- Cognizant (Concord, NH)
- …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 (Concord, NH)
- **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
- Humana (Concord, NH)
- **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 ... 7pm EST approximately 3-4 Thursday and Friday's annually. The Utilization Management Nurse 2 uses clinical...Qualifications** + Minimum of an Associate's degree + Licensed Registered Nurse (RN) with no disciplinary action… more
- CVS Health (Concord, NH)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules...will include weekends, holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Concord, NH)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Humana (Concord, NH)
- **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
- Dartmouth Health (Lebanon, NH)
- …STANDARDS * Bachelor's degree in nursing required; Master's preferred. * Licensed as a Registered Nurse in the State of New Hampshire. * BCLS certification ... time specific to the role of case management and utilization review: * Lead a collaborative process with the...services. * Mobilizes resources to assist in achieving desired clinical outcomes within the desired time frame. * Conducts… more
- CVS Health (Concord, NH)
- …+ 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
- Dartmouth Health (Lebanon, NH)
- …families and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. * Communicates information to the health ... to professional growth. * Computer skills required. Required Licensure/Certifications - Licensed Registered Nurse with NH eligibility - Basic Life Support (BLS)… more
- Dartmouth Health (Lebanon, NH)
- …families and other members of the healthcare teams questions that are within a registered nurse ’s scope of practice. 4. Communicates information to the health ... skills required. Required Licensure/Certifications Required Licensure/Certification Skills: - Licensed Registered Nurse in New Hampshire required. - Basic… more
- Sharecare (Concord, NH)
- …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
- Datavant (Concord, NH)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Dartmouth Health (Lebanon, NH)
- …* Assists in surgical team as 2nd circulator when directly supervised by a Registered Professional Nurse who is functioning as 1st circulator. * Complies and ... required. * AGE OF PATIENTS TREATED: * The Licensed Professional Nurse /Surgical Technician cares for pediatric through geriatric patients. * POSITION PHYSICAL… more
- Dartmouth Health (Lebanon, NH)
- …a must. * LICENSE/CERTIFICATIONS/REGISTRATIONS SKILLS (Tracked at the department level) Licensed Registered Nurse with NH eligibility * ACLS required * Position ... 1 year of hire. Bachelor’s Degree in nursing with 5 years clinical experience, leadership and education experience with previous administration or directorial… more
- Highmark Health (Concord, NH)
- …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