- CVS Health (Austin, TX)
- …available with Holiday, Weekend, and late rotations. **Required Qualifications** + Registered Nurse + Must have active current and unrestricted RN licensure in state ... of residence. + May be required to obtain additional Nursing Licenses as business needs require. **Preferred Qualifications** + 1+ years of Managed Care Experience; and experience with utilization review + 1+ years of clinical experience in acute or post-acute… more
- CVS Health (VA)
- …a team environment. Through the use of clinical tools and information/data review, the UM Nurse Consultant reviews services to assure medical necessity, ... all with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse … more
- CVS Health (AZ)
- …in the lives of patients facing complex medical journeys. As a Utilization Management ( UM ) Nurse Consultant specializing in Oncology and Transplant, you'll ... + Minimum of 1 year of experience in Oncology and Transplant either in UM , concurrent review, or prior authorization + 3+ years of experience in Acute clinical… more
- CVS Health (OK)
- …OK state independent Behavioral Health clinicianlicense or a Registered Nurse (RN) with psychiatric specialty,certification, or Behavioral Health experience + ... Behavioral Health licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse (RN) with unrestricted state license with psychiatric specialty, certification, or… more
- CVS Health (AZ)
- …healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. In this role, you'll ... + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams as needed, ensuring continuity of care and… more
- CVS Health (OH)
- …promote high-quality healthcare for members. We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. **Position Summary** The Team ... (preferably in a managed care setting). + Ability to provide on-call UM coverage for nights and weekends on a rotational schedule. **Preferred Qualifications**… more
- CVS Health (OH)
- …Will work with leadership for continual process improvement within Duals UM Program. **Required Qualifications** + RN with current unrestricted "multi-state ... privilege" compact license. + 3+ years of clinical experience required. + 2+ years of Utilization Management experience required + 2+ years' experience using personal computer, keyboard navigation, navigating multiple systems and applications; and using MS… more
- US Tech Solutions (RI)
- …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more
- University of Miami (Miami, FL)
- …a system that elevates any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly 5. Ens ures that patients ... patient/family teaching using available resources and tools. 12. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments. 13.… more
- University of Miami (Miami, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARY The Registered Nurse 2 delivers patient-family centered care in a ... quality, safety, and service while ensuring population-specific patient care. The Registered Nurse 2 oversees nurses and allied health staff in their daily practice.… more
- Truman Medical Centers (Kansas City, MO)
- …help shape smarter, more effective care delivery across the healthcare continuum. As a ** UM Nurse ** , you'll play a critical role in supporting interdisciplinary ... 7:00AM - 3:30PM **Hours Per Week** 4 **Job Description** **Utilization Management Nurse ( UM RN)** _Optimize Care. Improve Outcomes. Elevate the Patient… more
- University of Michigan (Ann Arbor, MI)
- …of selected patients + Communicate and coordinate care with referring and consultant physicians. + Make appropriate referrals to internal and external providers and ... posting or would like assistance with Physician Assistant opportunities please contact Nurse and Physician Assistant Recruitment at ### or e-mail [email protected] .… more