- Cognizant (Montpelier, VT)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Humana (Montpelier, VT)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Evolent (Montpelier, VT)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Dartmouth Health (Bennington, VT)
- …matriculated into a BSN program may be considered.Prior experience in utilization review, discharge planning and/or case management preferred.3-5years of recent ... clinical experience required. VT Nursing License required by date...experience and BS required. BSN preferred. Prior experience in utilization review, discharge planning and/or case management preferred. VT… more
- Dartmouth Health (Bennington, VT)
- …(If matriculated into BSN program, person is eligible) Three-Five years of clinical nursing experience required. Prior experience in utilization review, ... discharge planning and/or case management preferred. VT Nursing License required by date of employment. Case Management Certification required within 2 years of employment. * Area of Interest:Nursing; * Pay Range:$36.00-$46.00; * Work Status:8am-4:30pm; *… more
- Highmark Health (Montpelier, VT)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more