- CHRISTUS Health (Corpus Christi, TX)
- …for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established ... Christi Bay is the largest and foremost acute care medical facility in the region, with a full range...staff training and development needs. Standard I. Human Resources Management Evaluates and specifies the critical resources required to… 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 ... to make health care more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is 100% remote… 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 ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is fully remote… more
- CVS Health (Hartford, CT)
- …personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization ... include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant, you...Utilization review experience + Experience working with electronic medical record systems such as EPIC, Cerner, or Meditech… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- Summary The Emergency Department Utilization Management (ED-UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within ... levels of care for the incoming patients Preferred Experience: Experience in utilization management /case management /clinical documentation, critical care, or… 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...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… 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 ... 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
- CVS Health (Austin, TX)
- …operation and work schedules may include weekends, holidays, and evening hours As a Utilization Management Nurse Consultant, you will utilize clinical skills ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- Humana (Boise, ID)
- …and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on prior authorization ... Proficient in Utilization Review process including benefit interpretation, contract language, medical and policy review. * Working knowledge of URAC and NCQA. *… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- …of occupational injury and/or disease disability cases for purpose of determining medical management , cost containment, peer review and rehabilitation; + May ... Utilization Review Nurse Coordinator (40 Hour)...Review Nurses and other staff engaged in review of medical records of individuals in state health care facilities… 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...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Carson City, NV)
- …AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management services that ... EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division...all noncompact states. + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting,… more
- Cedars-Sinai (Los Angeles, CA)
- …Repetitive Motions, Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management - Per Diem Days **Department** ... : Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category** : Patient Services **Job Specialty** : Case Management … more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …programs; + Conducts various types of case reviews for quality and appropriate medical management , cost containment, peer review and rehabilitation; + Summarizes ... Utilization Review Nurse (40 Hour) Office/On-site...assessment and review of health care delivery systems or medical cost containment activities and programs related to agency… more
- Veterans Affairs, Veterans Health Administration (Iowa City, IA)
- …VA Health Care System (ICVAHCS) is currently recruiting for one (1) Full-Time Registered Nurse - Utilization Management position. This position is only open ... Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that...basic reviews while developing technical and clinical competencies. The nurse is a novice with limited experience with the… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr....4/10 hour shifts to include a weekend day. The ** Nurse Medical Management Sr** serves ... strongly preferred. + 2 years of experience in In-Patient, utilization review / management , evaluating medical necessity for services and procedures.… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Austin, TX)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** ** Utilization Management is a 24/7 operation and work schedules may ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and… more
- CVS Health (Sacramento, CA)
- …live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is fully remote… more
