- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live… more
- CVS Health (Olympia, WA)
- …those in Pacific Time Zone or willing to work Pacific Time Zone hours. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is 100% remote, and the candidate can… more
- CVS Health (Harrisburg, PA)
- … Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible...times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- CVS Health (Harrisburg, PA)
- … role is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse ...times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- CVS Health (Columbus, OH)
- …to work the following schedule: Monday-Friday 8:00am-4:30pm EST. Position Summary As a Utilization Management Nurse Consultant , you will utilize ... times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all... management skills required - Experience in healthcare utilization management , critical care, emergency department, or… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes ... residence + 3+ years of experience as a Registered Nurse + 3+ year(s) of Med/Surg experience + 3+...(twice per month) Preferred Qualifications + Prior Authorization or Utilization Management experience + Managed care experience… more
- CVS Health (Raleigh, NC)
- …health care more personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes ... needs + MS Office suites experience Preferred Qualifications + Precertification/ Utilization Management experience preferred + Infertility experience preferred… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+… more
- CVS Health (Plantation, FL)
- …10:00 AM- 6:30 PM EST No nights, no weekends, and no holidays. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure ... to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical experience and...RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. Position Summary Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan (PA ISNP) ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of… more
- CVS Health (Baton Rouge, LA)
- …Required Qualifications + 5+ years of clinical experience + 1+ year(s) of utilization management , concurrent review and/or prior authorization experience + 5+ ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in… more
- CVS Health (Jefferson City, MO)
- …zone. Some weekends and holidays will be required Preferred Qualifications + Utilization Management experience + Managed Care experience preferred + Experience ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...residence + 3+ years of experience as a Registered Nurse + Must possess 1+ years of clinical experience… more
- CVS Health (Harrisburg, PA)
- …- 3+ years of clinical experience - Managed Care experience - Utilization management experience Education Associates degree required BSN preferred Pay ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Austin, TX)
- …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 (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function.- Typical office working environment with ... weekend position Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of… more
- CVS Health (Trenton, NJ)
- …rotation per business needs Preferred Qualifications - Prior authorization & utilization management experience - Outpatient Clinical experience - Knowledge ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… more
- CVS Health (Raleigh, NC)
- …Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse is responsible for telephonically ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- CVS Health (Richmond, VA)
- …work occasional holiday and weekends depending on business needs Preferred Qualifications - Utilization management experience - Managed care experience - Must be ... services. Maintains accurate and complete documentation to meet risk management , regulatory, and accreditation requirements. Promotes communication, both internally… more
- CVS Health (Phoenix, AZ)
- …talking, listening and computer useRequired Qualifications + 1+ year varied Utilization Management experience within an inpatient/Outpatient setting, concurrent ... 3 weeks training with 100% participation during 8:30am-5pm Monday-Friday. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more
- CVS Health (Phoenix, AZ)
- …and services both inpatient and outpatient services requiring precertification. + Utilization Management nurses use specific criteria to authorize ... training required 100% participation during 8:30am-5pm Monday-Friday EST. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more