- CHRISTUS Health (San Antonio, TX)
- Description Summary: The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and ... and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network… more
- CHRISTUS Health (Hollywood Park, TX)
- …for assigned areas; at CHRISTUS St. Patrick Hospital. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation ... excellence in patient care, patient experience and patient outcomes. Effectively manages utilization of staff and material resources so that the most therapeutically… more
- Christus Health (Corpus Christi, TX)
- Description Summary: The RN Supervisor is accountable for supervising the delivery of high-quality, cost-effective care to patients. Responsible in assisting the ... for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established… more
- Legend Biotech USA, Inc. (Oklahoma City, OK)
- …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
- CVS Health (Carson City, NV)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant...**Required Qualifications** + Must have active current and unrestricted RN licensure in state of residence + 2+ years… 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
- CVS Health (Sacramento, CA)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… 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...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in KY,… 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 ... and/or elective surgical cases preferred. Essential Qualifications * Current licensed LPN or Registered Nurse ( RN ) with state licensure. Must retain active… more
- CVS Health (Trenton, NJ)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- Elevance Health (Louisville, KY)
- ** Utilization Management Nurse ( RN )** **$3,000 SIGN ON BONUS OFFERED** **Location** : Remote opportunity. Must reside in the state of Kentucky. The ** ... Utilization Management Nurse ( RN )** is responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. (Medicaid-InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as T...Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or… more
- Crouse Hospital (Syracuse, NY)
- Utilization Management Registered Nurse has...proficient with standard Utilization Review processes. The Utilization Management RN is an ... workload in a fast-paced, rapidly changing regulatory environment. The Utilization Management RN works collaboratively.../ LICENSURE + Required: + Currently licensed as a Registered Professional Nurse in New York State.… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …at the Phoenix VA Healthcare System in Phoenix, AZ. Responsibilities The Utilization Management (UM) Registered Nurse at the PVAHCS plays a pivotal role ... nurse possess an in-depth understanding of InterQual criteria, utilization management processes, clinical documentation standards, and...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- Summary The LTC Charles S. Kettles VA Medical Center is seeking a Full Time Registered Nurse - Utilization Management Position in the Quality ... and continued stay criteria and best clinical documentation and utilization management practices to ensure efficient resource...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Harrisburg, PA)
- …have current active and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedule may include weekends, ... to make health care more personal, convenient and affordable. Utilization Management is a 24/7 operation and...Qualifications** + 3+ years clinical practice experience as a Registered Nurse preferably in an acute setting… more
- CVS Health (Raleigh, NC)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** ** Utilization Management is a 24/7 operation and work schedules may ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and… more
- CVS Health (Columbus, OH)
- …personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management opportunity. + Utilizes clinical experience and skills ... zone + 3+ years of clinical experience as a Registered Nurse in a hospital setting including...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Tallahassee, FL)
- …skills, both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... 1+ years of clinical experience in acute or post acute setting - Utilization Management is a 24/7 operation and the work schedule may include weekends, holidays,… 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 ... broadband service. **Preferred Qualifications** + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent… more
