- CVS Health (Columbus, OH)
- …energy and motivated team environment and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity, ... operation/work schedule - M-F 8:00AM-5:00PM EST. As a Utilization Management ( UM ) Nurse Consultant , you will utilize clinical skills to coordinate,… more
- CVS Health (Springfield, IL)
- …verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in state of ... residence + Utilization management is a 24/7 operation. Work schedules will include a minimum of 6 weekend rotations per year, as well as holidays and evening rotations + 3+ years of clinical experience required. Must have experience in an acute or post acute… more
- CVS Health (Austin, TX)
- …weekend shift requirement (Saturday and Sunday both) per the needs of the team.** The UM Nurse Consultant job duties include (not all encompassing): + ... care more personal, convenient and affordable. **Position Summary:** This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can… more
- CVS Health (Columbus, OH)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): ... care more personal, convenient and affordable. **Position Summary:** This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee can… more
- CVS Health (Harrisburg, PA)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): ... care more personal, convenient and affordable. **Position Summary** This Utilization Management ( UM ) Nurse Consultant role is 100% remote and the candidate… more
- CVS Health (Phoenix, AZ)
- …be required 3 weeks training required 100% participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical telephone ... queue working with providers to secure additional information for prior authorization reviews. + This candidate will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. + Utilizes clinical… more
- CVS Health (Carson City, NV)
- …ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state of residence, ... to be licensed in all noncompact states. + 1 year of varied UM (utilization management) experience within an inpatient/outpatient setting, concurrent review or prior… more
- CVS Health (Springfield, IL)
- …management function **Required Qualifications** -3+ years of experience as a Registered Nurse -Must hold active and unrestricted RN licensure in state of residence ... preferred. -Experience Medicare/Medicaid populations -MCG experience -Managed care experience - UM Certification -MedCompass **Education** Associates degree required BSN preferred… more
- CVS Health (Springfield, IL)
- …management function. **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN licensure in state of ... Medicare/Medicaid populations + MCG experience + Managed care experience + UM Certification + MedCompass **Education** Associates degree required BSN preferred **Pay… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position supporting **Branch Health Clinic Port Hueneme, CA** in ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more
- University of Miami (Miami, FL)
- …Alex's Place Sylvester Cancer Center Sign-on Bonus: $25,000 T he Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research ... process' in the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the treatment room in… more
- University of Miami (Miami, FL)
- …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
- University of Miami (Miami, FL)
- …patient/family teaching using available resources and tools. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments. Utilizes ... necessary. Serves as mentor and role model Compliance with UM , Hospital and department policies and procedures Other duties...policies and procedures Other duties as assigned. Performs charge nurse role as appropriate This list of duties and… more
- University of Michigan (Ann Arbor, MI)
- …Faculty through assessment, diagnosis, and treatment recommendations. Act as a consultant for inpatient and outpatient staff and other Michigan Medicine providers. ... this posting or would like assistance with nursing opportunities please contact Nurse Recruitment at ###. **Required Qualifications NP + Current licensure to… more
- Alameda Health System (Oakland, CA)
- …tracking variances based on critical timelines. + Develops and provides statistical UM information and reports to appropriate committees and in conjunction with the ... and/or techniques. + Review cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff with review of… more
- Alameda Health System (Oakland, CA)
- …of tracking variances based on critical timelines. -Develops and provides statistical UM information and reports to appropriate committees and in conjunction with ... equipment and/or techniques. -Reviews cases regularly with staff; acts as clinical consultant regarding care management issues; guides clinical staff with review of… more
- University of Michigan (Ann Arbor, MI)
- …In addition, the ED PA coordinates emergent and urgent care with consultant services, recommends follow-up care, facilitates referrals to various internal and ... posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at ### or e-mail [email protected] .… more