- CVS Health (Springfield, IL)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… 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 ...This position will serve as a resource person and consultant to the interdisciplinary team for problem solving related… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …Office of Inspector General (OIG), VISN and VHA. Responsibilities The Nurse Controlled Substance Coordinator (CSC) Consultant executes position responsibilities ... that demonstrate leadership, experience, and creative approaches to the management program aspects. The CSC Consultant is responsible for the documented outcomes… more
- CVS Health (Tallahassee, FL)
- …- Emergency/critical care experience - Experience working Grievance cases - Case Management or Utilization Management experience - Managed care ... as needed. This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is responsible for the review and evaluation… more
- US Tech Solutions (RI)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... + Must have experience with Medcompass + Must have prior authorization utilization experience. + Managed Care/Medicare experience preferred. **Skills:** + MUST HAVE… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Utilization Management RN Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Supervisor of Utilization Management (UM) RN is responsible for...external committees as delegated or assigned. Serves as a consultant to other departments or organizations as needed. Responsible… more
- Access Dubuque (Dubuque, IA)
- …degree nursing program.** **Active and current license for Registered Nurse ** **Active and current International Board-Certified Lactation Consultant ... Lactation Consultant - Birth Center **MercyOne** 1 Positions ID:...health and wellness, particularly as it relates to breastfeeding management and early parenting issues.** **Helps breastfeeding women and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Lactation Support Consultant position functions at the Proficient level according to Benner's model of clinical practice and is responsible ... breast feeding support under the general supervision of the Nurse Director. In addition to functioning as a staff... Director, Managers and Charge Nurses, the Lactation Support Consultant position is responsible for the quality of patient… more
- MyFlorida (Miami, FL)
- OPS REGISTERED NURSING CONSULTANT - 64801869 Date: Aug 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 850863 Agency: Department of Health Working Title: OPS REGISTERED NURSING CONSULTANT - 64801869 Pay Plan: Temp Position Number: 64801869 Salary: $47.00 hourly… more
- MyFlorida (Orlando, FL)
- …Bachelor's Degree in any other discipline with at least 6 months of direct case management experience or a Florida Licensed Registered Nurse (RN) with 1-year of ... HUMAN SERVICES PROGRAM CONSULTANT II - 64006362 Date: Aug 1, 2025...(CBO's). Incumbent reports directly to the Supervisor of Case Management . Staff will establish and maintain a caseload of… more