- 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
- 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 ... 8:00am-4:30pm with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse (RN) Position Responsibilities: +… more
- Matrix Providers (Aurora, CO)
- …Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in ... Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for...full, active, and unrestricted license to practice as a Registered Nurse . Overview: Serve as a key… more
- Actalent (Omaha, NE)
- …care Job Description We are seeking a dedicated and detail-oriented Registered Nurse for Utilization Management . The ideal candidate will be responsible ... Job Title: Utilization Management Nurse Qualifications + Compact RN license OR Nebraska RN license + Bachelor's degree in Nursing + Must have previous UM… more
- Humana (Cheyenne, WY)
- **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 state of… more
- Humana (Charleston, WV)
- **Become 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 ... 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
- Ellis Medicine (Schenectady, NY)
- Basic Function: The Utilization Management Registered Nurse (UM RN) supports daily coordination of care across healthcare continuum with the healthcare ... preoperative, concurrent and retrospective reviews in accordance with the utilization management program. The UM RN ensures...care related field required. Current registration as a Licensed Registered Professional Nurse in New York State.… more
- CDPHP (Albany, NY)
- …Minimum two (2) years of acute care experience is required as a Registered Nurse . + Minimum of two (2) years Utilization Management experience is ... you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for...recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York… more
- Humana (Salem, OR)
- **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
- Ascension Health (Baltimore, MD)
- **Details** + **Department:** Utilization Management + **Schedule:** Full-time, Day shift + **Facility:** St. Agnes Hospital + **Location:** Baltimore, MD + ... and coordinate compliance to federally mandated and third party payer utilization management rules and regulations. **Requirements** Licensure / Certification… more
- CVS Health (Raleigh, NC)
- …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
- 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
- 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 Position ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and… 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 state of… 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
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** ** 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...and unrestricted RN licensure in state of residence** **- Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- … management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... 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)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- CVS Health (Tallahassee, FL)
- …both verbal and written **Required Qualifications** - 2 years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work schedules will include weekend, holiday and… more
- US Tech Solutions (Canton, MA)
- …license required.** **Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in ... of clinical decision making and support needed to perform utilization management , medical necessity determinations and benefit...the job** + Bachelor's degree in Nursing, preferred + Registered Nurse with current a and unrestricted… more