- CVS Health (Atlanta, GA)
- …and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active current and ... unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours **Preferred Qualifications** - 2+ years of clinical experience required in med surg or specialty… more
- CVS Health (Harrisburg, PA)
- …required. **Required Qualifications** + 3+ years clinical practice experience as a Registered Nurse preferably in an acute setting (ex: OR, ER, ICU, med surg, home ... health, pediatrics, NICU, PICU) + Must have current active and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and evening hours. + 2+ years of experience using… more
- CVS Health (Richmond, VA)
- …for 11-8pm EST M-F** **Required Qualifications** 1+ years experience as a Registered Nurse , with an unrestricted license in state of residence. 1+ years of clinical ... experience **Preferred Qualifications** Utilization Management experience Managed Care Experience Proficiency in grammar and syntax Ability to multi-task **Education** Associates or bachelors degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay… more
- CVS Health (Carson City, NV)
- …in Pacific Standard Time Zone + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must have active current and unrestricted ... RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. **Preferred Qualifications** + 2+ years of clinical experience required in med surg or specialty area. +… more
- CVS Health (Phoenix, AZ)
- …healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the ... forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll collaborate with providers, navigate multiple systems, and contribute to a mission-driven organization that… more
- CVS Health (Springfield, IL)
- …- Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- Sutter Health (Sacramento, CA)
- …of an accredited school of nursing. **CERTIFICATION & LICENSURE:** + RN-Registered Nurse of California + IBLCE-Certified Lactation Consultant + BLS-Basic Life ... Support Healthcare Provider **TYPICAL EXPERIENCE:** + 2 years recent relevant experience + Seasoned acute hospital Lactation RN - preferred **SKILLS AND KNOWLEDGE:** + Maternal-infant assessment skills. + Organizational skills with ability to prioritize,… more
- US Tech Solutions (RI)
- …+ Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from clinical records or ... systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. + Independently coordinates the clinical resolution with internal/external clinician support as required.… more
- US Tech Solutions (May, OK)
- …Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or ... systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues. Independently coordinates the clinical resolution with internal/external clinician support as required.… more
- City of New York (New York, NY)
- Job Description Consultant Public Health Nurse , 25 hours/Week (Part-time) The Bureau of Public Health Clinics has the mission of improving the sexual heath of ... New York City (NYC). The Bureau seeks to hire 1 part-time Consultant Public Health Nurse . This position will be working closely with the Regional Nursing… more