- Humana (Little Rock, AR)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CVS Health (Little Rock, AR)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Evolent (Little Rock, AR)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Arkansas Children's (Little Rock, AR)
- …Practical Nurse (LPN) collects patient/family information that assists the Registered Nurse in assessment, planning, implementation, and evaluation. The LPN ... for assigned patients with the assistance and under the supervision of a Registered Nurse . **Additional Information:** The Licensed Practical Nurse (LPN)… more
- Humana (Little Rock, AR)
- …We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years of varied ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care... clinical RN nursing experience + Current TRICARE experience +… more
- Arkansas Children's (Little Rock, AR)
- …Care **Summary:** 3C Intermediate Care Unit (IMU) Full Time **Additional Information:** The Clinical Educator is a registered nurse who partners with ... **Required Certifications:** Certification specific to patient population - within 6 months, Registered Nurse (RN) license - Arkansas or Compact State… more
- Arkansas Children's (Little Rock, AR)
- …Certified Dialysis Nurse (CDN) - Nephrology Nursing Certification Commission (NNCC), Registered Nurse (RN) license - Arkansas or Compact State **Recommended ... Days or Week Days The Patient Care Manager manages daily operations of the clinical nursing department ensuring safe and high quality patient care delivery and the… more
- Arkansas Children's (Little Rock, AR)
- …9. Reassesses and modifies patient plan of care in collaboration with the registered nurse . 10. Performs other duties as assigned. Arkansas Children's ... ancillary departments, patients, families, and office staff to ensure effective utilization of resources and coordination of care. **Required Education:** Completion… more
- Highmark Health (Little Rock, AR)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more