- CHRISTUS Health (Wake Village, TX)
- …nursing is required. Experience Minimum of two (2) years' experience in Case Management and/or Utilization Management is required. Licenses, Registrations, ... Description Summary: The Registered Nurse Clinical Care Coordinator is responsible for evaluating,...errors are identified to maximize hospital reimbursement and resource utilization . * Responsible for 24/7 ongoing management … more
- Lee Health (Fort Myers, FL)
- …patient population; developing expected patient outcomes, defining appropriate resource utilization and setting customer satisfaction goals. The Diabetes Educator ... Education Required Additional Requirements Minimum of 1000 hours in Diabetes Self Management Education within the past 5 years preferred. State of Florida Licensure… more
- CVS Health (Olympia, WA)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant...which is rotated amongst the team. -There is a weekend shift requirement (Saturday and Sunday both) per the… more
- CVS Health (Columbus, OH)
- …with preference for those residing in Arizona.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant...to 4:30pm and Friday 8:30am to 5:00pm with occasional weekends and holidays hours from 8:00am to 4:30pm in… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...Physical Requirements Light Additional Information May work on occasional weekends and some holidays depending on business needs. Salary… more
- CVS Health (Sacramento, CA)
- …schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...- Monday-Friday 8am-5pm MST or PST + Holiday and weekend coverage as needed by the business + This… more
- CVS Health (Jefferson City, MO)
- …members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...is a 24/7 operation and work schedules may include weekends , holidays, and evening hours. This role is remote… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr....pm EST **or** 4/10 hour shifts to include a weekend day. The ** Nurse Medical Management ... Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education and… more
- ERP International (Vandenberg AFB, CA)
- **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Utilization Management ** in support of the30th Medical Group at Vandenberg AFB, ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- CVS Health (Carson City, NV)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... be licensed in all noncompact states. + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent review or… more
- CVS Health (Raleigh, NC)
- …+ 1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and work schedules may include ... with occasional holiday rotation **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a ... operation. Work schedules will include a minimum of 6 weekend rotations per year, as well as holidays and...external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working… more
- CVS Health (Boston, MA)
- …written **Required Qualifications** + Reside within the Eastern or Central time zone + Utilization management is a 24/7 operation. Work schedules will include ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...weekends and holidays and evening rotations. Candidates must be… more
- CVS Health (Springfield, IL)
- …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of ... make health care more personal, convenient and affordable. _Utilization Management is a 24/7 operation and work schedule may...is a 24/7 operation and work schedule may include weekends , holidays and evening hours._ **_Expected schedule for this… more
- CVS Health (Trenton, NJ)
- …- Must be available to work in resident time zone, preferably EST zone - Utilization management is a 24/7 operation. Work schedules will include weekends ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with ... - Position is four 10 hour days including every Weekend , both Saturday and Sunday and two weekday shifts...to promote quality effectiveness of Healthcare Services and benefit utilization - Consults and lends expertise to other internal… more
- CVS Health (Tallahassee, FL)
- …affordable. **Position Summary** **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and the work schedule may ... include weekends , holidays, and evening hours. + Applies critical thinking,...in Florida + 3+ years of clinical experience + Utilization Management is a 24/7 operation and… more
- University of Rochester (Rochester, NY)
- Responsibilities **General Description:** The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and ... the entire healthcare system working collaboratively with Health Information Management , Financial Counselors, Patient Financial Services, Physicians, Social Work,… more
- Omaha Children's Hospital (Omaha, NE)
- …to address performance improvement and processes. + Communicates and collaborates with the Utilization Management (UM) Nurse , or other NCMs as necessary ... Schedule: Mon-Fri, 0730-1600, No weekends or holidays At Children's, the region's only...for diagnosis, care needs, and discharge plans. * Introduces Nurse Case Management (NCM) role to family.… more
