- Elliot Health System (Hooksett, NH)
- Eligible for $10,000 Sign On Bonus paid in 3, 6, and 12 months RN Case Manager Who We Are: The Care Coordination Department at the Elliot Hospital takes great pride ... in serving their community, patients, and families. Our Nurse Case Managers observe best practices and strive to...patients, but are seeking a change, please consider Case Management ! We will do on the job training for… more
- CVS Health (Columbus, OH)
- …include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... of residence - 3 years of experience as a Registered Nurse - 1 year of clinical...of residence 6 weekends per year with rotating Holidays. Utilization management is a 24/7 operation. Work… more
- CVS Health (Olympia, WA)
- …need of the department. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant... function. **Required Qualifications** -Must reside in PST zone. - RN with active and unrestricted state licensure in state… 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 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Fallon Health (Worcester, MA)
- …Registered Nurse in a clinical setting required. + 2 years' experience as a Utilization Management nurse in a managed care payer preferred. + One year ... degree in nursing required. **License/Certifications** Active and unrestricted licensure as a Registered Nurse in Massachusetts. **Experience** + A minimum of… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary:** This Utilization Management Nurse Consultant (UMNC) position is a work at home ... in the event of a clinical audit. As a Utilization Nurse Consultant, you will utilize clinical...to coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible… more
- Humana (Tallahassee, FL)
- **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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) in the… more
- Actalent (Omaha, NE)
- Job Title: Utilization Management Nurse Qualifications + Compact RN license OR Nebraska RN license + Bachelor's degree in Nursing + Must have ... Description We are seeking a dedicated and detail-oriented Registered Nurse for Utilization Management . The ideal candidate will be responsible for… more
- Humana (Columbus, OH)
- **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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Active licensed Registered Nurse ( RN ) in the… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
- Humana (Charleston, WV)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Nurse 2 RN utilizes clinical nursing skills to support the ... skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of...action + Minimum one, (1) year previous experience in utilization management + Minimum two, (2) years… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... and communication of behavioral health services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Management through the American Nurses Credentialing Center or Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- CVS Health (Columbus, OH)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Trenton, NJ)
- …active current and unrestricted RN licensure in state of residence** **- Utilization Management is a 24/7 operation and work schedules will include weekends, ... all with heart, each and every day. **Position Summary** ** Utilization Management is a 24/7 operation and...**Required Qualifications** **- 2+ years of experience as a Registered Nurse in adult acute care/critical care… more
- CVS Health (Raleigh, NC)
- …/benefit management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN ... to 6:00pm in time zone of residence with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include holidays and… more
- CVS Health (Tallahassee, FL)
- …active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CVS Health (Tallahassee, FL)
- …active current and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work schedules will include weekend, holiday ... **Required Qualifications** - 2 years of experience as a Registered Nurse in adult acute care/critical care...or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing… more
- CVS Health (Tallahassee, FL)
- …other events, as directed by their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of experience ... external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set...as a Registered Nurse + 1+ years of clinical… more
- Signature Healthcare (Louisville, KY)
- …Care documentation to facility accurate billing. What you Need to make a Difference + Registered Nurse ( RN ) in good standing with required current state ... communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health… more
