- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management , case management , discharge… more
- Baylor Scott & White Health (Waco, TX)
- Baylor Scott & White Health is seeking a Registered Nurse ( RN ) Ambulatory Surgery for a nursing job in Waco, Texas.Job Description & RequirementsSpecialty: ... hours per weekShift: 8 hours, daysEmployment Type: StaffJOB SUMMARYThe Operating Room (OR) Registered Nurse ( RN ) is a licensed professional who uses… more
- Inova Health System (Fairfax, VA)
- Inova Health System is seeking a Registered Nurse ( RN ) Nurse Navigator for a nursing job in Fairfax, Virginia.Job Description & RequirementsSpecialty: ... patient's needs and advocates for patient rights and appropriate utilization of services. Builds working relationships with patient, healthcare...- Licensed in the Commonwealth of Virginia as a Registered Nurse - Experience - 3 to 5… more
- Adventist Health (Portland, OR)
- …(BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in the state of practice: ... Adventist Health is seeking a Registered Nurse ( RN ) Home...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …and are honored to be a part of this incredible work.What Will You Do?As a Registered Nurse at Pine Rest, you'll be part of tight-knit team that believes in ... the healing power of your expertise and compassion. An RN is responsible and accountable to perform the nursing process as a basis for patient care. RNs provide… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and… more
- The University of Vermont Health Network (Colchester, VT)
- …well as those of various managed care insurance plans.MINIMUM REQUIREMENTSState of Vermont Registered Nurse ( RN ) license required. The University of Vermont ... POSITION SUMMARYThe Utilization Review Nurse is responsible for...psychiatry; affirming compliance with CMS' Conditions of Participation regarding Utilization Management with annual review of the… more
- Sutter Health (Alameda, CA)
- …community.Job Description:EDUCATION:Graduate of an accredited school of nursing.CERTIFICATION & LICENSURE: RN - Registered Nurse of CaliforniaBLS-Basic Life ... maintained at all times in alignment with mission, goals and objectives. Management and leadership skills needed include conflict management , negotiation, team… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...Required Qualifications - Must have active current and unrestricted RN licensure in state of residence - 2+ years… more
- CVS Health (Tallahassee, FL)
- …1 holiday per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant...management function. Required Qualifications: - Must be an RN with active current and unrestricted RN … more
- CVS Health (Harrisburg, PA)
- …live in any state. There is no travel expected with this position. 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 Consultant...Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence - 3+ years… more
- CVS Health (Harrisburg, PA)
- …Consultant role is 100% remote and the candidate can live in Pennsylvania. As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible for ensuring the member is receiving 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 (Bismarck, ND)
- …shift up to 8:00pm EST zone (twice per month) Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical experience and ... Required Qualifications + 3+ years of experience as a Registered Nurse + Must have active current...of Med/Surg experience Preferred Qualifications + Prior Authorization or Utilization Management experience + Managed care experience… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical ... management function. Required Qualifications + 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN … more
- Humana (Columbus, OH)
- **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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Licensed unrestricted Registered Nurse ( RN ) in the… more
- CVS Health (Columbus, OH)
- …and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote ... external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+...3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of… more
- Kepro (Indianapolis, IN)
- …health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/ RN to join our growing team. Job ... Summary: Our Utilization Management Appeals Nurse - LPN/ RN ...applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse ( RN ) or Licensed… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per ... an accredited nursing program Bachelor's Degree Nursing preferred **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3...Diem 8 Hour Days **Department** : Utilization Management **Business Entity** : Cedars-Sinai Medical… more
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