- Truman Medical Centers (Kansas City, MO)
- …myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Corporate Clinical Nurse Consultant RN-Behavioral Health ... It also is home to a 188-bed, fully accredited long -term care center. **UH Behavioral Health** is the KC...and consulting to outside organizations. **Job Description** The Corporate Clinical Consultant functions as educator, consultant… more
- GEHA (Lee's Summit, MO)
- …member contact and/or clinical and/or plan policy development and management. The Nurse Consultant II will be involved in research and development for ... a personalized customer experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our members… more
- HCA Healthcare (Trinity, FL)
- …Florida Trinity Hospital have the opportunity to make a real impact. As a(an) Registered Nurse RN Lactation Consultant you can be a part of change. **Benefits** ... positive outcomes for your patients as a (an) Registered Nurse RN Lactation Consultant . We want your...Nurse for our Obstetrics Unit. You will provide clinical expertise and teaching to ensure all patients receive… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …highly qualified candidates VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for ... up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/ long -term care (many federal insurance programs can be carried into retirement)… more
- CVS Health (Harrisburg, PA)
- …100% remote and the candidate can live in Pennsylvania. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant...life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous… more
- Veterans Affairs, Veterans Health Administration (Eugene, OR)
- …office after complete review of the EDRP application. Responsibilities The Nurse Infection Preventionist/Quality Management Consultant (IPQMC) is responsible for ... professional development of healthcare professionals. Serves as an education resource and consultant for all Roseburg VA Health Care System (RVAHCS) staff including… 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 ... RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas... clinical setting with diverse cultural dynamics of clinical staff and patients. Education Registered Nurse :… more
- CVS Health (Hartford, CT)
- …of problem solving and decision making skills Position Summary The Appeals Nurse Consultant position is responsible for processing the medical necessity ... zone of residence. Position OverviewAdministers review and resolution of clinical complaints and appeals. Interprets data obtained from ...a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties… more
- Elevance Health (Rancho Cordova, CA)
- …you a check, or ask you for payment as part of consideration for employment. **Wellness Nurse Consultant ** + Job Family: MED > Licensed Nurse + Type: Full ... Rancho Cordova + California, Oakland + California, Vacaville **Description** **Wellness Nurse Consultant ** **Sign Bonus: $5000** At **Federal Health Products… more
- CVS Health (Hartford, CT)
- …with occasional rotational weekend and holiday coverage. Position Summary The Appeals Nurse Consultant position is responsible for processing the medical ... a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties...duties may include, but are not limited to: requesting clinical , research, extrapolating pertinent clinical , applying appropriate… more
- CVS Health (Columbus, OH)
- …pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative ... to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any… more
- CVS Health (Columbus, OH)
- …a work at home position and employee can live in any state. As a Utilization Nurse Consultant you will utilize clinical skills to coordinate, document and ... motivated team environment and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity, applies clinical… more
- CVS Health (Springfield, IL)
- …6:00 pm in EST zone with rotating weekends and holidays. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process ... care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in… more
- CVS Health (Carson City, NV)
- …required 100% participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical telephone queue working with providers ... additional information for prior authorization reviews. -This candidate will utilize clinical skills to coordinate, document and communicate all aspects of the… more
- Vatica Health (Atlanta, GA)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant , you will collect, review and analyze patient data to ... + Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)-...and Flexible Spending Account + Life insurance, short-term, and long -term disability Happiness + 4 weeks of PTO (Everyone… more
- Vatica Health (Warren, PA)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant , you will collect, review and analyze patient data to ... + Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)-...Tax-free Dependent Care Account + Life insurance, short-term, and long -term disability Happiness + 4 weeks of PTO (Everyone… more
- CVS Health (Austin, TX)
- …personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical experience ... to facilitate appropriate infertility services/benefits for members. + Gathers clinical information and applies the appropriate clinical ...+ 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN… more
- CVS Health (Springfield, IL)
- …The QM Consultant reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies ... according to HFS quality strategy and ABHIL population health model. The QM Consultant directs analysis and reporting of member and provider data to monitor… more
- CVS Health (Springfield, IL)
- …care more personal, convenient and affordable. Position Summary The QM Consultant has a key role in developing and implementing data-driven strategies/interventions ... of high quality health benefits and services for members. The QM Consultant manages specific vendor relationships that support member engagement and promote… more
- CVS Health (Hartford, CT)
- …business hours 8a-5p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical necessity of ... Primary duties may include, but are not limited to: Requesting clinical , research, extrapolating pertinent clinical , applying appropriate Medicare Guidelines,… more