- CVS Health (Harrisburg, PA)
- …and evening hours._ _This positions hours will be M-F with Weekend/Holiday Rotation._ ** UM Nurse Consultant ** Fully Remote- WFH **Position Summary** ... UM Nurse Consultant Position Summary: ...UM Nurse Consultant Position Summary: UM ...function. **Required Qualifications** 3+ years of experience as an RN Active and unrestricted RN licensure in… more
- 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
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . CORE JOB SUMMARY The Registered Nurse 2 delivers patient-family centered ... standards of quality, safety, and service while ensuring population-specific patient care. The Registered Nurse 2 oversees nurses and allied health staff in… more
- 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
- CVS Health (Lansing, MI)
- …for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply clinical judgment and evidence-based criteria ... + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams...are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence… more
- CVS Health (Phoenix, AZ)
- …healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management ( UM ) Nurse to join our remote team. In this role, you'll ... of a computer. + Flexibility to provide coverage for other Utilization Management ( UM ) Nurses across various UM specialty teams as needed, ensuring continuity… more
- CVS Health (Atlanta, GA)
- …heart, each and every day. **Position Summary** CVS Aetna is seeking a dedicated **Appeals Nurse Consultant ** to join our remote team. In this role, you will ... with internal/external clinician support as required. + This position may support UM (includes expedited), MPO, Coding, or Behavioral Health appeals. + This is… more
- 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
- 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
- Bassett Healthcare (Cooperstown, NY)
- …p ositive results + Works collaboratively with unit staff (charge nurse , staff nurse ) unit manager, and support team ( UM , MSW, SW, etc) to progress each ... develops plans to optimize ROI + Serves as a consultant , coordinator and educator for the care coordination team...+ NYS Licensed Social Worker, required + Current NYS RN License if RN , required + Required… more
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