- CVS Health (Columbus, OH)
- …1 holiday per year).** There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote and employee can… more
- CVS Health (Harrisburg, PA)
- …of Saturday shift is approximately 1 per month.** No travel is required. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate… more
- CVS Health (Jefferson City, MO)
- …- team members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Phoenix, AZ)
- …3 weeks training required 100% participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical telephone queue working ... working in a high volume clinical call center environment + 1+ year Utilization Management experience + 1+ years Managed Care experience + Remote work experience… more
- CVS Health (Carson City, NV)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... be licensed in all noncompact states. + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent review or… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every… more
- CVS Health (Springfield, IL)
- …and external constituents in the coordination and administration of the utilization /benefit management function **Required Qualifications** -3+ years of ... preference for those residing in EST or CST. _Utilization Management is a 24/7 operation and work schedule may...experience as a Registered Nurse -Must hold active and unrestricted RN licensure in… more
- CVS Health (Springfield, IL)
- …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of ... make health care more personal, convenient and affordable. _Utilization Management is a 24/7 operation and work schedule may...experience as a Registered Nurse + Must hold active and unrestricted RN licensure… more
- CVS Health (Raleigh, NC)
- …care more personal, convenient and affordable. **Medicare Clinical Predetermination position:** Utilization Management is a 24/7 operation and work schedule ... services and/or programs + Identifies opportunities to promote benefit utilization + Typical office working environment with productivity and...+ 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with ... to promote quality effectiveness of Healthcare Services and benefit utilization - Consults and lends expertise to other internal...Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote and ... both) per the needs of the team.** The UM Nurse Consultant job duties include (not all...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience… more
- CVS Health (Albany, NY)
- …operation. Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize ... Qualifications** + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute...and unrestricted RN licensure in state of residence + Utilization management is a 24/7 operation. Work… more
- CVS Health (Columbus, OH)
- …Hours of operation/work schedule - M-F 8:00AM-5:00PM EST. As a Utilization Management (UM) Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible...and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical… more
- CVS Health (Tallahassee, FL)
- …personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for candidates ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is… more
- CVS Health (Columbus, OH)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + Must reside in… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- …and EPRP topics Reviews charts and ensures that screening measures were performed. Analyzes utilization trend data on a monthly basis to verify the accuracy of the ... and analysis of all programmatic outcomes and makes recommendations to management . Develops process improvement projects to address any deficiencies Provides… more
- CVS Health (Tallahassee, FL)
- …convenient and affordable. **Position Summary** This is a full-time remote Quality Management Nurse Consultant opportunity. Working schedule is ... position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is responsible for...Experience working Grievance cases + Appeals experience + Case Management or Utilization Management experience… more
- Defense Health Agency (Lackland AFB, TX)
- **Overview** Nurse Consultant Joint Base San Antonio Time to invest in some new footwear because if you're San Antonio-bound, you'd better _show up in boots_ ! ... and patient self-reported health surveys to identify improvement opportunities impacting demand management , disease, and utilization management . Reviews and… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
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