- Humana (Little Rock, AR)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Title:** Utilization Management Nurse (RN) **Position Summary:** This role supports a ... which includes coverage during **evenings, weekends, and holidays** . The Utilization Management Nurse applies clinical expertise in a collaborative process… more
- CVS Health (Albany, NY)
- …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... in previous roles. **Preferred Qualifications** Managed Care experience and/or Utilization Management experience preferred **Education** Associates Degree in… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and ... most appropriate treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates...Up to 5 associates. **WAH Internet Statement** To ensure Home or Hybrid Home /Office employees' ability to… more
- Humana (Frankfort, KY)
- **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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...This hybrid position will have limited hours working at home at the leader's discretion. This is an Onsite… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Weekend 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
- Access Dubuque (Dubuque, IA)
- Utilization Management Nurse **Medical Associates** 1 Positions ID: oyNQxfws Posted On 09/19/2025 **Job Overview** **Description** Medical Associates is ... looking for a ** Utilization Management Nurse ** to join...**After training, there is o** **pportunity for work from home if desired!** **Location:** Training is in-person at Medical… more
- UCLA Health (Los Angeles, CA)
- …for Medicare Advantage population enrolled under UCLA Medical Group. The ICM Medicare Advantage Utilization Review Nurse ensures that home health and durable ... direction of the Assistant Director, the ICM Medicare Advantage Utilization Review Nurse performs utilization ...resource utilization under the UCLA Medical Group Utilization Management guidelines. In this role, you… more
- CVS Health (Workman, MN)
- …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
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The RN, Utilization Management (UM) Nurse 2 utilizes clinical nursing skills to support ... in the state of Michigan. + One (1) year of previous experience in utilization management /LTSS service authorization. + Two (2) years prior clinical experience,… more
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