- CVS Health (Columbus, OH)
- …role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position ... in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review , you'll play a vital… more
- University of Colorado (Aurora, CO)
- ** Clinical Research Nurse ** **Description** **University of Colorado Anschutz Medical Campus** **Department: Medicine - Pulmonary, Allergy, and Critical Care ... Medicine** **Job Title: Clinical Research Nurse ** **Position #:00841365 - Requisition...Ensures compliance with each study's protocol by providing thorough review and documentation at each subject study visit. +… more
- Elevance Health (West Des Moines, IA)
- …Provider Finder and follows up with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for ... specialty care. + Processes incoming requests, collection of information needed for review from providers, utilizing scripts to screen basic and complex requests for… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, ... and cost-effective care. Additionally, this position oversees the Infection Control Nurse to ensure adherence to infection prevention protocols and regulatory… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …and clinical competencies for the position including certification as a Clinical Nurse Specialist (CCNS) from American Nurses Credentialing Center as a ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible... Clinical Nurse Specialist or from a VA-approved… more
- YAI (Brooklyn, NY)
- …disabilities and their families. Key/Essential Functions & Responsibilities: + Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet ... on a weekly basis for supervision to review duties and responsibilities. + Accountable for the day-to-day...and followed as directed. + Assume duties of the nurse supervisor when needed and provide coverage for and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …in a UM team within managed care setting. * 3+ years' experience in clinical nurse setting preferred. * TPA Experience preferred. *General Knowledge of HIPAA ... BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in… more
- Actalent (Newark, NJ)
- ** Clinical Research Nurse ** The primary purpose of the Clinical Research Nurse is to ensure the successful, patient-oriented, safe, and effective conduct ... Protocol Activation office to initiate and activate all new clinical trial protocols. + Prepare and review ...new clinical trial protocols. + Prepare and review study tools such as study binders, medication diaries,… more
- Stony Brook University (Stony Brook, NY)
- Research Nurse - Cancer Clinical Trials **Position Summary** The **Research Nurse ** for the Cancer Center Clinical Trials Department is responsible for ... of patient eligibility for protocol participation by way of chart review , data collection and patient evaluation/assessment identification. In addition, the… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more