- 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 ... Nurses** ! This role is work from home and remote but we are requiring Nurses to live in...Generally work is self-directed and not prescribed. . The Utilization Management Nurse works under… more
- AmeriHealth Caritas (Newark, DE)
- **Responsibilities:** Under the direction of a supervisor, the Utilization Management Review Nurse evaluates medical necessity for inpatient and outpatient ... and making determinations based on clinical criteria. Using professional judgment, the Utilization Management Review Nurse assesses the appropriateness of… more
- Access Dubuque (Dubuque, IA)
- Utilization Management Nurse **Cottingham &...** **Location** : Onsite in Dubuque, IA. Also accepting remote applicants from Iowa. We are looking for a ... ** Utilization Management Nurse... Nurse MercyOne RN - Onsite Virtual Registered Nurse MercyOne Experienced Sales Executive - Risk Management … more
- CVS Health (Phoenix, AZ)
- …the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of a mission-driven team that's ... Child Safety (DCS). + Knowledge of Behavioral Health Outpatient Services. + Utilization Management (UM) Experience. **Education** + Master's degree required for… more
- CoreCivic (Brentwood, TN)
- …to better the public good. CoreCivic is currently seeking a ** Utilization Management / Case Management Nurse ** located at our corporate office in ... schedule of 3 days per week onsite and 2 days remote out of our Brentwood, TN office location._ The Utilization Management /Case Management Nurse … more
- CVS Health (Dover, DE)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... reside in EST time zone.** This is a full-time remote position. + Utilizes clinical experience and skills in...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- CVS Health (Carson City, NV)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... holidays, and evening hours. This is a full-time, remote role. + Utilizes clinical experience and skills in...and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and… more
- AmeriHealth Caritas (LA)
- …Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... in a fast-paced environment. ;The Clinical Care Reviewer - Utilization Management will also be counted upon...Degree in Nursing (BSN) preferred. + An active Registered Nurse (RN) license in good standing is required. +… 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 (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization ... activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management ...involving shadowing a team member on-site on Tuesdays and remote shadowing via Teams. Pay and Benefits The pay… more
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