- WellSpan Health (York, PA)
- Utilization Management Nurse ( RN ) -...administration or management . Preferred Licenses: + Licensed Registered Nurse Upon Hire Required or + ... quality health care. Provides leadership in the integration of utilization management principles throughout the System. Responsible... Registered Nurse Multi State License Upon Hire Required Apply Now… more
- CVS Health (Austin, TX)
- …may include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical...residence with 6 weekends per year with rotating Holidays. Utilization management is a 24/7 operation. Work… 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
- 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
- Humana (Dublin, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...an impact** **Required Qualifications** + Bachelor's degree + Licensed Registered Nurse ( RN ) in the… more
- CVS Health (Raleigh, NC)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Austin, TX)
- …weeks of training will be Monday through Friday, 8:00am to 5:00pm EST. As a Utilization Management Nurse Consultant you will utilize clinical experience and ... of residence + 3+ years of experience as a Registered Nurse + 1+ year(s) of Med/Surg...to 7:00pm EST with holiday rotation per business needs. Utilization Management is a 24/7 operation and… more
- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% ... remote. As a Utilization Nurse Consultant, you will utilize clinical...to coordinate, document and communicate all aspects of the utilization /benefit management program and our plan sponsor(s).… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Non-profit healthcare network is looking for a utilization management registered nurse to join their team on ... Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who is assigned to one...patient care, and professional nursing standards of practice Skills: Utilization Management , Medi-Cal, Medicare, RN ,… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care ... for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with...BSN or MSN degree, required * Current valid California RN license, required * Two or more years of… 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
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Texas Health Resources (Arlington, TX)
- ** RN / Registered Nurse - Utilization Management , Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort ... an acute hospital setting required and + 1 Year Utilization Management required and + Experience in...of medical necessity criteria preferred **Licenses and Certifications** + RN - Registered Nurse Current… 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 (Columbus, OH)
- …may include weekends, holidays and evening hours._ This is a full-time remote Utilization Management opportunity. + Utilizes clinical experience and skills in a ... zone + 3+ years of clinical experience as a Registered Nurse in a hospital setting including...with a late shift rotation 10:30am to 7pm EST. Utilization management is a 24/7 operation. Work… more
- CVS Health (Hartford, CT)
- …Qualifications** + Must reside within the Eastern or Central time zone + Utilization management is a 24/7 operation. Work schedules will include weekends ... in state of residence + 3+ years of clinical hospital experience as a Registered Nurse in Medical/Surgical, Emergency room, Critical Care, ICU, or step-down unit… more
- Signature Healthcare (Louisville, KY)
- …Care documentation to facility accurate billing. What you Need to make a Difference + Registered Nurse ( RN ) in good standing with required current state ... communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health… more
- CVS Health (Harrisburg, PA)
- …and deliver solutions to make health care more personal, convenient and affordable. ** Utilization Management is a 24/7 operation and work schedule may include ... 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 (Topeka, KS)
- …Friday 8:00 am to 5:00 pm CST with rotating late evening and weekend shifts. Utilization Management is a 24/7 operation and work schedule may include weekends, ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + Must reside in… more
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