- CVS Health (Hartford, CT)
- …verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in state of ... residence + Must possess 1+ years of clinical experience in acute or post acute setting **Preferred Qualifications** + Managed Care experience **Education** + Associates Degree required + BSN preferred **Pay Range** The typical pay range for this role is:… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …and resources are used while maintaining quality of care. Responsibilities The Registered Nurse (RN) - Utilization Management ( UM ) is responsible for reviewing ... reviews, utilization case management, focused studies of utilization patterns and is a consultant to clinical and administrative staff for UM issues. This RN… more
- Kepro (ND)
- …a vital partner for health solutions in the public sector. Acentra is looking for a Nurse (RN) Clinical Reviewer to join our growing team. Job Summary: Our Nurse ... NCQA, URAC and other regulatory standards. Position is full-time remote as long as you have an active unrestricted...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 ... of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the...would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at ### or e-mail… more