- 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 (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 (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 (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 (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 (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 (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 (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 (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 (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 (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 (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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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