- CHRISTUS Health (San Antonio, TX)
- …and other providers. Incumbent oversees integrated data warehouse including program utilization , disease management programs and contracted provider network ... Description Summary: The Registered Nurse Patient Navigator Lead is a Registered ... Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These… more
- CHRISTUS Health (Tenneryville, TX)
- …operations for assigned areas; at CHRISTUS GSMC - Longview. The nurse manager affects departmental outcomes through interpretation, implementation, and evaluation of ... 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 (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 (Tenneryville, TX)
- …for effective supervision of nursing activities of assigned area(s). Assists management of financial and human resources to ensure services meet established ... and addressing staff training and development needs. Standard I. Human Resources Management Evaluates and specifies the critical resources required to accomplish the… more
- CVS Health (Austin, TX)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant… more
- CVS Health (Phoenix, AZ)
- …occasionally per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant… more
- CVS Health (Tallahassee, FL)
- …may include weekends and holidays and evening rotations. This is a full-time remote Utilization Management Nurse Consultant opportunity. As a Utilization ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work… more
- Humana (Frankfort, KY)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...states without restriction. + Minimum one (1) year utilization management experience. + Minimum two (2)… 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 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- CVS Health (Columbus, OH)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- Humana (Boise, ID)
- …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
- CVS Health (Jefferson City, MO)
- …members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and… more
- Elevance Health (Washington, DC)
- The Utilization Management Nurse is responsible...of practice in applicable state(s) or territory of the United States and minimum of 2 years acute ... care clinical experience. + Minimum 1 year Utilization Management experience preferred. For candidates working in person or remotely in the below location(s),… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care ... for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with...origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us … more
- CVS Health (Columbus, OH)
- …and affordable. **Primary Job Duties & Responsibilities** + Drives effective utilization management practices by ensuring appropriate and cost-effective ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...healthcare resources. + Applies clinical expertise and knowledge of utilization management principles to influence stakeholders and… more
- CVS Health (Carson City, NV)
- …in all noncompact states . + 1 year of varied UM ( utilization management ) experience within an inpatient/outpatient setting, concurrent review or prior ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...is URAC accredited in Case Management , Disease Management and Utilization Management . AHH… 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 ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and… more
- CVS Health (Columbus, OH)
- …convenient and affordable. **Position Summary** **This is a fulltime remote Utilization Management opportunity.** **The schedule is Monday through Friday, ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedule may ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+… more
- CVS Health (Springfield, IL)
- …and external constituents in the coordination and administration of the utilization /benefit management function **Required Qualifications** -3+ years of ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...preference for those residing in EST or CST. _Utilization Management is a 24/7 operation and work schedule may… more
