- Adventist Health (Lodi, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- Adventist Health (Glendale, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- Inova Health System (Fairfax, VA)
- Inova Health System is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in Fairfax, Virginia.Job Description & RequirementsSpecialty: Nurse ... NavigatorDiscipline: RNStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Oncology Nurse Navigator provides safe therapeutic care in a holistic… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant , educator, and evaluator to maintain and improve system services and to ... Current Georgia License to practice in a clinical profession (ie Registered Nurse , Pharmacist, Therapist, etc.) if individual has a clinical background. Educational… more
- Wellpath (Columbus, GA)
- …adhere to the organization's Code of Conduct.Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... activities, provides direct supervision, and serves as a resource and consultant to nursing staff.Monitors safety issues, evaluate service delivery and staff… more
- CVS Health (Raleigh, NC)
- …is part of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills ... make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live… more
- CVS Health (Columbus, OH)
- … Consultant role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization /benefit management program. You would be responsible...times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- CVS Health (Harrisburg, PA)
- …can live in any state. There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is fully remote and employee… more
- CVS Health (Bismarck, ND)
- …late shift up to 8:00pm EST zone (twice per month) Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical ... 1+ year(s) of Med/Surg experience Preferred Qualifications + Prior Authorization or Utilization Management experience + Managed care experience + MedCompass… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee ... pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Plantation, FL)
- …10:00 AM- 6:30 PM EST No nights, no weekends, and no holidays. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure ... to coordinate, document and communicate all aspects of the utilization /benefit management program. -Utilizes clinical experience and...RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas… more
- CVS Health (Columbus, OH)
- …is a work at home position and employee can live in any state. As a Utilization Nurse Consultant you will utilize clinical skills to coordinate, document and ... communicate all aspects of the utilization /benefit management program. You would be responsible...and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. Position Summary Duals UM Nurse Consultant Pennsylvania - Institutional Special Needs Plan (PA ISNP) ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+ years of… more
- CVS Health (Trenton, NJ)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. - Gathers clinical information and applies… more
- CVS Health (Columbus, OH)
- …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...Required Qualifications- 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN… more
- CVS Health (Tallahassee, FL)
- …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 (Jefferson City, MO)
- …and external constituents in the coordination and administration of the utilization /benefit management function.- Typical office working environment with ... weekend position Required Qualifications - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of… more
- CVS Health (Trenton, NJ)
- …work occasional holiday and weekends depending on business needs Preferred Qualifications - Utilization management experience - Managed care experience - Must be ... services. Maintains accurate and complete documentation to meet risk management , regulatory, and accreditation requirements. Promotes communication, both internally… more
- CVS Health (Phoenix, AZ)
- …and services both inpatient and outpatient services requiring precertification. + Utilization Management nurses use specific criteria to authorize ... training required 100% participation during 8:30am-5pm Monday-Friday EST. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more
- CVS Health (Phoenix, AZ)
- …talking, listening and computer useRequired Qualifications + 1+ year varied Utilization Management experience within an inpatient/Outpatient setting, concurrent ... 3 weeks training with 100% participation during 8:30am-5pm Monday-Friday. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more
