Job Seekers, Welcome to CDMS Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
Northeast Georgia Health System
Gainesville, Georgia
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Vanderbilt Health
Nashville, Tennessee
NEW! NEW!
NEW! NEW!
NEW! NEW!
Trinity Health
Boise, Idaho
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Loading... Please wait.
Util Mgmt (UM) Nurse RN
JOB SUMMARYThe 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 policys, 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
Loading. Please wait.