- Humana (Montpelier, VT)
- **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 (Montpelier, VT)
- …+ 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
- Dartmouth Health (Lebanon, NH)
- …families and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. * Communicates information to the health ... to professional growth. * Computer skills required. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - Basic Life Support (BLS)… more
- Dartmouth Health (Lebanon, NH)
- …families and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. 4. Communicates information to the health ... skills required. Required Licensure/Certifications Required Licensure/Certification Skills: - Licensed Registered Nurse in New Hampshire required. - Basic… more
- Evolent (Montpelier, VT)
- …+ 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
- Humana (Montpelier, VT)
- …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
- Dartmouth Health (Lebanon, NH)
- …* Assists in surgical team as 2nd circulator when directly supervised by a Registered Professional Nurse who is functioning as 1st circulator. * Complies and ... required. * AGE OF PATIENTS TREATED: * The Licensed Professional Nurse /Surgical Technician cares for pediatric through geriatric patients. * POSITION PHYSICAL… more
- Highmark Health (Montpelier, VT)
- …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