• Utilization Management Nurse

    CVS Health (Trenton, NJ)
    …more personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. ... Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize clinical skills to… more
    CVS Health (11/01/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    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 ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
    CVS Health (11/01/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    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 (10/26/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Charleston, WV)
    …more personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Management Nurse Consultant opportunity. The schedule ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
    CVS Health (10/31/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Raleigh, NC)
    …+ 1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and work schedules may include ... EST zone (twice per month) **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience using… more
    CVS Health (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …to make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include ... and unrestricted RN licensure in state of residence + Utilization management is a 24/7 operation. Work...zone + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute… more
    CVS Health (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    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 (11/03/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Boston, MA)
    …**Required Qualifications** + Reside within the Eastern or Central time zone + Utilization management is a 24/7 operation. Work schedules will include weekends ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
    CVS Health (11/03/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Springfield, IL)
    …and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of ... care more personal, convenient and affordable. **Position Summary** _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 (10/26/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    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 (10/24/24)
    - Save Job - Related Jobs - Block Source
  • Utilizaton Management Nurse

    CVS Health (Albany, NY)
    …operation and work schedule may include weekends, holidays and evening hours._ As a Utilization Management Nurse Consultant , you will utilize clinical ... to coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible...Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN… more
    CVS Health (11/01/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Managment Nurse

    CVS Health (Santa Fe, NM)
    …broadband service. **Preferred Qualifications** + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills in a… more
    CVS Health (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Clinical…

    CVS Health (Baton Rouge, LA)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... external constituents in the coordination and administration of the utilization /benefit management function. **Required** **Qualifications** + Licensed… more
    CVS Health (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Assisted Senior Living Nurse

    PruittHealth (Atlanta, GA)
    **JOB PURPOSE:** The Assisted Living Nurse Consultant serves as a member of the clinical and region team, to assist senior living centers in achieving clinical ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
    PruittHealth (10/25/24)
    - Save Job - Related Jobs - Block Source
  • Nurse Consultant

    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
    Defense Health Agency (11/02/24)
    - Save Job - Related Jobs - Block Source
  • Consultant , Nurse Disability

    Lincoln Financial Group (Columbus, OH)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information… more
    Lincoln Financial Group (10/16/24)
    - Save Job - Related Jobs - Block Source
  • Quality Management Nurse

    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
    US Tech Solutions (10/18/24)
    - Save Job - Related Jobs - Block Source
  • Supervisor, Utilization Management

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
    LA Care Health Plan (08/07/24)
    - Save Job - Related Jobs - Block Source
  • RN Lactation Consultant - Mother/Baby

    Carle (Urbana, IL)
    RN Lactation Consultant - Mother/Baby + Department: Mother/Baby - BMC + Entity: Bloomington-Normal Service Area + Job Category: Nursing + Employment Type: Part - ... needed Email a Friend Save Save Apply Now Position Summary: The staff Registered Nurse (RN) is a professional caregiver who assumes responsibility for a group of… more
    Carle (10/23/24)
    - Save Job - Related Jobs - Block Source
  • HEDIS Quality Management Consultant

    Actalent (Des Moines, IA)
    …practical nurse , certified medical assistant, CMA, medical billing, medical office, utilization management , quality management , Quality management ... and familiarity with HEDIS measure specifications. * Prior work in utilization management , quality management /review, accreditation, outpatient clinic… more
    Actalent (10/22/24)
    - Save Job - Related Jobs - Block Source