- CVS Health (Albany, NY)
- … role is 100% remote and the candidate can live in any state. 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 ...times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- CVS Health (Tallahassee, FL)
- …schedules may 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 (Atlanta, GA)
- …operation and work schedule 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...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… 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 (Springfield, IL)
- …operation and work schedule may include weekends, holidays and evening hours. As a Utilization Management Nurse Consultant , you will utilize clinical ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. - Utilizes clinical skills to coordinate, document and… more
- CVS Health (Providence, RI)
- …operation and work schedule may include weekends, holidays and evening hours. As a Utilization Management Nurse Consultant , you will utilize clinical ... state of residence + 3+ years of clinical experience + 2 years of Utilization Management experience + 1+ years of experience with MS Office suites and navigating… more
- CVS Health (Jefferson City, MO)
- …- 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 (Charleston, WV)
- …may include weekends and holidays and evening rotations._ This is a fully remote Utilization Management Nurse Consultant opportunity. The schedule is ... 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)
- …operation. Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible ... 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 (Springfield, IL)
- …3+ years of clinical practice experience in an inpatient setting as an RN - Utilization management is a 24/7 operation. Work schedules may include weekends and ... holidays and evening rotations. **Preferred Qualifications** -Previous Utilization Management experience **Education** Associate degree required; BSN preferred… more
- CVS Health (High Point, NC)
- …Following training, position is remote with occasional in office requirement.** Utilization Review - Precertification Nurse is responsible for telephonically ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- Defense Health Agency (Fort Drum, NY)
- …for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8299/ nurse - consultant -%28referral- utilization ... is in this document (http://cpol.army.mil/employ/APF-JOA/Transcripts.pdf) . **Basic Requirement for Nurse Consultant (Referral Utilization ):** **Degree:** A… more
- CVS Health (Frankfort, KY)
- …convenient and affordable. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant with a schedule of **Tuesday-Saturday.** ... and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate,… 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 ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- Summary The Jesse Brown VA Medical Center has a full-time Registered Nurse - Utilization Management position available for current, permanent employees of ... used while maintaining quality of care. Responsibilities The Registered Nurse (RN) - Utilization Management ...utilization case management , focused studies of utilization patterns and is a consultant to… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse ...to develop and execute mitigation efforts. Serves as a consultant to the organization's Compliance team on an ad… 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
- PruittHealth (Charlotte, NC)
- **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
- Defense Health Agency (Lackland AFB, TX)
- **Overview** Nurse Consultant Joint Base San Antonio Time to invest in some new footwear because if you're San Antonio-bound, you'd better _show up in boots_ ! ... and patient self-reported health surveys to identify improvement opportunities impacting demand management , disease, and utilization management . Reviews and… 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