- Hired by Matrix (Camden, NJ)
- …process with insurers. Coordinates specific details of patient's hospitalization with Utilization Management department to ensure appropriate admission status. ... We even go the extra mile with our signature Consultant Appreciation Program (CAP) to help them in their...provider? If so, our client is hiring a Registered Nurse - Case Manager (Day). What You'll Do: Provides… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... Employees - Please click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a remote position)Will perform admit,… 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
- 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
- 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 (Columbus, OH)
- …remote and the candidate can live in any state. No travel is required. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... solutions to make health care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is 100%… more
- CVS Health (Austin, TX)
- … Consultant role is fully remote and employee can live in any state.As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... state regulated turn-around times. This includes reviewing written clinical records.The UM Nurse Consultant job duties include (not all encompassing):- Reviews… more
- CVS Health (Austin, TX)
- …to make health care more personal, convenient and affordable. Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes ... Qualifications + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN...(twice per month) Preferred Qualifications + Prior Authorization or Utilization Management experience + Managed care experience… 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 (Trenton, NJ)
- …health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills...external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications - 3+… 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 ... and external constituents in the coordination and administration of the utilization /benefit management function.Required Qualifications* 3+ years of experience… 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)
- …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 (Baton Rouge, LA)
- …Required Qualifications + 5+ years of clinical experience + 1+ year(s) of utilization management , concurrent review and/or prior authorization experience + 5+ ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in… more
- CVS Health (Springfield, IL)
- …- 3+ years of clinical experience - Managed Care experience - Utilization management experience Education Associates degree required BSN preferred Pay ... and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with… 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 (Carson City, NV)
- …and external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working environment with ... programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other internal… 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 (Columbus, OH)
- …rotation per business needs Preferred Qualifications - Prior authorization & utilization management experience - Outpatient Clinical experience - Knowledge ... internal and external constituents in the coordination and administration of the utilization /benefit management function. For more information on our benefit… more
