- CVS Health (Austin, TX)
- …schedules may include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a ... Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate,...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Columbus, OH)
- …schedule may include weekends, holidays and evening hours._ This is a full-time remote Utilization Management opportunity. + Utilizes clinical experience and ... zone + 3+ years of clinical experience as a Registered Nurse in a hospital setting including...with a late shift rotation 10:30am to 7pm EST. Utilization management is a 24/7 operation. Work… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Clinical Consultant opportunity for ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking...+ Licensed Independent Behavioral Health clinician or an unrestricted Registered Nurse ( RN ) license in… more
- VNS Health (Manhattan, NY)
- …and updates through on-going training, coaching and educational materials. + For Utilization Management Only: + Issues Determinations, Notices of Action, and ... by state or federal regulations are saved in the Utilization Management System. + Reviews, evaluates and...and Certifications: + Current license to practice as a Registered Professional Nurse or an Occupational Therapist… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on ... 3-month contract + Medi-Cal Experience + Utilization Management WHAT'S IN IT FOR YOU: + Remote...Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one… more
- Texas Health Resources (Arlington, TX)
- ** RN / Registered Nurse - Utilization Management , Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the ... an acute hospital setting required and + 1 Year Utilization Management required and + Experience in...of medical necessity criteria preferred **Licenses and Certifications** + RN - Registered Nurse Current… more
- CVS Health (Frankfort, KY)
- …Health clinician with Kentucky state licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse ( RN ) with active current and unrestricted Kentucky state ... convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant. **MUST RESIDE...Health licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse ( RN ) with unrestricted… more
- Mayo Clinic (Rochester, MN)
- …expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse ( RN ) Case Manager works within an ... by ensuring appropriate utilization management , care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …total rewards package: VA Nurse Total Rewards The Community Care Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach ... of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, community...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …team, or workgroup) that impacts operations or resources. Responsibilities The Mental Health (MH) Registered Nurse ( RN ) provides and leads the provision of ... nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with… more
- Geisinger (Danville, PA)
- …Specialty Training Program-Nursing (Required) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Please note this is NOT a remote position. Geisinger is proud to offer an Inpatient RN a $ 40 minimum hiring rate with increased rates for… more
- Geisinger (Wilkes-Barre, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible candidates! $35.88 minimum hiring rate with increased rates for… more
- Dartmouth Health (Lebanon, NH)
- …assess their readiness for changing health behaviors. Required Licensure/Certifications - Licensed Registered Nurse with New Hampshire eligibility. - Basic Life ... Overview Works as a key member of the DH Care Management team, and in partnership with non-DH hospitals, by rounding on DH patients at non-system hospitals to… more
- St. Luke's University Health Network (Allentown, PA)
- …near vision, visual monotony. EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state ... billing with information needed to obtain payment of claims. Remote within local geography after orientation. JOB DUTIES AND...required. Prefer minimum of 2-5 years' experience in case management and/or utilization management required.… more
- Banner Health (Gilbert, AZ)
- **Primary City/State:** Gilbert, Arizona **Department Name:** Cancer Nurse Navigators-Clinic **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for ... cancer specialties to provide highly coordinated and compassionate care. As a ** RN Patient Navigator for Hematology Oncology,** you'll primarily act as a dedicated… more
- AmeriHealth Caritas (Florence, SC)
- …the state of South Carolina.** + BSN required and must hold a current and unrestricted Registered Nurse ( RN ) license in good standing in South Carolina or a ... ** Remote to qualified candidates living in South Carolina...accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. 6. Monitor appropriate utilization… more
- Banner Health (Gilbert, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... utilizes the electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients via two-way audio-video… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …become available for different cohorts up until the closing date. Responsibilities The Registered Nurse Transition to Practice Program is designed for the post ... graduate RN nurse who has completed an entry...opportunities to perform procedures that are performed by RNs. Registered Nurse Transition to Practice (RNTTP) Program… more
- Veterans Affairs, Veterans Health Administration (Salem, VA)
- Summary Excited to Announce Salem VA Medical Center is looking for a Registered Nurse ( RN ) Referral Coordinator. RN influences care outcomes by ... programs. Responsibilities The Registered Nurse Referral Coordination Team (RCT) Registered Nurse ( RN ) is responsible for executing a streamlined… more
- Humana (Fort Lauderdale, FL)
- …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN , Intern will utilize Humana's Medicaid training ... the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will...experience a plus. + Previous experience in prior authorization, utilization management + Experience working with MCG… more