- CVS Health (Olympia, WA)
- …need of the department. There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in PST… more
- CVS Health (Raleigh, NC)
- …will include weekends and holidays and evening rotations._ This is a full-time remote Utilization Management Nurse Consultant opportunity. As a ... Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization… more
- CVS Health (Albany, NY)
- …And we do it all with heart, each and every day. **Position Summary:** This Utilization Management Nurse Consultant (UMNC) position is a work ... in the event of a clinical audit. As a Utilization Nurse Consultant , you will...to coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible… more
- CVS Health (Columbus, OH)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... aspects of the utilization /benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** ** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** **- 2+ years of experience as a Registered Nurse in adult acute care/critical care setting** **- Must...and unrestricted RN licensure in state of residence** **- Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- …or 9:00am to 6:00pm in time zone of residence with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include ... holidays and evening hours **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience using… more
- CVS Health (Tallahassee, FL)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST or CST zones… more
- CVS Health (Tallahassee, FL)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization management is a 24/7 operation. Work schedules will include weekend, ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST or CST zones -… more
- CVS Health (Tallahassee, FL)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... every day. **Position Summary** This is a fulltime remote Utilization Review opportunity. Working hours are four 10hr days...their Leader. **Required Qualifications** + Active and unrestricted Registered Nurse in state of residence + 3+ years of… more
- CVS Health (Carson City, NV)
- …and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with ... do it all with heart, each and every day. **Position Summary** _Utilization management is a 24/7 operation. Work schedules will include weekend, evening and holiday… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- CVS Health (Baton Rouge, LA)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. - Applies critical thinking and is ... external constituents in the coordination and administration of the utilization /benefit management function. **Required** **Qualifications** - Licensed… more
- Defense Health Agency (Oceanside, CA)
- …will serve as a Supervisory Nurse and be responsible for the integration of Utilization Management , Case Management , and Disease Management based on ... **Overview** **Supervisory Nurse ( Consultant )- GS-0610-12 - Camp Pendleton,... Management Model. + Implement and monitor the Utilization Management Program. + Develop, implement, and… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- Summary The Clinical Nurse Consultant is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient ... the least restrictive, most cost-effective manner, through use of outpatient utilization management criteria, clinical practice guidelines and clinical pathways.… more
- PruittHealth (Savannah, GA)
- **JOB PURPOSE:** Senior Nurse Consultant serves as a member of the clinical and region team, to assist centers in achieving clinical excellence. She/he is ... operations and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- CVS Health (Denver, CO)
- …Friday 8:00am - 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing ... years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence… more
- Lincoln Financial Group (Carson City, NV)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
- CVS Health (Tallahassee, FL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills in a… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …facilitator and consultant to the multidisciplinary patient care team. The Utilization Review Nurse is responsible for review of clinical information ... Summary The Utilization Review Nurse combines clinical expertise...Experience: Greater than 3 years clinical nursing experience required. Utilization management experience preferred. Must be self-directed… more