- Aequor (New York, NY)
- …New York State Prefer minimum of 1-3 years relevant experience in case management , utilization review and/or quality assurance Experience in acute episodic care, ... Position Purpose:Provide case management and clinical services to employees within their...transitional (modified) or full return to work assignments. Assist nurse practitioner as needed with patient care activities such… more
- TalentBurst, Inc (Irving, TX)
- …criteria in order to determine appropriate level of care * Resource/ Utilization Management appropriateness: Assess assigned patient population for medical ... with tax-free stipend amount to be determined. Posted job title: Registered Nurse Utilization Review \ 1366About TalentBurst, IncTalentBurst Health & Life… more
- Legend Biotech USA, Inc. (Fort Worth, TX)
- …to: enhance proper administration, and educate on appropriate adverse identification and management . This is a field-based role that works closely with sales, ... Conducts peer-to-peer in-person and virtual educational programs through 1:1 APP/ Nurse and group presentations; Meet with identified customers in each… more
- Novo Nordisk Inc. (New York, NY)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets Maintains… more
- UT Health Tyler (Tyler, TX)
- …to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here's how ... and service of patients across the continuum promoting quality care, effective utilization of resources and assuming a leadership role with the interdisciplinary… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... Employees - Please click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a remote position)Will perform admit,… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... 6:30 AM - 5:00 PMMinimal call required.#RNSINDJob Summary: The Clinical Nurse I assesses, plans, implements and evaluates nursing care, utilizing the… more
- Advocate Aurora Health (Berwyn, IL)
- …others in organization to maximize efficiencies and conserve resources. 3)Monitors utilization of resources to achieve excellent health outcomes for patients.Patient ... with strong documentation skills Good interpersonal skills Good time management and self organization skills Proficient use of all...live well. To encourage you to be the best nurse you can, Advocate Aurora will provide support, tools… more
- Advocate Aurora Health (Adell, WI)
- …with status report on a regular basis.Communicates problems to physicians and management and clearly states plans, actions and goals so changes are reflected ... caseload for optimal functional and financial outcomes; reviews caseload for Low Utilization Payment Adjustments (LUPA), optimal number of visits based on progress,… more
- Tact Staff (Lansing, MI)
- …-BLS -Certification in Case Management -Experience in acute care case management , discharge planning, utilization management , performance improvement and ... 12 hoursEmployment Type: Travel8:30am-5pm 2 YEARS EXPERIENCE IN CASE MANAGEMENT , FIRST TIME TRAVELERS ACCEPTED WEEKENDS: 3 weekends per...Travel with Tact. Be Adventurous - Becoming a travel nurse is not only a professional adventure, but a… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee… more
- CVS Health (Raleigh, NC)
- …live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee… more
- CVS Health (Olympia, WA)
- …in Pacific Time Zone or willing to work Pacific Time Zone hours. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is 100% remote, and the… more
- CVS Health (Harrisburg, PA)
- …Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Harrisburg, PA)
- …role is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant...document and communicate all aspects of the utilization /benefit management program. You would be responsible… more
- CVS Health (Columbus, OH)
- …to work the following schedule: Monday-Friday 8:00am-4:30pm EST. Position Summary As a Utilization Management Nurse Consultant, you will utilize clinical ... and time management skills required - Experience in healthcare utilization management , critical care, emergency department, or case managementEducation… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- Humana (Richmond, VA)
- **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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …BHPS provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity ... any time with or without notice. Primary Responsibilities * Perform prospective utilization reviews and first level determinations for members using evidenced based… more
