- Adecco US, Inc. (Minneapolis, MN)
- …**Pay** : $40.00 - $43.25 per hour based on experience **Responsibilities of the Utilization Management Nurse ** : . Responsible for reviewing proposed ... benefit determination. . Generally work is self-directed and not prescribed. . The Utilization Management Nurse works under the direct supervision of an RN… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- Summary This Utilization Management Nurse position is located in Nursing Service at the VA Providence Medical Center. This position is full-time at 40 hours ... per week. Responsibilities The Utilization Management (UM) registered nurse (RN) is responsible for monitoring and ensuring that Veterans that are… more
- Actalent (Sunrise, FL)
- Actalent is hiring a Utilization Management Nurse ! Job Description The Utilization Management Nurse (UMN) collaborates closely with the ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + InterQual + Milliman Commercial Guidelines… more
- CVS Health (Tallahassee, FL)
- …anywhere in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- CVS Health (Harrisburg, PA)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant, you will utilize clinical skills ... Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN...of clinical experience in acute or post-acute setting - Utilization management is a 24/7 operation. Work… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CVS Health (Harrisburg, PA)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute… more
- CVS Health (Baton Rouge, LA)
- …is Monday-Friday, 8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant, you will utilize clinical ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more
- Actalent (Santa Barbara, CA)
- Utilization Management Nurse (RN) - Santa Barbara, CA Hourly Rate: $50-$53/hr Location: On-site in Santa Barbara, CA Schedule: Full-time, Monday-Friday (no ... a detail-oriented and compassionate Registered Nurse to join a high-performing Utilization Management team supporting outpatient specialty care. This role is… more
- Humana (Charleston, WV)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more