- CVS Health (Sacramento, CA)
- …all with heart, each and every day. Position Summary The Utilization Management Clinical Nurse Consultant utilizes clinical skills to coordinate, ... Arizona Time Zone. Preferred Qualifications : Previous experience with utilization management . Previous clinical experience in Emergency Department,… more
- CVS Health (Des Moines, IA)
- …obtain addition Nursing Licenses as business needs require Preferred Qualifications Utilization Management experience preferred Education Diploma RN acceptable; ... position does require a weekend schedule. Required Qualifications Registered Nurse Must have active current and unrestricted RN licensure...in acute or post-acute setting, and 1+ years of Utilization Management / Care Management … more
- Kaiser Permanente (Pleasanton, CA)
- …and patient safety, accreditation, regulatory and licensing (AR&L), risk management , and infection prevention and control; evaluating, designing, developing, and ... improve the reporting and narrative summaries of improvements by integrating multiple utilization data reporting systems to develop and maintain a variety of… more
- UnitedHealth Group (Hartford, CT)
- …Preferred Qualifications: Registered Nurse 2+ years of experience in Utilization Management Experience working with federal contracts CES (Claims Editing ... and cost avoidance development Serves cross-functionally with Medical Directors, and sometimes Utilization Management , as well as other internal teams to assist… more
- Moses/Weitzman Health System (Meriden, CT)
- …licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or ... health care activities as agreed, eg school based clinic consultant , SNF care. Administrative Maintains board certification/licensure. Attends continuing education… more
- Catholic Health Initiatives (Houston, TX)
- …Manage the delivery of patient care. Major responsibilities include: -- Clinical Management : Ensures the safe and effective delivery of quality nursing care. -- ... community standards of care and regulatory bodies. -- Human Resources/Financial Management : Works to maintain a fiscally responsible department including efficient… more
- Stanford Health Care (Palo Alto, CA)
- …transfers into or outside the system, and discharges while maximizing resource utilization and patient safety. The Patient Flow Nurse collaborates with ... the Hospital Operations Manager. Preferred experience: - EMTALA Risk Management - Knowledge of insurance coverage - Transfer Center...Health Care job.** **A Brief Overview** The Patient Flow Nurse plays a vital role in optimizing the movement… more
- CVS Health (Raleigh, NC)
- …weekends, holidays and evening hours._ **Must reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...Requirement to reside in EST or CST zone. + Utilization Management is a 24/7 operation and… more
- CVS Health (Raleigh, NC)
- …do it all with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization ... with occasional holiday rotation.** **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience +… more
- CVS Health (Columbus, OH)
- …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ... initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners...etc. and clinical documentation systems. + 1+ Year of Utilization Review Management and/or Medical Management… more
- CVS Health (Lansing, MI)
- …that promote high-quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Columbus, OH)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... on the telephone, and type on the computer. **Preferred Qualifications** Utilization Management experience preferred **Education** Diploma RN acceptable;… more
- CVS Health (Harrisburg, PA)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... Nursing Licenses as business needs require. * **Preferred Qualifications** - Utilization Management experience preferred **Education** Associates Degree BSN… 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 (Carson City, NV)
- …heart, each and every day. **Must Reside in PST Time Zone** **Position Summary** Utilization Management is a 24/7 operation and work schedules will include ... Zone + 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 (Hartford, CT)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CVS Health (Austin, TX)
- …years of clinical experience in acute or post-acute setting,and 1+ years of Utilization Management / CareManagementExperience + Must have active current and ... obtainadditionalNursing Licenses as business needsrequire. * **Preferred Qualifications** - Utilization Management experience preferred - **Anticipated Weekly… more
- CVS Health (Harrisburg, PA)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... late rotations. **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of… more
- CVS Health (Harrisburg, PA)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN… more
- CVS Health (Topeka, KS)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... it all with heart, each and every day. _Utilization Management is a 24/7 operation and the work schedule...to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal… more
