- CVS Health (Columbus, OH)
- …work the following schedule:** **Monday-Friday 8:00am-4:30pm EST.** **Position Summary** As a Utilization Management Nurse Consultant, you will utilize ... and time management skills required - Experience in healthcare utilization management , critical care, emergency department, or case management… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN...Physical Requirements Light Additional Information May work on occasional weekends and some holidays depending on business needs. Salary… 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...Physical Requirements Light Additional Information May work in occasional weekends and some holidays depending on business needs Salary… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Baton Rouge, LA)
- …of training will require 100% participation Monday-Friday, 8am-5pm upon hire.** As a Utilization Management Nurse Consultant, you will utilize clinical ... Qualifications** + 5+ years of clinical experience + 1+ year(s) of utilization management , concurrent review and/or prior authorization experience + 5+ years of… more
- CVS Health (Trenton, NJ)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Jefferson City, MO)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... and external constituents in the coordination and administration of the utilization /benefit management function. * Typical office working environment with… 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 to ... holiday and weekends depending on business needs **Preferred Qualifications** - Utilization management experience - Managed care experience - Must be a… more
- Humana (Louisville, KY)
- **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 ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...Eastern Time with rotating on-call coverage and oversight during weekends and holidays. **Use your skills to make an… more
- CVS Health (Lansing, MI)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... care more personal, convenient and affordable. **Position Summary** _Utilization Management is a 24/7 operation and the work schedule...a 24/7 operation and the work schedule may include weekends , holidays, and evening hours._ This will be a… more
- Elevance Health (Tampa, FL)
- …**Work Hours:** 8am - 5pm, Monday - Friday. **2 Holidays** per year and **occasional** weekends . The ** Nurse Medical Management Sr** serves as **team lead** ... Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education and… more
- Commonwealth Care Alliance (Boston, MA)
- …services, procedures, and facilities under the provisions of CCA's benefits plan. The Nurse Utilization Management (UM) Reviewer is responsible for ... timely clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …care transitions. + Verifies patient's needs for acute level of care, collaborating with utilization management nurse to prevent potential denials. The care ... supporting patients that would benefit from and need care management services. **This is a PRN position at Maryview...at Maryview Medical Center** Licensing/ Certification + Acute Registered Nurse (RN) (required) + BLS Basic Life Support -… more
- Milford Regional Medical Center (Milford, MA)
- …with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization management at MRMC. The UR ... Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional...experience Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization … more
- Omaha Children's Hospital (Omaha, NE)
- …meets department guidelines, standards, and policies. + Communicates and collaborates with the Utilization Management (UM) Nurse , or other NCMs as necessary ... **Casual/PRN - Mon-Fri 8:00-4:00 as needed. No weekends or holidays** At Children's, the region's only...for diagnosis, care needs, and discharge plans. + Introduces Nurse Case Management (NCM) role to family.… more
- Omaha Children's Hospital (Omaha, NE)
- …to address performance improvement and processes. + Communicates and collaborates with the Utilization Management (UM) Nurse , or other NCMs as necessary ... Schedule: Mon-Fri, 0730-1600, No weekends or holidays At Children's, the region's only...for diagnosis, care needs, and discharge plans. * Introduces Nurse Case Management (NCM) role to family.… more
- ERP International (Corpus Christi, TX)
- …executive staff, newcomers, as appropriate. * Participate in all phases of the Utilization Management Program (UMP) and ensure that the UMP meets established ... **Overview** ERP International is seeking a **Registered Nurse (RN)** ** Utilization Manager** for a... Utilization Management (UM) standards of care. Assist… more
- Sharp HealthCare (San Diego, CA)
- …the episode of care and supports other members of the System Centralized Utilization Management team to ensure final status reconciliation. This position ensures ... (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited...Degree in a health related field. + 3 Years Utilization Management or case management … more
- MyFlorida (Port Saint Lucie, FL)
- OPS SENIOR LICENSED PRACTICAL NURSE ( WEEKEND WARRIOR) Date: Aug 23, 2024 The State Personnel System is an E-Verify employer. For more information click on our ... Agency: Veterans Affairs Working Title: OPS SENIOR LICENSED PRACTICAL NURSE ( WEEKEND WARRIOR) Pay Plan: Temp Position...the scope of practice as defined by the Florida Nurse Practice Act. + Ensure economical utilization … more
- Hackensack Meridian Health (Holmdel, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Care Management , Care Coordinator, Utilization Management ** is a member of the ... patient's treatment. Accountable for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of… more