lubbock, Texas

Hackensack Meridian Health Logo
Hackensack Meridian Health

Hackensack, New Jersey

NEW! NEW!
Pediatrix Medical Group Logo
Pediatrix Medical Group

Flint, MI, USA

NEW! NEW!
NEW! NEW!
Duke University Health System Logo
Duke University Health System

Raleigh, North Carolina

NEW! NEW!
Pediatrix Medical Group Logo
Pediatrix Medical Group

Carrollton, GA, USA

NEW! NEW!
NEW! NEW!
UCLA Logo
UCLA

Los Angeles, California

NEW! NEW!
LifeStance Health Logo
LifeStance Health

Groton, MA

NEW! NEW!
NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
LifeStance Health Logo
LifeStance Health

Newton, MA

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


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.
Powered By Naylor Association Solutions