- University of Miami (Miami, FL)
- University of Miami is seeking a Registered Nurse (RN) Infusion Level II for a nursing job in Miami, Florida.Job Description & RequirementsSpecialty: ... daysEmployment Type: StaffMeets requirements of Clinical Trials Senior Chemotherapy Nurse 30%Administers research study agents, standard chemotherapy and biotherapy… more
- CVS Health (Albany, NY)
- …verbal and written Required Qualifications + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active current and ... unrestricted RN licensure in state of residence + Must possess 1+ year(s) of clinical experience in acute or post-acute setting + Must be available to work Monday through Friday from 8 AM to 5 PM EST. Some weekends and holidays will be required Preferred… more
- CVS Health (Columbus, OH)
- …9:30am-6:00 pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a ... to make health care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can live in… more
- CVS Health (Columbus, OH)
- … role is fully remote and employee can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process ... Experience Medicare/Medicaid populations - MCG experience - Managed care experience - UM Certification - MedCompass - 1+ year(s) of inpatient utilization experience… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee ... Eastern Standard Time Holiday rotation 1-2 per year. CCR - Duals UM Nurse ConsultantUtilizes clinical experience and skills in a collaborative process to assess,… more
- CVS Health (Lansing, MI)
- …Est time.) No travel is required.Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in a ... our benefit programs, please visithttps://jobs.cvshealth.com/employee-benefits (https://protect-usb.mimecast.com/s/HChtCEKL7mupo2P4Q84HN2Ovk?domain=jobs.cvshealth.com) Required Qualifications Registered Nurse in state of residence 3+ years of Nursing… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra seeks a Utilization Management ( UM ) Nurse Clinical Reviewer - LPN/RN (Remote US) to join our growing ... review types. + Determines approval or initiates a referral to the physician consultant and processes physician consultant decisions ensuring reason for the… more
- Veterans Affairs, Veterans Health Administration (Glendale, CO)
- …to Veterans? Responsibilities Functions/Scope of Assigned Duties: The VISN Quality Consultant functions as an advisor, administrator, educator, consultant , and ... a wide range of experience and leadership ability. The VISN Quality Consultant provides expert leadership and oversight for daily clinical and administrative VISN… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED 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… more
- Immigration and Customs Enforcement (IN)
- …Healthcare Compliance, Office of Health Plan Management. The Senior Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager with ... DUTIES AND RESPONSIBILITIES: Serves in the capacity of Senior Utilization Review Consultant and subject matter expert in program activities and policies related to… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor while collaborating ... + Apply their clinical knowledge when assessing/auditing medical records and UM letters against medical necessity criteria and accreditation and regulatory criteria… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management ( UM )… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position at theCamp Pendleton **Branch Health Clinic** in ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more
- University of Miami (Miami, FL)
- …Alex's Place Sylvester Cancer Center Sign-on Bonus: $25,000 T he Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research ... process' in the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the treatment room in… more
- University of Miami (Miami, FL)
- …Place Sylvester Cancer Center Sign-on Bonus: Up to $25,000 The Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research ... process' in the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the treatment room in… more
- The Arora Group (Annapolis, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Annapolis, Maryland to provide care to active duty American ... families, and military retirees at Naval Branch Health Clinic Annapolis. Registered Nurse Case Manager is full-time position, 80 hrs/2 weeks, M-F 7:00am-6:30pm.… more
- Albany Medical Center (Albany, NY)
- …patient/significant others/family and payers by functioning as a clinician, consultant , advocate and educator for assigned service.The Case Manager participates ... patient/significant others/family and payers by functioning as a clinician, consultant , advocate and educator for assigned service. Principal Position… more
- University of Miami (Miami, FL)
- …Up to $25,000 Meets requirements of Clinical Trials Senior Chemotherapy Nurse 30% Administers research study agents, standard chemotherapy and biotherapy agents, ... clinical protocol and clinical practice standards. Provides documentation to the Research Nurse and/or Data Manager. Meets study timelines and objectives as defined… more
- LA Care Health Plan (Los Angeles, CA)
- …required to achieve that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the day-to-day operations of the UM ... overall performance metrics. The Supervisor ensures all functions of the UM department are operating in accordance with the organization's mission, values… more
- Truman Medical Centers (Kansas City, MO)
- …coaching and consulting to outside organizations. **Job Description** The Utilization Management Nurse ( UM RN) collaborates with members of the healthcare team ... of healthcare resources for effective and efficient utilization. The UM RN serves as internal consultant to...in a combination of education and experience + Registered Nurse licensed in state of Missouri, BSN preferred +… more
