- CVS Health (Montgomery, AL)
- …opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal and external ... constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with productivity and… more
- CVS Health (Albany, NY)
- …we do it all with heart, each and every day. **Position Summary** This ** Utilization Manager ** position is with Aetna's Long-Term Services and Supports (LTSS) ... is for candidates to hold a **New York Registered Nurse ** License. This employee will work four - 10...unrestricted New York state licensure + 1+ year of Utilization review experience + 1+ year of clinical experience… more
- Elevance Health (Wallingford, CT)
- **Wellness Nurse Consultant ** **_$5000 Sign-on Bonus._** _Location: This position is primarily based in Connecticut, with occasional presentations in Maine, and ... and together we will drive the future of health care. The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized,… more
- Tenet Healthcare (Detroit, MI)
- … Review for the designated Market. Will support the advancement of Centralized Utilization Review as a leader, mentor, and consultant . Will execute on ... Group Director Utilization Review - 2506000536 Description : The Detroit...skills including ability to use PowerPoint. · Accredited Case Manager (ACM) or Certified Public Accountant (CPA) preferred, Six… more
- McLaren Health Care (Lansing, MI)
- …Under the direction of the Patient Care Coordinator or Patient Care Manager , the Certified Lactation Consultant independently provides consultations to ... or Practical Nurse by State of Michigan. * Certified Lactation Consultant (IBCLC) by the International Board of Lactation Consultant Examiners. * American… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of… more
- MyFlorida (Orlando, FL)
- HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: May 6, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Pay Plan: Career Service Position...Orange County. The incumbent serves as the Intensive Case Manager for clients accessing services directly at the SCC… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) ... with decision-making and process improvement. + Report to the Nurse Manager , and take direction from the...(RN-NCM) + National Academy of Certified Care Managers: Care Manager Certified (CMC) + Experience: + Referral Management/ Utilization… more
- Albany Medical Center (Albany, NY)
- …a changing environment. + Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure ... (United States of America) Salary Range: $86,650.99 - $134,309.04 The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate,… more
- ERP International (Port Hueneme, CA)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work case… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Nurse Manager is a registered nurse who has expertise in psychiatric nursing practice and has demonstrated leadership and management skills. The Nurse ... intensive care, general care units, and clinics as appropriate. The Nurse Manager works with Nursing Administration, Hospital Administration, Behavioral… more
- Albany Medical Center (Albany, NY)
- …(United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is accountable to facilitate the interdisciplinary team to plan, coordinate, ... care for assigned service line across the continuum of care. The Case Manager works proactively with the Quality Improvement Teams, patient care standards, Social… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** The Case Manager administers processes to coordinate and facilitate comprehensive care for individuals by ... providers. Serves as advocate for patients, ensuring effective communication, resource utilization , and continuous monitoring of their progress to promote positive… more
- Trinity Health (Mishawaka, IN)
- … nurse responsible for the patient, unit based resource nurses and the Nurse Manager of each unit. The CWOCN Consultant will also serve as a resource to ... for quality care. **JOB SUMMARY:** The inpatient **Certified Wound Ostomy Continency Consultant (CWOCN Consultant ), Registered Nurse ** will provide clinical… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Nurse Scientist position is responsible for leading the development, coordination, implementation, evaluation, and dissemination of nursing ... research activities. This position works closely with the Director and Manager for Nursing Science to strategically plan, and outline priority initiatives based on… more
- University of Utah (Salt Lake City, UT)
- …care planning based on current clinical and research information. 8. Collaborates with Nurse Manager in orientation of new employees and provides feedback ... **Open Date** 04/03/2025 **Requisition Number** PRN41558B **Job Title** PS Clinical Nurse Specialist **Working Title** Clinical Research Nurse **Job Grade**… more
- Bon Secours Mercy Health (Lorain, OH)
- …worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility ... excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute… more
- Defense Health Agency (Honolulu, HI)
- …the military and civilian facilities is informed of these guidelines. l. Acts as Nurse Consultant through holistic approach to address health care needs in ... visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ **Responsibilities** Serves as a Nurse Case Manager in order to provide… more
- Hartford HealthCare (Hartford, CT)
- …Residents, social worker, Nutritionist, Pharmacy Liaison, APRNs, RNs, MA/MAAs, a Case Manager and a Data Manager who provides compassionate care, excellence ... the framework for professional nursing practice, the Community Care Nurse Navigator is a registered nurse experienced...protocols and guidelines. This position reports to a Practice Manager . *Job Responsibilities:* * Functions as a member of… more