- CVS Health (Columbus, OH)
- … organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **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… more
- Saratoga Hospital (Saratoga Springs, NY)
- …and Pain Management team. No evening or weekend call. The Nurse Practitioner or Physician Assistant serves as an additional patient care provider, augmenting ... Saratoga Hospital Medical Group - Pain Management Compensation: $120K - $154K (Range based on years of experience.) Saratoga Hospital Medical Group - Pain … more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a **Utilization Management Registered Nurse (RN)** for a full-time position supporting the 2d Medical Group, Barksdale ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- CVS Health (Lansing, MI)
- …compassionate. And we do it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ... evening hours._ _Weekends: F/S/S/M 10 hour shifts_ **UM Nurse Consultant** Fully Remote- WFH **Position Summary** UM Nurse Consultant Position Summary: UM … more
- Blue KC (Workman, MN)
- …to the member's knowledge level and learning style. + Meets individual quality performance standards and annual targets for program performance as mutually agreed ... to by management team to maximize program value. Ensures compliance with...state and federal regulations. + Valid and active Registered nurse (RN) in Missouri and Kansas. + Valid and… more
- McLaren Health Care (Bay City, MI)
- …D/C). 4. Identifies unsigned level of care (LOC) orders; communicates with utilization management nurse and obtains orders from providers. 5. Reviews current ... in utilization management /case management , critical care, or patient outcomes/ quality management + Certification in Case Management Certification… more
- Henry Ford Health System (Detroit, MI)
- …bonus available for qualified experienced candidates with current 2 years RN Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case ... rights and ensure access to necessary services and support. Quality Improvement: + Analyze patient outcomes and identify opportunities...with at least two years of acute care case management experience is acceptable. + ADN candidates must enroll… more
- UCLA Health (Los Angeles, CA)
- …and denial management , education and provider support, and data and quality reporting for referrals for Medicare Advantage population enrolled under UCLA Medical ... of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse performs utilization review of medical necessity and appropriateness, cost containment… more
- CVS Health (Baton Rouge, LA)
- …8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, ... management function. + Working environment with productivity and quality expectations. + Work requires the ability to perform...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more
- Cedars-Sinai (CA)
- **Job Description** The Manager, Certified Registered Nurse Anesthetist (CRNA) provides leadership, direction, and guidance to CRNAs and Student Registered Nurse ... Anesthetists (SRNAs) and manages nursing and administrative operations of nurse anesthesiology. The Manager, CRNA will oversee all aspects of CRNA and SRNA work… more