- CHRISTUS Health (San Antonio, TX)
- Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and ... and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network… more
- CHRISTUS Health (Wake Village, TX)
- …two (2) years' experience in Case Management and/or Utilization Management is required. Licenses, Registrations, or Certifications RN License in the ... Description Summary: The Registered Nurse Clinical Care Coordinator is...errors are identified to maximize hospital reimbursement and resource utilization . * Responsible for 24/7 ongoing management … more
- CHRISTUS Health (Tenneryville, TX)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- CHRISTUS Health (Tenneryville, TX)
- …operations for assigned areas; at CHRISTUS GSMC - Longview. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- CHRISTUS Health (Hollywood Park, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CVS Health (Columbus, OH)
- …operation and work schedules may include weekends, holidays, and evening hours As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Jefferson City, MO)
- …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of 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...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- CVS Health (Trenton, NJ)
- …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...**Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current… 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...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- Elevance Health (Washington, DC)
- The Utilization Management Nurse is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member ... and minimum of 2 years acute care clinical experience. + Minimum 1 year Utilization Management experience preferred. For candidates working in person or remotely… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has...proficient with standard Utilization Review processes. The Utilization Management RN is an ... workload in a fast-paced, rapidly changing regulatory environment. The Utilization Management RN works collaboratively.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care ... for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with...BSN or MSN degree, required * Current valid California RN license, required * Two or more years of… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1074 **Working Title** : Registered Nurse - Utilization Management - Per Diem Days **Department** : ... of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- CVS Health (Raleigh, NC)
- …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... of experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and work schedules may include weekends,… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- CVS Health (Columbus, OH)
- …other events, as directed by their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of experience ... external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set...as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Tallahassee, FL)
- …skills, both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... 1+ years of clinical experience in acute or post acute setting - Utilization Management is a 24/7 operation and the work schedule may include weekends, holidays,… more
- CVS Health (Jefferson City, MO)
- …skills, both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... 1+ years of clinical experience in acute or post-acute setting - Utilization management is a 24/7 operation. Work schedules may include weekends and holidays… more
