- CVS Health (Harrisburg, PA)
- …live in any state. There is no travel expected with this position. 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 Consultant...Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence - 3+ years… more
- CVS Health (Harrisburg, PA)
- …Consultant role is 100% remote and the candidate can live in Pennsylvania. 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 for ensuring the member is receiving the… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Kentucky compact… more
- Humana (Pierre, SD)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in Illinois,… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical ... management function. Required Qualifications + 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN … more
- CVS Health (Columbus, OH)
- …and deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote ... external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications + 3+...3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of… more
- Kepro (Indianapolis, IN)
- …health solutions in the public sector. Acentra is currently looking for a Utilization Management Appeals Nurse - LPN/ RN to join our growing team. Job ... Summary: Our Utilization Management Appeals Nurse - LPN/ RN ...applicable to the position assignment. Required Qualifications/Experience: + Active Registered Nurse ( RN ) or Licensed… more
- AdventHealth (Tampa, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing patient ... . Current and valid license to practice as a Registered Nurse (ADN or BSN) required. ....care clinical nursing experience required. . Minimum two years Utilization Management experience, or equivalent professional experience.… more
- Cedars-Sinai (Los Angeles, CA)
- …Motions, Eye/Hand/Foot Coordination **Req ID** : 1261 **Working Title** : Registered Nurse - Utilization Management - 8 Hour Days **Department** : ... an accredited nursing program Bachelor's Degree Nursing preferred **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3... Utilization Management **Business Entity** : Cedars-Sinai Medical Center **Job Category**… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management /Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, ... Center Appeals and Grievances (A&G) Nurse Specialist Registered Nurse ( RN ) II provides...skills. Computer literacy and adaptability to computer learning. Time management and priority setting skills. Must be organized and… more
- CVS Health (Plantation, FL)
- …clinical setting with diverse cultural dynamics of clinical staff and patients. Education Registered Nurse : Diploma, Associates degree in Nursing or greater. Pay ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical experience and skills in a… 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 ... communicate all aspects of the utilization /benefit management program. You would be responsible...and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity, applies… more
- ProgenyHealth (Elk Grove Village, IL)
- …electronic medical record. + May include evening and/or weekend on call. Qualifications + Registered Nurse ( RN ) with a current, unrestricted license is ... ProgenyHealth is a leading provider of care management solutions for premature and medically complex newborns. Our program promotes appropriate utilization ,… more
- CVS Health (Jefferson City, MO)
- …is a permanent weekend position Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... external constituents in the coordination and administration of the utilization /benefit management function.- Typical office working environment...be required per department needs - Must obtain CA RN license within 6 months of hire - 12.5%… more
- CVS Health (Harrisburg, PA)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...Some holidays may be required - Must obtain CA RN license within 6 months of hire - 12.5%… more
- CVS Health (Columbus, OH)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...acute setting - Must have active current and unrestricted RN licensure in state of residence - Must be… more
- CVS Health (Trenton, NJ)
- …skills, both verbal and written Required Qualifications- 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… more
- CVS Health (Columbus, OH)
- …in New Albany OH, Chandler AZ or High Point NC Precertification Nurse Case Manager is responsible for telephonically assessing, planning, implementing and ... coordinating all case management activities with members to evaluate the medical needs...Qualifications: - Must have active, current and unrestricted compact RN state licensure - Must reside in New Albany… more