- CVS Health (Trenton, NJ)
- …on rotation. No travel is required.Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in a ... on our benefit programs, please visithttps://jobs.cvshealth.com/employee-benefits (https://protect-usb.mimecast.com/s/HChtCEKL7mupo2P4Q84HN2Ovk?domain=jobs.cvshealth.com) Required Qualifications Registered Nurse in state of residence 3+… more
- CVS Health (Harrisburg, PA)
- …skills, both verbal and written Required Qualifications + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have ... active current and unrestricted RN licensure in state of residence + Must possess 1+ years of clinical experience in acute or post-acute setting + Must be available… more
- CVS Health (Topeka, KS)
- …of equipment experience including phone, computer, and clinical documentation systems + A Registered Nurse that must hold an unrestricted license in the state ... of Kansas, with multi-state/compact privileges and be willing and able to be licensed in all non-compact states + Must be willing and able to work Monday through Friday, 8:00am to 5:00pm CST. + Must be willing and able to work weekend/holiday coverage rotation… more
- CVS Health (Lansing, MI)
- …referral as needed. Required Qualifications + Must have active, current and unrestricted RN licensure in state of residence + 3+ years of clinical experience + ... Must be wiling and able to work Monday - Friday 8 am - 5 pm EST with occasional weekend/holiday on-call + Position requires proficiency with computer skills which includes navigating multiple systems + Ability to work in a fast paced environment Preferred… more
- CVS Health (Raleigh, NC)
- …(typically 1 holiday per year). There is no travel expected with this position. This UM Nurse Consultant position is part of Aetna's Commercial Care ... turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties...Required Qualifications - Must have active current and unrestricted RN licensure in state of residence - 2+ years… more
- CVS Health (Columbus, OH)
- …9:30am-6:00 pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a ... care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is...3+ years of experience as a Registered Nurse + Must hold active and unrestricted RN… more
- CVS Health (Lansing, MI)
- … role is fully remote and employee can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process ... Required Qualifications - 3+ years of experience as an RN - 1+ years of inpatient hospital experience -...populations - MCG experience - Managed care experience - UM Certification - MedCompass - 1+ year(s) of inpatient… more
- CVS Health (Columbus, OH)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management ( UM ) Nurse Consultant role is fully remote and employee ... Time Holiday rotation 1-2 per year. CCR - Duals UM Nurse ConsultantUtilizes clinical experience and skills...3+ years of experience as a Registered Nurse * Must hold active and unrestricted RN … more
- CVS Health (Columbus, OH)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): ... personal, convenient and affordable. Position Summary: This Utilization Management ( UM ) Nurse Consultant role is...Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence - 3+ years… more
- CVS Health (Raleigh, NC)
- …and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all encompassing): ... care more personal, convenient and affordable. This Utilization Management ( UM ) Nurse Consultant role is...Required Qualifications: - Must have active, current and unrestricted RN licensure in state of residence -2+ years of… more
- CVS Health (Plantation, FL)
- …Spanish highly preferred + Compact RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas access to care + ... EST No nights, no weekends, and no holidays. The UM Nurse Consultant job duties...diverse cultural dynamics of clinical staff and patients. Education Registered Nurse : Diploma, Associates degree in Nursing… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position Summary Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan ... utilization/benefit management function. Required Qualifications - 3+ years of experience as an RN - 1+ years of inpatient hospital, med/surge experience - Must have… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse ( RN ) Case Manager to work the Directorate of Healthcare Operations ... be provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER ( RN ):...certification requirements as necessary. + Serves as advisor and consultant regarding development, implementation, and management of the MTF… more
- Bassett Healthcare (Cooperstown, NY)
- …Best-In-State Employer 2022! What you'll do The Emergency Department Registered Nurse Clinical Case Manager (Unit C3 RN ) will facilitate transitional care ... utilization of services and financial goals. The Emergency Department Registered Nurse Clinical Case Manager oversees the...status and level of care matches order. Collaborates with UM Nurse to assure that all payor… more
- The Arora Group (Annapolis, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse Case Manager in Annapolis, Maryland to provide care to active duty ... heroes, their families, and military retirees at Naval Branch Health Clinic Annapolis. Registered Nurse Case Manager is full-time position, 80 hrs/2 weeks, M-F… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **Branch Health Clinic Port Hueneme, ... 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)
- …Bonus: $25,000 T he Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research study agents including Phase I, standard ... the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the...as per physician orders and within the scope of RN licensure. 7. Renders direct patient care by assisting… more
- University of Miami (Miami, FL)
- …Up to $25,000 The Pediatric Chemotherapy Nurse will be a professional registered nurse who administers research study agents including Phase I, standard ... process' in the Pediatric Hematology/Oncology Clinic. In addition, the Pediatric Chemotherapy Nurse may assist in sedations and procedures in the treatment room in… more
- Kepro (Richmond, VA)
- …Required Qualifications/Experience: + Current and Active Licensure for the State of Virginia: Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), ... in the public sector. Acentra seeks a Behavioral Health UM Clinical Reviewer (part-time) to join our growing team....Determine approval or initiate a referral to the physician consultant and process physician consultant decisions, ensuring… more
- Sharp HealthCare (San Diego, CA)
- …**Shift End Time** Accredited Case Manager (ACM) - American Case Management Association (ACMA); California Registered Nurse ( RN ) - CA Board of Registered ... to identify areas of risk and act as a consultant to the facility based ICM leaders to develop...3 Years Acute Care Case Management experience. + California Registered Nurse ( RN ) - CA… more
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