- Prime Therapeutics (Columbus, OH)
- …every decision we make. **Job Posting Title** Senior Project Solution Manager ( Utilization Management ) - Remote **Job Description Summary** Responsible ... and summarizing progress of projects. Prepares reports for upper management regarding status of project. Familiar with a variety...+ For clinical related roles, clinical licensure (eg, LPN, RN , LCSW, LMSW) is preferred. + 7+ years of… more
- Commonwealth Care Alliance (Boston, MA)
- …We're Looking For:** Qualifications: + Bachelor's Degree or equivalent experience, Masters preferred + Registered Nurse ( RN ) in the State of Mass, preferred ... and leadership with the development, refinement and enhancement of utilization management workflows, policies and procedures. +...minimum of 3 years relevant work experience as an RN or equivalent professional experience. + Management … 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
- 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 ) with compact… more
- CVS Health (Albany, NY)
- …both verbal and written Required Qualifications + 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN licensure ... care more personal, convenient and affordable. Medicare Predetermination team: 100% remote positionHours: Monday through Friday, 9:00am -5:30pm EST. + Utilizes… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Humana (Oklahoma City, OK)
- …documentation, and communication of medical services and benefit administration determinations. The Utilization Management Nurse 2's work assignments are ... barriers to helping people achieve their best health. The Utilization Management (UM) Nurse 2...+ Must Reside in Oklahoma + An active Licensed Registered Nurse ( RN ), a licensed… more
- CVS Health (Sandy, UT)
- …in the state of residence (LMSW, LCSW, LISW, LPC, or comparable) or Registered Nurse licensure with psychiatric specialty, certification, or experience in state ... required if social worker, MSW, LCSW, Behavioral /mental health services or if Registered Nurse , Associates degree required, BSN preferred Pay Range The typical… more
- CVS Health (New York, NY)
- …a unique hybrid position that will support the an external provider team as a Float Registered Nurse . This position will help to help cover for the team if and ... Through broad knowledge of clinical care the Home Health Utilization RN evaluates, predicts, and facilitates the...and/or sub-acute rehabilitation preferred. Education Associate degree minimum as registered nurse Pay Range The typical pay… more
- Banner Health (Mesa, AZ)
- …people the tools they need to perform at their best. As a Medical/Surgical Float Registered Nurse RN you will provide patient care throughout the facility ... investing in leading-edge technology such as electronic medical records, remote intensive care monitoring and one of the nation's...care setting within the past 12 months as a Registered Nurse in the specialty area. Banner… more
- Banner Health (Sun City, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... We have the capability of utilizing up to 16 remote cardiac monitors which are monitored from a centralized...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Geisinger (Wilkes-Barre, PA)
- …Administration/ Management (Preferred) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; Basic ... Geisinger is proud to offer a full time Inpatient RN up to $26,000 hiring incentive for eligible candidates!...please contact Tiffany Nino at ###@geisinger.edu Job Description The Registered Nurse assesses plans, organizes, performs, and… 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! $37.25 minimum hiring rate with increased… more
- Geisinger (Wilkes-Barre, PA)
- …(Required), Bachelor's Degree-Nursing (Preferred) Experience Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania; ... Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible candidates! $35.88 minimum hiring rate with increased rates for… more
- Banner Health (Sterling, CO)
- …or admiring unique public art. Sterling Regional MedCenter is looking for a per diem Registered Nurse to work as a shift lead in Sterling, Colorado. In this ... clinical teams at the facility. One year prior charge nurse experience is desired. This position does not have...This position provides operational supervision of campus workflow, resource utilization and management , and operations for all… more
- Banner Health (Gilbert, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... A vital member of the team includes our clinical nurse navigators who work closely with patients, guiding them...survivors! Join our Growing Team! As an Associate Director, RN , you will have the opportunity to support the… more
- Banner Health (Gilbert, AZ)
- **Primary City/State:** Gilbert, Arizona **Department Name:** Cancer Nurse Navigators-Clinic **Work Shift:** Day **Job Category:** Clinical Care Explore and excel. ... A vital member of the team includes our clinical nurse navigators who work closely with patients, guiding them...electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients… more
- Banner Health (Gilbert, AZ)
- …ED, Dialysis, Oncology or Telemetry. Must have a working knowledge of care management , resource/ utilization management , and hospital and community resources. ... cell transplantation, including graft versus host disease. As a ** RN Stem Cell Transplant Coordinator** , you'll oversee coordination...8:30am - 4:30pm _If you are a New Graduate Nurse with less than 12 months of experience, please… more
- CVS Health (Tallahassee, FL)
- …care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state. ... is no travel expected with this position. As a Utilization Management Nurse Consultant, you...management function. Required Qualifications: - Must be an RN with active current and unrestricted RN … more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any ... 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