- CVS Health (Columbus, OH)
- …vary occasionally per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical ... more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate… more
- CVS Health (Olympia, WA)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... more personal, convenient and affordable. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside… more
- CVS Health (Austin, TX)
- …operation and work schedules may include weekends, holidays, and evening hours As a Utilization Management Nurse Consultant , you will utilize clinical ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Tallahassee, FL)
- …- team members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Harrisburg, PA)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute… more
- CVS Health (Raleigh, NC)
- …+ 1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) + Utilization Management is a 24/7 operation and work schedules may include ... with occasional holiday rotation **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience… more
- CVS Health (Little Rock, AR)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedule may ... Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN...clinical experience in acute or post acute setting - Utilization management is a 24/7 operation. Work… more
- CVS Health (Columbus, OH)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... Weekend, and late rotations. **Required Qualifications** + Active current and unrestricted Registered Nurse in the state of residence + Willing and able to obtain… more
- CVS Health (Albany, NY)
- …operation. Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize ... Qualifications** + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute...and unrestricted RN licensure in state of residence + Utilization management is a 24/7 operation. Work… more
- CVS Health (Tallahassee, FL)
- …personal, convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity for candidates ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is… 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
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- Trinity Health (Boise, ID)
- …**Description:** Responsible for the day to day operations of Clinical Resource Management /Case Management , Social Work, Bundled Payment for Care Improvement and ... Transition Support at Nampa. Responsible for lead management for the development, communication and successful execution of...Licensed in the State of Idaho as a Registered Nurse as defined by the Idaho State Board of… more
- Abbott (Minneapolis, MN)
- …scientists. **The Opportunity** We currently have an opportunity for a **Technical Consultant ** within our Rapid Diagnostics, Infectious Disease division. This is a ... to support diagnostic testing which provides important information for treatment and management of diseases and other conditions. This position will assist Account… more
- CVS Health (TX)
- …collaborative position working proactively with the Aetna account team, Aetna's Care management teams, and key National Account partners to support our customers. In ... this role, the consultant is empowered to: + Provide progressive consultative clinical...consultative clinical insights based on analysis of clinical plan utilization and impact of member behavior on medical plan… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- Summary The Quality Management Consultant Registered Nurse demonstrates leadership, experience, and creative approaches to improvement in quality-of-care ... outcomes. The QM Consultant is responsible for the documented outcomes at the...CB VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse demonstrates… more
- CVS Health (Raleigh, NC)
- …required, per business needs, (typically every 4-6 weeks)** The Health Coach Consultant : Chronic Condition Nurse utilizes a collaborative process of assessment, ... health care more personal, convenient and affordable. **Position Summary** **The Health Coach Consultant RN role is 100% remote work from home and candidates can… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Job Title: Clinical Nurse - Woundcare -WOCN-Mount Sinai Hospital-FT/Nights** The Nurse Clinician is a registered professional nurse who ... skills in an area of clinical nursing specialization. The nurse clinician is able to guide and promote the...Patient screening Patient/Family education D/C planning and follow-up Case management Research + Maintains clinical expertise in area of… more
- The Cigna Group (Bloomfield, CT)
- …health outcomes, client growth and retention, and network performance. **OVERVIEW:** The Nurse Executive Clinical Program Sr. Advisor, as part of the Clinical Sales ... brokers and other key stakeholders. + As Clinical Advisor, supports client utilization review and strategy meetings, providing medical cost trend, large claim and… more