- New York State Civil Service (Malone, NY)
- NY HELP Yes Agency Corrections and Community Supervision, Department of Title Registered Nurse 3 - Utilization Per Diem - NY HELPS Occupational Category ... Possession of a license and current registration as a registered professional nurse in New York State;...clinical nursing experience of which one year was in utilization review and/or discharge planning.Substitution: a bachelor's degree in… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary Registered Nurse (RN) Utilization Management (UM)...A BSN with 2 years of professional nursing equivalent to Nurse I, Level 3 ; OR an MSN with ... of care. Duties include but not limited to: The Nurse Utilization Management (UM) Registered ...one year of specialized nursing experience equivalent to Nurse I, Level 3 ; OR a Master's… more
- Crouse Hospital (Syracuse, NY)
- …health education and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage ... with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN)...+ Certification in a specialty area preferred. + Three ( 3 ) - Five (5) years acute hospital experience. +… more
- Prime Healthcare (Weslaco, TX)
- …#registerednurse #casemanagement Connect With Us! (https://careers-primehealthcare.icims.com/jobs/188814/ registered - nurse -case-manager utilization ... planning or nursing management;2. CCM or obtained within 6 months of hire. 3 . Experience and knowledge in basic to intermediate computer skills.4. Behavioral Violence… more
- The County of Los Angeles (Los Angeles, CA)
- …AED) Programs. LICENSE(S) AND CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered ... UTILIZATION REVIEW NURSE SUPERVISOR II Print...in a state other than California must provide their Registered Nurse License Number from that state… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review ...Medical Center . Scheduled hours are from 0700AM - 3 :30PM Mon - Fri with 30 minute unpaid lunch… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …- GENERAL EXPERIENCE Three ( 3 ) years of experience as a Registered Professional Nurse . MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE One (1) year ... Utilization Review Nurse (40 Hour) Office/On-site...+ + + + Introduction Are you a skilled Registered Nurse (RN)? Join our team and...+ Introduction Are you a skilled Registered Nurse (RN)? Join our team and utilize your expertise… more
- CVS Health (Trenton, NJ)
- …RN licensure in state of residence + 3 + years of experience as a Registered Nurse + 1+ years of clinical experience in acute or post-acute setting + ... convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization management… more
- CVS Health (Topeka, KS)
- …verbal and written **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... and work schedule may include weekends, holidays and evening hours._ As a Utilization Management Nurse Consultant, you will utilize clinical skills to… more
- CVS Health (Olympia, WA)
- …verbal and written **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize...or 10:30 am - 7pm PST. **Preferred Qualifications** + 3 + years of clinical experience required + Managed Care… more
- Martin's Point Health Care (Portland, ME)
- …state license as a Registered Nurse required; BSN preferred. + 3 + (total) years clinical nursing experience + Utilization management experience in a ... License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse Skills/Knowledge/Competencies (Behaviors): + Demonstrates an understanding… more
- CVS Health (Austin, TX)
- …verbal and written **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for the review and evaluation… more
- Humana (Columbus, OH)
- …to make an impact** Additional Job Description **Required Qualifications** + Licensed Registered Nurse (RN) with compact license with no disciplinary action ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...or in process of obtaining compact license + 3 - 5 years of Clinical Nursing experience required;… more
- CVS Health (Jefferson City, MO)
- …verbal and written **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and… more
- CVS Health (Columbus, OH)
- …as directed by their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3 + years of experience as a ... and affordable. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days...Registered Nurse + 1+ years of clinical experience in acute… more
- US Tech Solutions (Chicago, IL)
- …Plan Activities **Experience:** + 3 + years of experience as an RN + Registered Nurse in state of residence + Must have prior authorization utilization ... have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse (RN) with state licensure. Must retain active and ... Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs...in a UM team within managed care setting. * 3 + years' experience in clinical nurse setting… more
- US Tech Solutions (Canton, MA)
- …and participate in special projects as assigned. **Qualifications:** + **Education:** Registered Nurse (RN) with a current, unrestricted **MA license** ... required** **unrestricted MA license** **Overview:** We are seeking an experienced ** Utilization Review Nurse ** to provide clinically appropriate and… more
- CVS Health (Raleigh, NC)
- …verbal and written **Required Qualifications** + 3 + years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a 24/7 operation.… more
- CVS Health (Carson City, NV)
- …demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state ... will occasionally be required.** **100% attendance is required during the first 3 weeks of training / 8:30am-5pm EST, Monday-Friday.** American Health Holding, Inc… more