- CVS Health (Raleigh, NC)
- …that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Raleigh, NC)
- …with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical ... Time_ ). + Previous experience with prior authorization. + Previous experience with utilization management . + Previous experience in an acute care setting. +… more
- CVS Health (Raleigh, NC)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Raleigh, NC)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in ET zones **Education**… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …of their assigned nursing units/programs. Functions as an administrator, educator and consultant utilizing management theory in collaboration with Patient Care ... defined in the four (4) dimensions outlined in the Nurse Qualification Standards. PRACTICE (Ethics, Resource Utilization )...years successful nursing practice Minimum of 2 years successful management experience in one or more areas of surgery… more