- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is 100% remote ... with preference for those residing in Arizona.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills to… more
- CVS Health (Sacramento, CA)
- …to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is fully remote ... is no travel expected with this position. As a Utilization Management Nurse Consultant , you...other parties to facilitate care/treatment + Identifies members for referral opportunities to integrate with other products, services and/or… more
- CVS Health (Hartford, CT)
- …personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization ... Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize clinical skills… more
- CVS Health (Atlanta, GA)
- …operation and work schedule may include weekends, holidays and evening hours. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a collaborative… more
- CVS Health (Sacramento, CA)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant , you will utilize clinical skills ... to coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… 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, ... to make health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and work schedules may include… more
- CVS Health (Providence, RI)
- …operation and work schedule may include weekends, holidays and evening hours. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... to coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include a minimum ... providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs +… more
- CVS Health (Springfield, IL)
- …providers and other parties to facilitate care/treatment. Identifies members for referral opportunities to integrate with other products, services and/or programs. + ... to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and...Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure… more
- CVS Health (Columbus, OH)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Position requires proficiency with computer skills which… more
- CVS Health (Jefferson City, MO)
- …providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs - ... to promote quality effectiveness of Healthcare Services and benefit utilization - Consults and lends expertise to other internal...Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and the work schedule may include ... use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. **Required Qualifications** + Must have active, current and… more
- CVS Health (Charleston, WV)
- …health care more personal, convenient and affordable. This is a fully **remote** Utilization Review Clinical Consultant with a schedule of Monday-Friday, 8am ... care/treatment. + Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs. +… more
- CVS Health (Trenton, NJ)
- …convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity. Schedule is Monday-Friday, ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable in… more
- CVS Health (Columbus, OH)
- …skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in ... care/treatment. Identifies members at risk for poor outcomes and facilitates referral opportunities to integrate with other products, services and/or programs.… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour)...including conducting second level review of cases and case referral to a physician consultant for final ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …Service, and Value (QSV). This position functions as an advisor, administrator, educator, consultant , and mentor. The QSV Chief is a leader that is responsible for ... will be referred weekly. The initial cut-off date for referral of eligible applications will be November 6, 2024,...announcement may be used to fill additional vacancies. The Nurse IV QSV Chief functions as an advisor, administrator,… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- REGISTERED NURSE 4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717374) Apply REGISTERED NURSE 4 Salary $5,119.00 - $9,211.00 Monthly ... development and stimulation of services of others, and the utilization of available resources in the most effective manner....be considered for this vacancy. Job Description: This Registered Nurse (RN) 4 position is assigned the Region 6… more
- Houston Methodist (Cypress, TX)
- At Houston Methodist, the Lead Nurse Practitioner/Physician Assistant (NP/PA) position is responsible for functioning as a clinical leader and scholar at the Expert ... NP/PA position affects direct patient care according to the Nurse Practice Act of the state of Texas or...mentoring others regarding care of defined populations in resource utilization and time management. + Provides clinical guidance as… more