- CVS Health (Santa Fe, NM)
- …members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Lansing, MI)
- …healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. **Position Summary** The Team Lead plays a ... clinical practice experience in medical healthcare. + 3+ years Medical Review or Utilization Management experience. + 2+ years of experience with personal… more
- CVS Health (Lansing, MI)
- …And we do it all with heart, each and every day. ** Utilization Management Nurse Consultant** Fully Remote - WFH **Position Summary** Utilizes clinical ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years of… more
- Actalent (Houston, TX)
- … Management ) 100% Remote Job Description The role of the Utilization Management Nurse involves performing concurrent reviews, determining the member's ... setting of care. Essential Skills + 2+ years of utilization management experience + Active Texas RN...Bachelor's or Associate's degree in Nursing. + Texas Registered Nurse License. + Strong multitasking and time management… more
- CVS Health (Lansing, MI)
- …solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant - Oncology and Transplant ... may vary based on business needs) **Location** : 100% Remote (US only) **Position Summary** American Health Holding, Inc....a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- CVS Health (Richmond, VA)
- …with heart, each and every day. **Position Summary** This Utilization Management Nurse Consultant (UMNC) position is 100% remote . As a Utilization ... utilize clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program and our plan sponsor(s). You would be… more
- Martin's Point Health Care (Portland, ME)
- … required; BSN preferred. + 3+ (total) years clinical nursing experience + Utilization management experience in a managed care or hospital environment required ... "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member...to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective… 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...or compliance. **Additional Information** + **Workstyle:** This is a remote position. + **Travel:** Up to 25% travel to… more
- Humana (Little Rock, AR)
- …and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
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