- ADVANCED HOME HEALTH (Beaver, PA)
- …LPN with superior clinical skills to join our Advanced Home Health team. Registered Nurse (RN) / Licensed Practical Nurse (LPN) (Home Health) Status: Full-Time ... coordinate the home care of chronically ill patients by utilizing a disease management process, the OASIS assessment, plan of care and established protocols. * Will… more
- Idaho Home Health & Hospice (Meridian, ID)
- …as needed to meet patient needs. Adheres to and participates in the agency's utilization management model. License Requirements Current RN licensure in state of ... Registered Nurse : We are hiring for a Registered Nurse . Full Time Weekend Option At Idaho Home Health, a part of LHC Group, we embrace a culture of caring,… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... Employees - Please click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a remote position)Will perform admit,… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Labor and Delivery for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Labor ... with 2 or more years of experience as a RNJob Summary: The Clinical Nurse I assesses, plans, implements and evaluates nursing care, utilizing the nursing process in… more
- Almost Family (Oshkosh, WI)
- …and appropriateness for home care services and establishment of frequencies and utilization for new admissions. Works closely with the Agency Director regarding ... Case Coordinators to provide appropriate and adequate staffing. Monitors patient utilization to ensure compliance with physician orders, agency, and funded program… more
- CVS Health (Olympia, WA)
- …in Pacific Time Zone or willing to work Pacific Time Zone hours. 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, and the… more
- CVS Health (Harrisburg, PA)
- …Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Harrisburg, PA)
- …role is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant...document and communicate all aspects of the utilization /benefit management program. You would be responsible… more
- Humana (Richmond, VA)
- **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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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 Position ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity ... any time with or without notice. Primary Responsibilities * Perform prospective utilization reviews and first level determinations for members using evidenced based… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This ... any time with or without notice. Primary Responsibilities + Performs concurrent utilization reviews (Acute, SNF, LTACH, ARF) and first level determination approvals… more
- CVS Health (Austin, TX)
- …make health care more personal, convenient and affordable. Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical ... needs + 12.5% shift differential Preferred Qualifications + Prior authorization or Utilization Management experience + Managed care experience + MedCompass… more
- Humana (Indianapolis, IN)
- …communication of long-term supports and services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied ... health first** Humana Healthy Horizons in Indiana is seeking Utilization Management (UM) Nurses who utilize clinical...determination of the appropriate courses of action. The UM Nurse responsibilities include (but not limited to): + Uses… more
- CVS Health (Columbus, OH)
- …and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+ years of… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... and external constituents in the coordination and administration of the utilization /benefit management function.Required Qualifications* 3+ years of experience… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a...external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+… more
- Kepro (Indianapolis, IN)
- …partner for health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/RN to join our growing team. ... Job Summary: Our Utilization Management Appeals Nurse - LPN/RN will help orchestrate the seamless resolution of appeals in line with health regulations. He… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …VA Healthcare System, Louisville, Kentucky is currently recruiting for a Registered Nurse - Utilization Management in Quality and Patient Safety Louisville, ... Kentucky 603. Responsibilities The Nurse Ill Utilization Management (UM) Registered Nurse (RN) executes position responsibilities that demonstrate… more
- AdventHealth (Tampa, FL)
- …Association as a Primary Stroke Center. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical ... acute care clinical nursing experience required. . Minimum two years Utilization Management experience, or equivalent professional experience. This facility… more
