• Utilization Management Nurse

    CVS Health (Tallahassee, FL)
    …of Florida. **Applicant must reside in Florida** . 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 for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated… more
    CVS Health (07/30/25)
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  • Home Health Nurse Consultant

    PruittHealth (Norcross, GA)
    **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by evaluating and educating agencies/facility staff for compliance with all ... and data analytics. **MINIMUM EDUCATION REQUIRED:** . Must be a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Therapist in the states where… more
    PruittHealth (07/04/25)
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  • Utilization Management Nurse

    CVS Health (Charleston, WV)
    …listening, speaking, and computer use. **Required Qualifications** + Active, unrestricted **Registered Nurse (RN) license** in state of residence + Minimum of **3 ... preferred + **Compact RN licensure** preferred + **Bachelor of Science in Nursing (BSN)** preferred **Education** + **Associate's degree in Nursing ** required… more
    CVS Health (07/26/25)
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  • Utilization Management Nurse

    CVS Health (Richmond, VA)
    …and written **Required Qualifications** * 2+ years of experience as a Registered Nurse in adult acute care/critical care setting * Must have active current and ... in EST zones **Education** * Associates Degree required * Bachelor's in Nursing and Science preferred **Anticipated Weekly Hours** 40 **Time Type** Full time… more
    CVS Health (08/01/25)
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  • Lactation Consultant (IBCLC) - Inpatient…

    University of Rochester (Rochester, NY)
    …Regular Time Type: Full time Scheduled Weekly Hours: 36 Department: 500317 Lactation Consult- Nursing /SMH Work Shift: UR - Day (United States of America) Range: UR ... care services and assumes an expanded role which may include charge nurse , preceptor, and committee member responsibilities. FT (36 hours) Days including weekend… more
    University of Rochester (07/31/25)
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  • Utilization Management Nurse

    CVS Health (Baton Rouge, LA)
    …ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that must hold an unrestricted license in their state of residence, ... prior authorization. + Remote work experience. **Education** + Associate degree in nursing RN required. + BSN preferred. **Anticipated Weekly Hours** 40 **Time… more
    CVS Health (07/30/25)
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  • Utilization Management Nurse

    CVS Health (Jefferson City, MO)
    …and written **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must have active current and ... those residing in Central and Mountain zones **Education** + Associates Degree in Nursing Required + BSN Preferred **Anticipated Weekly Hours** 40 **Time Type** Full… more
    CVS Health (07/30/25)
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  • Health Coach Consultant - Registered…

    CVS Health (Salt Lake City, UT)
    …every day. Must live in MST **Position Summary** The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, ... to engage, educate, promote and influence member's decisions related to achieving and maintaining optimal health status. - Assessment of members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs… more
    CVS Health (08/02/25)
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  • Utilization Management Nurse

    CVS Health (Dover, DE)
    …a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring, ... distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of clinical experience. +… more
    CVS Health (08/01/25)
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  • QM Nurse Consultant

    CVS Health (Topeka, KS)
    …years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence ... - Must have experience using Microsoft Office products, including Outlook and Excel, and previous experience using Internet Explorer and Google Chrome to effectively utilize review resources and conduct reviews. - **_Must be willing to work Monday through… more
    CVS Health (08/03/25)
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