• Utilization Management Nurse

    CVS Health (Madison, WI)
    …extended periods of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and ... fully remote role open to candidates with an active RN licensure in the state in which they reside....and benefit utilization. **Required Qualifications** + Active and unrestricted RN licensure in the state of residence + Willingness… more
    CVS Health (07/23/25)
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  • Registered Nurse - Case Manager

    ERP International (Yuma, AZ)
    **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... Credentialing Center (ANCC). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
    ERP International (07/22/25)
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  • Registered Nurse 2 - Pain Center…

    University of Miami (Miami, FL)
    …review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . JOB DESCRIPTION UM Title: Senior Registered Nurse ... Pain Management Nurse will be a professional registered nurse who administers care using the...and variances to the plan of care. Documents in UM Care program intra-procedure assessment of patient condition. Planning… more
    University of Miami (07/02/25)
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  • Registered Nurse 1 - OPD/Spine…

    University of Miami (Miami, FL)
    …a system that elevates any abnormal results (non - critical values) to the nurse who in turn will contact the physician accordingly 5. Ens ures that patients ... as per physician orders and within the scope of RN licensure 7. Renders dire ct patient care by...teaching using available resources and tools. 12. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments.… more
    University of Miami (06/21/25)
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  • Registered Nurse 2 - Pediatric…

    University of Miami (Miami, FL)
    …Employees Include Percent of Effort): Meets requirements of Clinical Trials Chemotherapy Nurse 50% Works closely with the medical director and the pediatric nursing ... protocol and clinical practice standards. Provides documentation to the Research Nurse / Nurse Coordinators, and/or Research Staff/Data Managers. Meets study… more
    University of Miami (07/02/25)
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  • Registered Nurse 2 - Chemotherapy…

    University of Miami (Miami, FL)
    …Percent of Effort): Meets requirements of Clinical Trials Senior Chemotherapy Nurse 30% Administers research study agents, standard chemotherapy and biotherapy ... clinical protocol and clinical practice standards. Provides documentation to the Research Nurse and/or Data Manager. Meets study timelines and objectives as defined… more
    University of Miami (06/25/25)
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  • Quality Management Nurse Consultant

    CVS Health (Blue Bell, PA)
    …do it all with heart, each and every day. **Position Summary** The Quality Management Nurse Consultant (QMNC) role is a fast paced position in the Clinical ... **Required Qualifications** + 3 years managed care experience, including Utilization Review Registered Nurse that must hold an unrestricted license in their… more
    CVS Health (07/26/25)
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  • Utilization Management Clinical Nurse

    CVS Health (Phoenix, AZ)
    …to work on Arizona time zone. No weekends, holidays are required. The UM Clinical Consultant utilizes clinical skills to coordinate, document and communicate ... practice experience + Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure + Working hours will be 8am-5pm, Monday -… more
    CVS Health (07/26/25)
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  • Quality Management Nurse Consultant

    US Tech Solutions (RI)
    …+ MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... of Milliman/MCG. + MUST HAVE 6 months of Prior Authorization. **Education:** + RN with current unrestricted state licensure **About US Tech Solutions:** US Tech… more
    US Tech Solutions (07/18/25)
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  • Supervisor, Utilization Management RN

    LA Care Health Plan (Los Angeles, CA)
    …an enthusiastic team player. Must be able to work independently. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... that purpose. Job Summary The Supervisor of Utilization Management ( UM ) RN is responsible for executing the...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
    LA Care Health Plan (07/08/25)
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  • Utilization Management Clinical Consultant

    CVS Health (Phoenix, AZ)
    …+ Licensed Professional Counselor (LPC) + Licensed Marriage and Family Therapist (LMFT) + Registered Nurse ( RN ) + Associate-level licenses may be considered ... + Knowledge of Behavioral Health Outpatient Services. + Utilization Management ( UM ) Experience. **Education** + Master's degree required for behavioral health… more
    CVS Health (07/13/25)
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  • Advanced Practice Professional (NP) D. Dan…

    University of Michigan (Ann Arbor, MI)
    …Recruitment at ###. **Required Qualifications NP: - Current licensure to practice as a Registered Nurse and Nurse Practitioner specialty certification in the ... as needed to share clinical condition changes, new laboratory results, consultant recommendation etc. on the neurosurgical and neurology patients. After appropriate… more
    University of Michigan (07/19/25)
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