- ambercare (Albuquerque, NM)
- …Bachelor's degree in Nursing; Master's degree preferred. Current state licensure as a Registered Nurse . Five years of healthcare experience; 3 years of home ... This position requires fifty percent travel and fifty percent remote work. Nursing license in the State of NM...in-person training and content development for an on-line Learning Management System (LMS) Develops yearly educational plan to ensure… more
- Bluestone Physician Services (Appleton, WI)
- …with primary care teams to ensure high quality team-based care Use utilization management tools to facilitate appropriate transitional care management ... engage with providers to identify high risk patients Qualifications: Education/Certification/Experience Registered Nurse or Licensed Social Worker 3-5 years of… more
- Kaiser Permanente (Pleasanton, CA)
- …in nursing, case management , or a directly related field. Registered Nurse License (California) required at hire Additional Requirements: Knowledge, ... case managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post… more
- CVS Health (Richmond, VA)
- …and every day. **Position Summary** The Utilization Management (UM) Nurse Consultant is a remote , full-time role responsible for evaluating the medical ... external stakeholders. The position also involves coaching healthcare staff on utilization management principles and contributing to policy development.… more
- CVS Health (Phoenix, AZ)
- …+ Licensed Professional Counselor (LPC) + Licensed Marriage and Family Therapist (LMFT) + Registered Nurse ( RN ) + Associate-level licenses may be considered ... it all with heart, each and every day. **Location:** Remote (Arizona residents only) **Travel:** Occasional travel up to...and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of… more
- CVS Health (Topeka, KS)
- …have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends ... skills, both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must… more
- CVS Health (Charleston, WV)
- …of sitting, listening, speaking, and computer use. **Required Qualifications** + Active, unrestricted ** Registered Nurse ( RN ) license** in state of residence ... all with heart, each and every day. **Position Summary** This is a **fully remote position** open to applicants residing in the **Eastern Standard Time Zone** .… more
- CVS Health (Richmond, VA)
- …and computer use **Required Qualifications** + Must have active, current and unrestricted RN licensure in state of residence with at least an Associate's Degree + ... . Virginia resident preferred . Previous prior authorization experience . Compact RN licensure preferred **Education** + Associates degree required + BSN preferred… more
- CVS Health (Richmond, VA)
- …and computer use Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence - 3+ years of clinical experience - ... prior authorization experience - Virginia resident preferred - Compact RN licensure preferred Education: Associates degree required BSN preferred **Anticipated… more
- CVS Health (Charleston, WV)
- …more compassionate. And we do it all with heart, each and every day. ** Utilization Management Clinical Consultant** ** Remote - West Virginia** Schedule is ... function. Required Qualifications: + Licensed independent Behavioral Health clinician or a Registered Nurse ( RN ) with unrestricted state license with… more
- CVS Health (Frankfort, KY)
- …KENTUCKY - SEE REQUIRED QUALIFICATIONS FOR LICENSING DETAILS_** This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking...LMFT, LPAT_** **_) - OR - Active unrestricted Compact Registered Nurse ( RN ) license with… more
- Ochsner Health (New Orleans, LA)
- …discharge plans based on patient's individualized needs. Registered Nurse ( RN ) Case Manager - Case Management OMC Jefferson Highway PRN To perform ... experience in discharge planning, case management or utilization review. **Certifications** Required - Current registered ...or utilization review. **Certifications** Required - Current registered nurse license in state of practice.… more
- Geisinger (Danville, PA)
- …Specialty Training Program-Nursing (Required) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Please note this is NOT a remote position. Geisinger is proud to offer an Inpatient RN a $41.00 minimum hiring rate with increased rates for… more
- Geisinger (Danville, PA)
- …Specialty Training Program-Nursing (Required) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Geisinger is proud to offer a full time Inpatient RN up to $24,000 hiring incentive for eligible candidates! $40.00 minimum hiring rate with increased… more
- SSM Health (St. Louis, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... Integrated Health Technologies **Worker Type:** Regular **Job Highlights:** Note:** Remote work is not available until after two years,...Registered Nurse ( RN ) - Missouri Division of Professional… more
- ChenMed (Miami, FL)
- …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
- CVS Health (Oklahoma City, OK)
- …in a dynamic, fast-paced setting **Preferred Qualifications** + Experience in ** utilization management ** , **precertification** , or **prior authorization** + ... and every day. **Position Summary** This is a **fully remote role** with a requirement to **reside in Oklahoma**...with a requirement to **reside in Oklahoma** . The nurse in this position uses clinical expertise in a… more
- Trinity Health (Mishawaka, IN)
- …approach This is NOT a remote position.** **_About the job:_** The licensed Registered Nurse ( RN ) plans & provides professional nursing services & ... in one of the following: Certified Acute Care Virtual Registered Nurse (CAVRN), Acute/critical care nursing (CCRN),...Nurse (CEN), Cardiac Medicine (CMC), Certified Med Surg RN (CMSRN), Certified Neuroscience RN (CNRN), Certified… more
- SSM Health (MO)
- …Two years' registered nurse experience and three years' utilization management experience, with two years' of demonstrated progressive leadership ... Wisconsin. **Job Summary:** Oversees the system wide day-to-day operational management of Utilization Management (UM)...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by… more
- AdventHealth (Altamonte Springs, FL)
- …injuries and rehabilitation is essential **LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:** + Active Registered Nurse ( RN ) license in the state of ... **Location:** Remote **The role you'll contribute:** A Workers Comp Support Registered Nurse is responsible for providing telephonic medical case … more
