• Utilization Management Nurse

    CVS Health (Hartford, CT)
    …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience… more
    CVS Health (04/26/24)
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  • Utilization Review Nurse Coordinator…

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    …Hospital (CVH (https://portal.ct.gov/DMHAS/CVH/Agency-Files/CVH Home-Page) ) + UNIT: ASSD Utilization Management Unit (Administrative Support Services Division) ... Utilization Review Nurse Coordinator (40 Hour)...Regulatory Requirements and private insurance as it relates to utilization review/ management and quality of care. +… more
    State of Connecticut, Department of Administrative Services (05/18/24)
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  • Appeals Nurse Consultant (Remote)

    CVS Health (Hartford, CT)
    …business hours 8a-5p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical necessity of ... in state of residence Preferred Qualifications Managed Care experience Utilization Management experience Appeals experience Pre Certification experience… more
    CVS Health (03/19/24)
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  • UM Nurse Consultant - Remote

    CVS Health (Hartford, CT)
    …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal...Qualifications + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN… more
    CVS Health (05/07/24)
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  • Nurse Manager Pre-Admission Evaluation

    Baystate Health (Springfield, MA)
    …Baystate Medical Center (BMC), a Magnet Hospital for Nursing Excellence seeks a ** Nurse Manager** to join our leadership team in the **Preadmission Evaluation Unit** ... six major areas: clinical practice, leadership, collaboration, professional development, management of the environment, and strategic planning. Incumbent demonstrates… more
    Baystate Health (05/04/24)
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