- 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 skills to ... more personal, convenient and affordable. Requisition Job Description **Position Summary:** **This Utilization Management (UM) Nurse Consultant role is 100%… 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 coordinate, ... care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant...**Required Qualifications** - Must have active current and unrestricted RN licensure in state of residence - 3+ years… 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 to ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote… 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 to ... zone + 3+ years of clinical experience as a Registered Nurse in a hospital setting including...of clinical experience in acute or post-acute setting + Utilization management is a 24/7 operation. Work… more
- CVS Health (Trenton, NJ)
- …personal, convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization ... include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant, you...of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical… more
- Humana (Lexington, KY)
- …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse ( RN ) in the… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- CVS Health (Harrisburg, PA)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current...of clinical experience in acute or post-acute setting - Utilization management is a 24/7 operation. Work… more
- CVS Health (Olympia, WA)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...1+ years of Microsoft Office Suites experience required + Utilization management is a 24/7 operation. Work… more
- CVS Health (Tallahassee, FL)
- …members sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and...**Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current… 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 clinical ... external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working...**Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data ... occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Nurse , you will be responsible for: + Ensuring appropriate, cost-effective, and high-quality care ... for New Century Health Plan members + Conducting utilization management (UM) activities in accordance with...BSN or MSN degree, required * Current valid California RN license, required * Two or more years of… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …not limited to: The Nurse Utilization Management (UM) Registered Nurse ( RN ) is responsible for providing competent, evidence-based practices ... Summary Registered Nurse ( RN ) Utilization Management (UM) delivers knowledge-based care to clients while developing technical skills. Assesses,… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent ... outcomes are achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management to join our team of talented professionals who provide… 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 ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active, current,...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 ... first 3 weeks training required 100% participation during 8:30am-5pm Monday-Friday. + A Registered Nurse that must hold an unrestricted license in their state… more
- Signature Healthcare (Louisville, KY)
- …Care documentation to facility accurate billing. What you Need to make a Difference + Registered Nurse ( RN ) in good standing with required current state ... communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health… 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 ... **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current...clinical experience in acute or post acute setting + Utilization management is a 24/7 operation. Work… more