- Cognizant (Carson City, NV)
- …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 (Carson City, NV)
- …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 (Carson City, NV)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team.… more
- Fresenius Medical Center (Reno, NV)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (NV)
- …+ 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
- Banner Health (Fallon, NV)
- …and entertainment. Banner Churchill Community Hospital is looking for two full-time Registered Nurse Associate Director's. One position will oversee Emergency ... to ensure excellent patient care. Actively develops leadership of entry level nurse manager(s) while leading clinical improvement initiatives. Internal customers… more
- ICW Group (Las Vegas, NV)
- …Planning, or Home Health preferred. **CERTIFICATES, LICENSES, REGISTRATIONS** Current unrestricted Registered Nurse (RN) or Licensed Vocational Nurse ... JOB** The purpose of this job is to perform clinical assessment and evaluate needs for treatment in worker's...needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate appropriate medical… more
- Sharecare (Carson City, NV)
- …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 (Carson City, NV)
- …**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
- HCA Healthcare (Las Vegas, NV)
- …appeals, denials, managed care contracting, experienced preferred. + Currently licensed as a registered nurse (RN) in the state(s) of practice and/or has an ... individual is recognized. Submit your application for the opportunity below: IPAT Clinical Analyst- NICU (Code pink) Parallon. **Benefits** Parallon offers a total… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking a full-time ** Registered Nurse (RN) Disease Manager** in support of theMike O'Callaghan Military Medical Center ... team nurses per AFI 44-171, section 2.2.4.4. As a clinical nurse augmented, assesses, and identifies individual...are required: Minimum of five years of experience as registered nurse with at least 12 months… more
- Molina Healthcare (North Las Vegas, NV)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... at the right place at the right time and assisting them to achieve optimal clinical , financial, and quality of life outcomes. + Responsible for clinical teams… more
- Molina Healthcare (Sparks, NV)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Molina Healthcare (Henderson, NV)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Elevance Health (Las Vegas, NV)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... or equivalent. + Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted RN license… more
- HCA Healthcare (Las Vegas, NV)
- …with our Nurses at MountainView Hospital! **Job Summary and Qualifications** **The Registered Nurse (RN) CM is responsible for promoting patient-centered care ... supporting a balance of optimal care and appropriate resource utilization .** **What you will do in this role:** +...+ InterQual experience preferred + Current license as a Registered Nurse in the state(s) of practice… more
- HCA Healthcare (Las Vegas, NV)
- …degree in Nursing, Health Administration, or Business Administration, preferred + Either Registered Nurse (RN) licensure, Licensed Clinical Social Worker ... actively engaging interdisciplinary teams and external stakeholders. The Director is a registered nurse with responsibility for all operational aspects of the… more