- CVS Health (Columbus, OH)
- …energy and motivated team environment and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity, ... - M-F 8:00AM-5:00PM EST. As a Utilization Management ( UM ) Nurse Consultant , you will...years of Nursing experience **Preferred Qualifications** + Prior authorization utilization experience highly preferred + Outpatient Clinical… more
- US Tech Solutions (RI)
- …required. + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + ... + MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Summary The Patient Flow Utilization Management/Utilization Review Consultant RN functions with advanced knowledge and skills to provide clinical coordination and… more
- University of Michigan (Ann Arbor, MI)
- Advanced Practice Professional ( Nurse Practitioner) Division of Hospital Medicine Apply Now **How to Apply** This is an Advanced Practice Professional (APP) job ... is seeking to hire 1 physician assistant (PA) or nurse practitioner (NP) to join our hospitalist program and...required to meet patient care needs. + Serves as consultant to nursing personnel and other health care professionals… 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 ... the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the...tests received and ready to be reviewed by providers prior to the clinic. 2. Ensures that physicians' orders… more
- Kepro (ND)
- …North Dakota or a compact state license. + 1+ years of Utilization experience Review ( UM ) and/or Prior Authorization or related experience. + 3+ years of direct ... in the public sector. Acentra is looking for a Nurse (RN) Clinical Reviewer to join our growing team....Determines approval or initiates a referral to the physician consultant and processes physician consultant decisions ensuring… more
- University of Michigan (Ann Arbor, MI)
- …In addition, the ED PA coordinates emergent and urgent care with consultant services, recommends follow-up care, facilitates referrals to various internal and ... met or will have met all the required qualifications prior to the start date of employment. + RESUME...would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at ### or e-mail… more