• Utilization Management Nurse

    CVS Health (Annapolis, MD)
    …that promote high- quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
    CVS Health (09/13/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
    CVS Health (09/14/25)
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  • Registered Nurse RN Lactation…

    HCA Healthcare (Houston, TX)
    …we support our colleagues in their positions. Join our Team as a Registered Nurse RN Lactation Consultant and access programs to assist with every stage ... more affordable to gain certifications and job skills. Apply today for our Registered Nurse RN Lactation Consultant opening and continue to learn! **Job Summary… more
    HCA Healthcare (08/09/25)
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  • Utilization Management Nurse

    CVS Health (Lansing, MI)
    …compassionate. And we do it all with heart, each and every day. **Utilization Management Nurse Consultant ** Fully Remote- WFH **Position Summary** Utilizes ... with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and… more
    CVS Health (09/10/25)
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  • Regional Nurse Consultant (M-F)

    NHS Management, LLC (Tallahassee, FL)
    …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems...care facilities to ensure that the highest degree of quality care can be provided to the residents at… more
    NHS Management, LLC (09/08/25)
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  • Nurse Consultant

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    Nurse Consultant Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $35.00 - $40.00 Hourly Job Category ... advancement to all our team members. Job Summary: The Nurse Consultant position is an external position...in drug availability, drug storage, and distribution + Conduct quality assurance audits prior to survey window to ensure… more
    Polaris Pharmacy Services, LLC (09/10/25)
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  • Hospice Nurse Consultant

    PruittHealth (Fayetteville, NC)
    **JOB PURPOSE:** The Nurse Consultant collaborates with the Senior Vice President Clinical Services and the hospice regional team to provide compliance support ... services to hospice agencies. The consultant is responsible for providing program evaluation, education and...operations and federal and state regulations. 2. Knowledge of Nurse Practice Act and acceptable standards of Nursing Practice… more
    PruittHealth (09/19/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …utilization/benefit management function. + UMNC meets set productivity and quality expectations. + Effective communication skills, both verbal and written + ... products, services and/or benefit programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults… more
    CVS Health (09/20/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …day. MUST LIVE IN EASTERN STANDARD TIME ZONE **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
    CVS Health (09/20/25)
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  • Home Health Nurse Consultant RN…

    PruittHealth (Norcross, GA)
    **HomeHealth Consultant position - Hybrid and Travel opportunity!** **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by ... projects as assigned. 8. Supports Home Health agencies in achieving high quality outcomes and patient satisfaction scores. 9. Demonstrates honesty and integrity at… more
    PruittHealth (09/20/25)
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