- CenterWell (Augusta, ME)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** **Fully remote with requirement to reside in Florida.** + Utilization Management is a 24/7 operation and the work schedule may include ... **Required Qualifications** + Must have active, current and unrestricted RN licensure in Florida + Must reside in Florida...in Florida + 3+ years of clinical experience + Utilization Management is a 24/7 operation and… more
- CVS Health (Sacramento, CA)
- …+ Direct clinical experience in a hospital setting or prior Utilization Management experience. + Valid California unrestricted independent professional ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
- Atrius Health (Boston, MA)
- …system in the country. *SUMMARY * Under the direction of the Department Chief, Nurse Leader or designee, this registered professional nurse provides practice ... **Job:** **Nursing* **Organization:** **Internal Medicine* **Title:** *After Hours Adult Triage RN Evenings/Weekends/Holidays - Part Time - Remote * **Location:**… more
- CenterWell (Duluth, GA)
- …of Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license or Compact State RN ... **Branch Location** : Duluth, GA **This is not a remote or work-from-home position. This position requires you to...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Stanford Health Care (Palo Alto, CA)
- …affect the processes and outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure and/or Compact ... This is a hybrid role having a combination of remote and onsite as scheduled. Whether this would be...as scheduled. Whether this would be your first case management role or you are seasoned, here is your… more
- Centene Corporation (Chicago, IL)
- …IL** **Are you a passionate RN with a strong background in case management or utilization management within an inpatient setting? Join our dedicated ... 30 miles of Peoria.** **What We're Looking For:** + ** Registered Nurse ( RN ) with active...) with active Illinois license** + **Experience in case management and/or utilization review** + **Previous work… more
- University of Michigan (Ann Arbor, MI)
- …such as Allscripts + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management ** + Conduct clinical review ... RN CASE MANAGER: University Hospital (Care Management...Identify opportunities for cost reduction and participate in appropriate utilization management venues + Conducts referrals and… more
- Centene Corporation (New York, NY)
- …and determination of coverage for medically necessary health care services. Answers Utilization Management directed telephone calls; managing them in a ... benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for… more
- Centene Corporation (Austin, TX)
- …4-6 years of related experience. Bachelor's degree in Nursing preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... competitive benefits including a fresh perspective on workplace flexibility. ** Registered Nurse Case Manager needed in** **West...Med/Surg, Internal Medicine, LTC, SNF, or Nursing Rehab + RN Case Management and/or RN … more