- 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
- Blanchard Valley Hospital (Findlay, OH)
- …Manager is to develop, implement and evaluate an organized inpatient case management service for pediatric and adult hospitalized patients under the direction of ... committees and meetings to contribute information regarding transitions of care and utilization of care resources for the purpose of improving patient care and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant , educator, and evaluator to maintain and improve system services and to ... Current Georgia License to practice in a clinical profession (ie Registered Nurse , Pharmacist, Therapist, etc.) if individual has a clinical background. Educational… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee ... pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Richmond, VA)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... and external constituents in the coordination and administration of the utilization /benefit management function.Required Qualifications* 3+ years of experience… more
- CVS Health (Lansing, MI)
- …No travel is required.Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in a collaborative ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… more
- CVS Health (Raleigh, NC)
- …Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse is responsible for telephonically ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- CVS Health (Louisville, KY)
- …licensure in state of residence + 3+ years of clinical experience + 2 years of Utilization Management experience + Must be wiling and able to work Monday through ... Friday 8 am to 5 pm EST with occasional weekend/holiday on-call + Position requires proficiency with computer skills which includes navigating multiple systems + Ability to work in a fast paced environment Preferred Qualifications + Previous prior… more
- CVS Health (Frankfort, KY)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… more
- CVS Health (Baton Rouge, LA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… more
- State of Connecticut, Department of Administrative Services (Wallingford, CT)
- Utilization Review Nurse Coordinator Hybrid Recruitment # 240624-5613FP-001 Location Wallingford, CT Date Opened 6/27/2024 12:00:00 AM Salary $86,261 - ... has a full-time (1st shift) job opportunity for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) , in… more
- Trinity Health (Mishawaka, IN)
- …the individual nurse responsible for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a ... set the standard for quality care. **JOB SUMMARY** The inpatient CWOCN Consultant will provide clinical oversight and coordination for inpatient would care services.… more
- PruittHealth (Macon, GA)
- **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 ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
- CVS Health (Carson City, NV)
- …3 weeks training required 100% participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical telephone queue working ... unrestricted state licensure in state of residence required + 1+ year Utilization Management experience + 5 years of demonstrated experience to make thorough… more
- Lincoln Financial Group (Columbus, OH)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management **What you'll be doing** * Evaluate medical information… 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 ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- CVS Health (Albany, NY)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Performs… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
