- Cognizant (Little Rock, AR)
- …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 (Little Rock, AR)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Little Rock, AR)
- …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
- CVS Health (Little Rock, AR)
- …privileges. Ability to obtain licensure in non-compact states as needed. + 3+ years inpatient clinical experience as a Registered Nurse . + 3+ years of ... of MS office suite experience. **Preferred Qualifications** + Experience with multiple clinical systems. + Utilization Management experience. + Ability to… more
- CVS Health (Little Rock, AR)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Little Rock, AR)
- **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
- Arkansas Children's (Little Rock, AR)
- …Practical Nurse (LPN) collects patient/family information that assists the Registered Nurse in assessment, planning, implementation, and evaluation. The LPN ... assigned patients with the assistance and under the supervision of a Registered Nurse . **Additional Information:** **Required Education:** Completion of an… more
- Sharecare (Little Rock, AR)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Lincoln Financial (Little Rock, AR)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- Humana (Little Rock, AR)
- …We are not able to hire candidates that are currently living in Puerto Rico. + Registered Nurse with current in-state RN license + At least 3 years of varied ... community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care... clinical RN nursing experience + TRICARE experience + Knowledge… more
- Arkansas Children's (Little Rock, AR)
- …CC013095 3C Intermediate Care **Summary:** 3C Intermediate Care Unit (IMU) Full Time The Clinical Educator is a registered nurse who partners with a ... **Required Certifications:** Certification specific to patient population - within 6 months, Registered Nurse (RN) license - Arkansas or Compact State… more
- Community Health Systems (Bentonville, AR)
- …discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records ... all policies and standards. **Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization...plans. **Licenses and Certifications** + LPN - Licensed Practical Nurse - State Licensure required + BCLS - Basic… more
- Community Health Systems (Bentonville, AR)
- …discharge planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records ... all policies and standards. **Qualifications** + 2-4 years of clinical nursing experience required + Experience in utilization...plans. **Licenses and Certifications** + LPN - Licensed Practical Nurse - State Licensure required + BCLS - Basic… more
- Community Health Systems (Siloam Springs, AR)
- …software systems, and data analysis tools. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required + ... engagement, and operational efficiency. + Recruits, retains, and develops high-performing nurse leaders and clinical staff through effective mentoring, coaching,… more
- STG International (Mountain Home, AR)
- …the management/coordination of the clinic's day-to-day activity, in conjunction with the Registered Nurse (RN)/CBOC Manager and VA Program's philosophy. *Comply ... into the VA health care system. *Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership… more
- Arkansas Children's (Little Rock, AR)
- …Certified Dialysis Nurse (CDN) - Nephrology Nursing Certification Commission (NNCC), Registered Nurse (RN) license - Arkansas or Compact State **Recommended ... Days or Week Days The Patient Care Manager manages daily operations of the clinical nursing department ensuring safe and high quality patient care delivery and the… more
- Community Health Systems (Springdale, AR)
- Offering up to a $20,000 Sign-On for eligible Full Time, Registered Nurse candidates! **Why Northwest Health?** We know it's not just about finding a job. It's ... for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Community Health Systems (Springdale, AR)
- …and apply CMS benchmarks and regulations. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred ... presents to hospital leadership to identify trends in resource utilization and serves as a local subject-matter expert (SME)...or related field preferred + 2-4 years of strong clinical or healthcare experience with a focus on hospital… more
- Gentiva (Texarkana, AR)
- …Administrator to join our leadership team. This role is ideal for a licensed Registered Nurse (RN) with strong leadership experience in hospice care, home ... health, or clinical operations management. If you're a natural leader who...growth through census development, referral management, and efficient resource utilization + Maintain strong relationships with physicians, referral sources,… more
- Community Health Systems (Bentonville, AR)
- …and ambition. Encourages and values diversity. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure + BCLS ... The Director focuses on enhancing patient safety, optimizing resource utilization , and promoting professional development for staff, all while aligning… more