- Hackensack Meridian Health (Neptune, NJ)
- …healthcare and serve as a leader of positive change. The ** Nursing Management Consultant ** provides nurse management consultative guidance, direction ... ad hoc leadership support to direct care or assigned nursing units as directed by the facility Chief ...is preferred + Minimum of 15 years of progressive nurse management experience required **Job ID** _2024-146014_… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- **Job Description Summary** The Specimen Management Consultant , SMC (NYC, Long Island, Westchester, Orange County), will sell existing and new BD IDS consumable ... Recognized as the product expert for driving the growth of the Specimen Management product portfolio. + Develop, document, and drive the customer buying process… more
- CVS Health (Tallahassee, FL)
- …in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... make health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends,… more
- CVS Health (Columbus, OH)
- …is a full time remote Utilization Management opportunity. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... care more personal, convenient and affordable. **Position Summary** _Utilization Management is a 24/7 operation and work schedule may...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Raleigh, NC)
- …and work schedules 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 process… more
- CVS Health (Harrisburg, PA)
- …convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- CVS Health (Bismarck, ND)
- …include weekends and holidays and evening rotations._ This is a fully remote Utilization Management Nurse Consultant opportunity. The schedule is Monday - ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- MyFlorida (Live Oak, FL)
- …to access to necessary mental health treatment in the inpatient units. + Provides management consultant services and assistance to state agencies to improve ... FDC-REGIONAL MENTAL HEALTH CONSULTANT -70004990 - Suwannee CI 1 1 Date: Sep 27,...management capabilities and operational procedures. + Helps agency officials and… more
- CVS Health (Austin, TX)
- …are Monday through Friday, 8am to** **5pm in time zone of residence** As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical ... years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted RN licensure in state of residence… more
- CVS Health (Frankfort, KY)
- …**Position Summary** This is a fully **remote** Utilization Review Clinical Consultant with a schedule of **Tuesday-Saturday.** + Applies critical thinking and ... external constituents in the coordination and administration of the utilization/benefit management function. + Utilizes clinical skills to coordinate, document and… more
- CVS Health (New Albany, OH)
- …with occasional in office requirement.** Utilization Review - Precertification Nurse is responsible for telephonically assessing, planning, implementing and ... coordinating all case management activities with members to evaluate the medical needs...Services strategies, policies and programs are comprised of network management and clinical coverage policies. **What is A1A?** Aetna… more
- CVS Health (Jefferson City, MO)
- …constituents in the coordination and administration of the utilization/benefit management function. * Typical office working environment with productivity and ... 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 schedules may include… more
- CVS Health (Raleigh, NC)
- …make health care more personal, convenient and affordable. **Position Summary** **Utilization Management is a 24/7 operation and work schedules may include weekends, ... external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** + 3+ years of experience as… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, ... external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** * 3+ years of experience as… more
- CVS Health (Springfield, IL)
- …clinical experience required + 2+ years of experience as a Registered Nurse with current unrestricted state licensure in state of residence **Preferred ... Qualifications** + Utilization Management review + Managed Care experience + Client processing experience **Education** + Associate's Degree required + Bachelor's… more
- CVS Health (Springfield, IL)
- …years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence ... 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing experience **Education**… more
- US Tech Solutions (RI)
- …CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, ... pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent… more
- CVS Health (Baton Rouge, LA)
- …to coordinate, document and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and is knowledgeable in clinically ... constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications : + Licensed independent Behavioral… more
- GEHA (Lee's Summit, MO)
- …and a personalized customer experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our ... through direct member contact and/or clinical and/or plan policy development and management . The Nurse Consultant II will be involved in research and… more
- HCA Healthcare (Thornton, CO)
- …facilitating change within the clinical settings using evidence-based, practical, clinical management . The lactation consultant takes patient histories, performs ... is hired below midpoint of the range. **RN Lactation Consultant PRN** Do you have the career opportunities as...and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at North… more