- CVS Health (VA)
- …And we do it all with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% remote. ... As a Utilization Nurse Consultant , you will utilize clinical skills...to coordinate, document and communicate all aspects of the utilization /benefit management program and our plan sponsor(s).… more
- CVS Health (Tallahassee, FL)
- …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- CVS Health (AZ)
- …the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, you'll ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- CVS Health (Austin, TX)
- …work S/S/M/T 10 hour shifts (AFTER training M-F for about 4 - 5 months).** ** Utilization Management is a 24/7 operation and work schedules will include holidays ... Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...or eastern time zone (AFTER 4-5 months of training). Utilization Management is a 24/7 operation and… more
- CVS Health (AZ)
- …that promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. ... use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring… more
- CVS Health (IL)
- …+ **M** anaged care experience + Discharge planning experience + Utilization Management experience **Education** ASN Required, BSN Preferred **Anticipated ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in… more
- CVS Health (OH)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position ... experience in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+ years of experience with personal computer, keyboard… more
- CVS Health (KY)
- …with heart, each and every day. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant . **Must reside in the state of Kentucky or ... and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate,… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 250924-5613FP-001 Location East Hartford, CT Date Opened 9/30/2025 12:00:00 AM Salary ... - is accepting applications for a full-time Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- Lincoln Financial (Hagatna, GU)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization....will provide coaching and guidance to claims regarding medical management . **What you'll be doing** * Evaluate medical information… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- CVS Health (IL)
- …in research efforts, contributing to scholarly publications, and/or facilitating research utilization to improve clinical care and outcomes. - Provides training and ... with diverse cultural dynamics of clinical staff and patients. - Registered Nurse (RN) required. **Preferred Qualifications** - Master's degree in healthcare related… more
- CVS Health (OH)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... and external support areas. **Required Qualifications** + A Registered Nurse that must hold an unrestricted license in their...care/medical experience. + 1+ years of Appeals experience in Utilization Management + 3+ years utilization… more
- CVS Health (Austin, TX)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + UMNC meets set productivity and ... Holiday, Weekend, and late rotations. **Required Qualifications** + Registered Nurse + Must have active current and unrestricted RN...1+ years of Managed Care Experience; and experience with utilization review + 1+ years of clinical experience in… more
- CVS Health (OH)
- …license. + 3+ years of clinical experience required. + 2+ years of Utilization Management experience required + 2+ years' experience using personal computer, ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- CVS Health (Portland, OR)
- …with heart, each and every day. **Job Purpose and Summary:** The Field Nurse LPN will conduct quality reviews and provide education specific to medication compliance ... care: + Meet with customers to present Omnicare Nursing Services and promote utilization of support tools and programs + Evaluate regulatory compliance and determine… more
- Truman Medical Centers (Kansas City, MO)
- …time **Work Schedule** 7:00AM - 3:30PM **Hours Per Week** 4 **Job Description** ** Utilization Management Nurse (UM RN)** _Optimize Care. Improve Outcomes. ... log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Management RN Hourly (PRN) - Care Continuity -… more
- Access Dubuque (Dubuque, IA)
- …degree nursing program.** **Active and current license for Registered Nurse ** **Active and current International Board-Certified Lactation Consultant ... Lactation Consultant - Birth Center **MercyOne** 1 Positions ID:...health and wellness, particularly as it relates to breastfeeding management and early parenting issues.** **Helps breastfeeding women and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- MyFlorida (Miami, FL)
- OPS REGISTERED NURSING CONSULTANT - 64801869 Date: Oct 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 861963 Agency: Department of Health Working Title: OPS REGISTERED NURSING CONSULTANT - 64801869 Pay Plan: Temp Position Number: 64801869 Salary: $47.00 Hourly… more