- CVS Health (Olympia, WA)
- …And we do it all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must ... more
- CVS Health (Salem, OR)
- …UM ( utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization. + 5 years demonstrated ability to make ... more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days **including every ... more
- CVS Health (Carson City, NV)
- …5:00 PM PST with weekends, evenings, and holiday rotations **Preferred Qualifications** - Utilization review experience - Managed Care experience - Bachelor of ... more
- CVS Health (Baton Rouge, LA)
- …rotating weekend and holiday schedules. **Preferred** **Qualifications** - Managed care/ utilization review experience preferred Experience in a behavioral ... more
- Defense Health Agency (Oceanside, CA)
- …Provide the communication link between the providers, staff, and civilian sectors regarding utilization review activities. + Review requests for patient care ... more
- PruittHealth (Columbia, SC)
- **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he is ... more
- Lincoln Financial Group (Columbus, OH)
- …Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like to work here?** At ... more
- CVS Health (Tallahassee, FL)
- …AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …as a facilitator and consultant to the multidisciplinary patient care team. The Utilization Review Nurse is responsible for review of clinical ... 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 ... more
- Louisiana Department of State Civil Service (Jackson, LA)
- …from nurses of a lower level by the presence of serving as a Statewide Nurse Consultant . Differs from RN Regional Manager by the absence of direct supervision ... more
- Molina Healthcare (Columbus, OH)
- **Job Description** Looking for a Registered Nurse or Licensed Social worker to support HealthPlans within Molina Healthcare. In this position you will be assisting ... more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... more
- Albany Medical Center (Albany, NY)
- …Demonstrates experience in the referral process and use of community resources. 2. Utilization Review a. Reviews data from admission screening to clarify ... more
- Trinity Health (Mishawaka, IN)
- …for quality care. **JOB SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant ), Registered Nurse ** will provide clinical ... more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... more
- Bon Secours Mercy Health (Lorain, OH)
- …smooth transition to acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to insurance companies/third ... more
- Saint Francis Health System (Tulsa, OK)
- …as needed by the department; limited benefit offerings. Nights 7p - 7a **Virtual Nurse works from an on-site office location (not a remote position)** Will perform ... more