• Utilization Management Nurse

    CVS Health (Olympia, WA)
    …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant...which is rotated amongst the team. -There is a weekend shift requirement (Saturday and Sunday both) per the… more
    CVS Health (11/09/24)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …with preference for those residing in Arizona.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant...to 4:30pm and Friday 8:30am to 5:00pm with occasional weekends and holidays hours from 8:00am to 4:30pm in… more
    CVS Health (11/08/24)
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  • Utilization Management Nurse

    CVS Health (Hartford, CT)
    …Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity....Monday-Friday from 8 AM to 5 PM EST, 6 weekends per year with rotating Holidays, and occasional late… more
    CVS Health (11/07/24)
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  • Utilization Management Nurse

    CVS Health (Sacramento, CA)
    …schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… more
    CVS Health (11/08/24)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …and work schedules may include weekends , holidays, and evening hours As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... 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 (11/07/24)
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  • Post Acute Utilization Management

    Humana (Boise, ID)
    **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...- Monday-Friday 8am-5pm MST or PST + Holiday and weekend coverage as needed by the business + This… more
    Humana (10/29/24)
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  • Utilization Management Nurse

    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...is a 24/7 operation and work schedules may include weekends , holidays, and evening hours. This role is remote… more
    CVS Health (10/26/24)
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  • RN Utilization Management

    Elevance Health (Tampa, FL)
    RN Utilization Management Nurse Sr....pm EST **or** 4/10 hour shifts to include a weekend day. The ** Nurse Medical Management ... Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education and… more
    Elevance Health (10/01/24)
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  • Registered Nurse - Utilization

    ERP International (Vandenberg AFB, CA)
    **Overview** ERP International is seeking a full-time **Registered Nurse (RN) Utilization Management ** in support of the30th Medical Group at Vandenberg AFB, ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
    ERP International (10/30/24)
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  • Utilization Management Nurse

    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 (11/09/24)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …solutions to make health care more personal, convenient and affordable. **Position Summary** ** Utilization Management is a 24/7 operation and work schedules may ... include weekends , holidays, and evening hours** + Utilizes clinical experience...experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and… more
    CVS Health (11/09/24)
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  • 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 ... a minimum of 6 weekend rotations per year, as well as holidays and...and unrestricted RN licensure in state of residence + Utilization management is a 24/7 operation. Work… more
    CVS Health (11/02/24)
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  • Utilization Managment Nurse

    CVS Health (Sacramento, CA)
    …live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant...in time zone of residence with holiday rotation and weekend shift requirement per the needs of the team.… more
    CVS Health (11/07/24)
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  • 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 ... make health care more personal, convenient and affordable. _Utilization Management is a 24/7 operation and work schedule may...is a 24/7 operation and work schedule may include weekends , holidays and evening hours._ **_Expected schedule for this… more
    CVS Health (11/07/24)
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  • 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 ... - Position is four 10 hour days including every Weekend , both Saturday and Sunday and two weekday shifts...to promote quality effectiveness of Healthcare Services and benefit utilization - Consults and lends expertise to other internal… more
    CVS Health (10/24/24)
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  • Registered Nurse - Emergency Department…

    Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
    Summary The Emergency Department Utilization Management (ED-UM) Registered Nurse (RN) is responsible for providing competent, evidence-based practices within ... levels of care for the incoming patients Preferred Experience: Experience in utilization management /case management /clinical documentation, critical care, or… more
    Veterans Affairs, Veterans Health Administration (11/02/24)
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  • Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …affordable. **Position Summary** **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and the work schedule may ... include weekends , holidays, and evening hours. + Applies critical thinking,...in Florida + 3+ years of clinical experience + Utilization Management is a 24/7 operation and… more
    CVS Health (11/08/24)
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  • RN, Utilization Management

    University of Rochester (Rochester, NY)
    Responsibilities **General Description:** The Utilization Management Nurse role is a unique and exciting opportunity that blends the knowledge of nursing and ... the entire healthcare system working collaboratively with Health Information Management , Financial Counselors, Patient Financial Services, Physicians, Social Work,… more
    University of Rochester (11/06/24)
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  • RN Case Manager - Med Surg

    Omaha Children's Hospital (Omaha, NE)
    …to address performance improvement and processes. + Communicates and collaborates with the Utilization Management (UM) Nurse , or other NCMs as necessary ... Schedule: Mon-Fri, 0730-1600, No weekends or holidays At Children's, the region's only...for diagnosis, care needs, and discharge plans. * Introduces Nurse Case Management (NCM) role to family.… more
    Omaha Children's Hospital (09/12/24)
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  • Utilization Review Author ( Weekend

    R1 RCM (Chicago, IL)
    …you must have experience in a clinical inpatient environment and hospital-based utilization or case management experience. Proficiency in basic computer skills ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Author** , you will help our hospital clients by… more
    R1 RCM (10/26/24)
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