- CVS Health (Harrisburg, PA)
- …**until 9pm EST depending on business needs and Holiday rotation required** As a Utilization Management Nurse Consultant , you will utilize clinical ... affordable. Requisition Job Description **Position Summary:** **This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate… more
- 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)
- …of Saturday shift is approximately 1 per month.** No travel is required. 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 100% remote and the candidate… more
- CVS Health (Columbus, OH)
- …This is a full-time remote Utilization Management opportunity. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... + 3+ years of clinical experience as a Registered Nurse in a hospital setting including Medical/Surgical, Emergency room,...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Harrisburg, PA)
- …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 (Olympia, WA)
- …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 + Must have active current and unrestricted RN...1+ years of Microsoft Office Suites experience required + 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 (Phoenix, AZ)
- …schedule completed and UMNC participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant you will utilize ... and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with… more
- CVS Health (Richmond, VA)
- …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...to work Monday through Friday 10:00am to 7:00pm EST. Utilization Management is a 24/7 operation and… more
- CVS Health (Columbus, OH)
- …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
- CVS Health (Atlanta, GA)
- …to make health care more personal, convenient and affordable. **Position Summary** ** Utilization management is a 24/7 operation. Work schedules will include ... 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 (Columbus, OH)
- …**Required Qualifications:** -3+ Years of clinical experience -1+ Year of Utilization Review Management and/or Medical Management experience. ... -Must have active and unrestricted RN license in the state you reside. -5 years demonstrated to make thorough independent decisions using clinical judgement -5 Years proficient use of equipment experience including phone, computer, etc and clinical… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote and ... employee can live in any state. The UM Nurse Consultant job duties include (not all...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience… more
- CVS Health (Phoenix, AZ)
- …weekends and some rotational on-call holiday coverage (URAC and Client Requirements). Utilization Management is a 24/7 operation.** 100% attendance is required ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...100% participation during 8:30am-5pm Monday-Friday EST + A Registered Nurse that must hold an unrestricted license in their… more
- CVS Health (Frankfort, KY)
- …personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant . **MUST RESIDE IN KENTUCKY** + Utilizes ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is… 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 (Atlanta, 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 (Columbus, OH)
- …reimbursement policy. + 1+ year of Coding experience **Preferred Qualifications** + Utilization Management review + Managed Care experience **Education** + ... 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