- CVS Health (Tallahassee, FL)
- …and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management is a 24/7 operation. ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...Nurse + Must have active current and unrestricted RN licensure in state of residence + Must possess… more
- CVS Health (Hartford, CT)
- …skills, both verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... licensure in state of residence + Must possess 1+ year(s) of clinical experience in acute or post acute setting **Preferred Qualifications** + Managed Care experience preferred **Education** + Associates Degree required + BSN preferred **Pay Range** The… more
- CVS Health (Phoenix, AZ)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): ... make health care more personal, convenient and affordable. **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote and the… more
- CVS Health (Austin, TX)
- …(typically 1 holiday per year).** There is no travel expected with this position. This UM Nurse Consultant position is part of Aetna's Commercial Care ... personal, convenient and affordable. Position Summary: This Utilization Management ( UM ) Nurse Consultant role is...Required Qualifications: + Must have active current and unrestricted RN licensure in state of residence + 2+ years… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- University of Miami (Miami, FL)
- …Bonus: $25,000 T he Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research study agents including Phase I, standard ... the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the...as per physician orders and within the scope of RN licensure. 7. Renders direct patient care by assisting… more
- University of Miami (Miami, FL)
- …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
- University of Miami (Miami, FL)
- …patient/family teaching using available resources and tools. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments. Utilizes ... necessary. Serves as mentor and role model Compliance with UM , Hospital and department policies and procedures Other duties...policies and procedures Other duties as assigned. Performs charge nurse role as appropriate This list of duties and… more
- CVS Health (Columbus, OH)
- …management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of ... Medicare/Medicaid populations + MCG experience + Managed care experience + UM Certification + MedCompass **Education** Associates degree required BSN preferred **Pay… more
- CVS Health (Springfield, IL)
- …management function **Required Qualifications** -3+ years of experience as a Registered Nurse -Must hold active and unrestricted RN licensure in state of ... preferred. -Experience Medicare/Medicaid populations -MCG experience -Managed care experience - UM Certification -MedCompass **Education** Associates degree required BSN preferred… more
- LA Care Health Plan (Los Angeles, CA)
- …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech… more
- University of Michigan (Ann Arbor, MI)
- …and application must be completed. + Doctorate of Nursing Practice or Doctorate of Nurse Anesthesia Practice. + Current Michigan RN license and certification as ... Nurse Anesthetist Senior (CS Mott Children's Hospital -...methods and integrating team building. + Provide collaborative and consultant support to other hospital disciplines including surgical, medical,… more
- University of Michigan (Ann Arbor, MI)
- …Recruitment at ###. **Required Qualifications NP + Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... through assessment, diagnosis, and treatment recommendations. Act as a consultant for inpatient and outpatient staff and other Michigan...as a **n** Adult-Gerontology Primary Care or Acute Care Nurse Practitioner with a minimum of three (3) years… more
- Alameda Health System (Oakland, CA)
- …in a supervisory or lead role. **Required Licenses/Certifications:** Active licensure as a Registered Nurse in the State of California or licensed in Clinical ... tracking variances based on critical timelines. + Develops and provides statistical UM information and reports to appropriate committees and in conjunction with the… more
- Alameda Health System (Oakland, CA)
- …in a supervisory or lead role. Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California or licensed in Clinical ... of tracking variances based on critical timelines. -Develops and provides statistical UM information and reports to appropriate committees and in conjunction with… more