- Humana (Montgomery, AL)
- **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 ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- CVS Health (Montgomery, AL)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... required in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST or CST… more
- Intermountain Health (Montgomery, AL)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- CVS Health (Montgomery, AL)
- …unrestricted state licensure required in state of residence **Preferred Qualifications** Utilization Management review Managed Care experience Client processing ... resources and conduct reviews. **Required Qualifications** 5+ years of clinical experience required 2 + years of experience as a Registered Nurse with current… more
- Evolent (Montgomery, AL)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... Be Doing:** + Practices and maintains the principles of utilization management and appeals management ...business need of nurses providing coverage until 7:00pm CST. 2 days/week 8am - 5pm EST/CST - **Required** +… more
- Select Medical (Birmingham, AL)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Southeast Health (Dothan, AL)
- …specific needs and provides appropriate care based on these needs. + Demonstrates appropriate utilization of the skills of the Registered Nurse as approved by ... with coverage during staffing shortages with competency in two ( 2 ) of the departments listed: Critical Care Services, Medical-...supplies. + Provides moderate sedation and aids in pain management during and post procedure. + Reports promptly any… more