- 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 to ... to make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote… 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 to ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse ( RN ) in the… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CVS Health (Jefferson City, MO)
- …members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract to hire opportunity for a Utilization Management Nurse to support a leading health insurance customer. The UM ... Peer reviews. Performs member or provider related administrative support. Qualifications Licenses/Certifications RN - Registered Nurse - State Licensure… more
- Elevance Health (Washington, DC)
- The Utilization Management Nurse is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member ... and minimum of 2 years acute care clinical experience. + Minimum 1 year Utilization Management experience preferred. For candidates working in person or remotely… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management to join our team of talented professionals who provide… 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 ... make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted...all noncompact states. + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting,… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… more
- CVS Health (Columbus, OH)
- …other events, as directed by their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of experience ... external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set...as a Registered Nurse + 1+ years of clinical… more
- CVS Health (Springfield, IL)
- … function **Required Qualifications** -3+ years of experience as a Registered Nurse -Must hold active and unrestricted RN licensure in state of residence ... preference for those residing in EST or CST. _Utilization Management is a 24/7 operation and work schedule may...to promote quality effectiveness of Healthcare Services and benefit utilization -Consults and lends expertise to other internal and… more
- CVS Health (Springfield, IL)
- … function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of residence ... solutions to make health care more personal, convenient and affordable. _Utilization Management is a 24/7 operation and work schedule may include weekends, holidays… more
- CVS Health (Phoenix, AZ)
- …experience working in a high volume clinical call center environment + 1+ year Utilization Management experience + 1+ years Managed Care experience + Remote work ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in… 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 ... Qualifications** + 3+ years of acute experience as a Registered Nurse + Must have active current...Nurse + Must have active current and unrestricted RN licensure in state of residence + 1+ year(s)… more
- CVS Health (Jefferson City, MO)
- …skills, both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with… more
- Katmai (Usaf Academy, CO)
- …Nursing (BSN) is required. + Minimum of two (2) years of prior experience in Utilization Management . + Must possess a current, active, full, and unrestricted ... Registered Nurses ( RN ) licensed in Colorado, be...checks. **DESIRED QUALIFICATIONS &** **SKILLS** + Certification by a Utilization Management -specific program such as Certified Professional… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience...3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN… more
- HCA Healthcare (Campbell, CA)
- …midpoint of the range. **Introduction** Do you have the career opportunities as a(an) ** Utilization Management RN ** you want with your current employer? We ... of colleagues. Do you want to work as a(an) Utilization Management RN where your...your knowledge and expertise! **Job Summary and Qualifications** The ** Utilization Management Nurse ** 's primary… more
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