- 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)
- …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
- CVS Health (Little Rock, AR)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… 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
- Evolent (Little Rock, AR)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… 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
- Arkansas Children's (Little Rock, AR)
- …CC015010 Emergency Department **Summary:** Emergency Department, Part Time **Additional Information:** The Clinical Educator is a registered nurse who ... **Required Certifications:** Certification specific to patient population - within 6 months, Registered Nurse (RN) license - Arkansas or Compact State… 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
- Wellpath (Tucker, AR)
- …Surgical experience preferred Licenses/Certifications + Have and maintain current licensure as a Registered Nurse within the state of employment. + Obtain and ... the organization's Code of Conduct. + Demonstrates knowledge of risk management, clinical precautions, infection control, fall prevention, utilization of special… more